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www.cpsi.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - Medicine report, To Err Is Human , revealed more than 15 years ago the extent of medical errors that occur
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www.cpsi.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Yet, when harm does occur, and honest and transparent conversations are not conducted, you harm us again
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-adult-survey_2357-1a.docx
March 11, 2016 - Some items cover events that occur with low frequency in the general population.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - There are five potential health problems that occur as a result of taking an antibiotic.
1.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
April 03, 2018 - Next, you need to understand how the many types of transitions currently occur.
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www.cpsi.ahrq.gov/teamstepps/readiness/abouttips.html
April 01, 2016 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
March Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested t…
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www.cpsi.ahrq.gov/teamstepps/primarycare/handouts/pcvideo.html
January 01, 2013 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
May 01, 2017 - Surgical site infections
are infections that can
occur after surgery in the
part of the body where
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_slides_msmt.pptx
February 03, 2006 - PowerPoint Presentation
Measurement
TEAMSTEPPS 05.2
Mod 10 LTC 2.0 Page ‹#›
Measurement
Objectives
Describe the importance of measurement
Describe the Kirkpatrick model of training evaluation
Identify measures that can be used to assess the impact of TeamSTEPPS
Describe the AHRQ Nursing Home Survey on Patient Saf…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
AHRQ Publication No. 17-0003-4-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Science of S…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-child-survey_2358-1a.docx
March 11, 2016 - Some items cover events that occur with low frequency in the general population.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
May 23, 2013 - Nurse shift changes occur when nurses who are
going off duty share information about your care
with
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - Forster, et al.4 provide data demonstrating that many adverse events occur
at the time of hospital discharge … Errors occur when latent
conditions or system failures occur that are the consequences of failures in … Many adverse effects
occur during the peridischarge period, and many could be prevented with
relatively … industries as a proactive,
systematic way of examining processes for possible ways in which failure can
occur … • Patient education must occur throughout the hospitalization, not only
at the time of discharge
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
June 05, 2016 - Ideally, if your
data permit, consider only costs that occur after the adverse event occurred.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 05, 2016 - Ideally, if your
data permit, you would consider only costs that occur after the adverse event occurred
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
April 12, 2018 - A warm handoff can occur between any two members of the healthcare team, including clinicians, medical … We will also evaluate our implementation success:
How often does the intended Warm Handoff Plus occur
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Churchill
According to the Institute of Medicine (IOM),1 tens—if not hundreds—of
thousands, of errors occur … The majority of errors that occur are considered “near misses”—errors
that could have caused harm to … The IOM reported that the probability of a
hospital preventable medical death will occur in the range … of 3 to 6 per 1,000
admissions and that an adverse event will occur in the range of 3 to 4 per every … In these types of activities, errors known as slips or
mistakes (lapses) can occur for multiple reasons
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
December 13, 2013 - ■ Tracheo-esophageal fistula may occur as a result of posterior wall erosion.
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
September 01, 2015 - Followup questions:
When and where does planning occur for you now?
Who attends? … Sample some responses, and then emphasize that updates should occur as often as necessary, particularly