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  1. www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-english-557a.pdf
    November 28, 2016 - Please note: Some items cover events that occur with low frequency in the general population.
  2. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
    October 29, 2019 - Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Technical Specifications This measure assesses the ratio of the number of MRI scans to the number of CT scans obtained on or within 30 days after the date of evaluation for …
  3. www.innovations.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
    November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge
  4. www.innovations.ahrq.gov/hai/tools/surgery/index.html
    December 01, 2017 - address respectively adaptive and technical work, which are both critical elements for improvement to occur
  5. www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
    May 01, 2017 - When an error does occur, patients and families tend to blame the provider and not the system. … When they do occur, health care staff members need to know how to communicate effectively and support … Organizations should be prepared to respond and communicate proactively when adverse events occur.
  6. www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - Some of these elements, such as screening for behavioral health and patient education needs, occur on
  7. www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - Table 5.A.1. Evidence Table …
  8. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - For example, missed cases could occur if an accidental laceration is not clearly documented in the medical … Code all re- intubations that occur after surgery and extubation.
  9. www.innovations.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
    July 01, 2023 - Shift or staff changes: Transitions in care are the times when most communication breakdowns occur. … Where did miscommunication occur in this situation? What are the possible outcomes?
  10. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
    December 02, 2015 - Describe the impact of errors and why they occur ....................................................
  11. www.innovations.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - For example, Kotter's Eight Steps of Change describes what happens to get change to occur. … transparency and open communication are necessary for true cooperation, coordination, and teamwork to occur
  12. www.innovations.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
    July 01, 2023 - patient harm are often caused by a provider overlooking messages alerting them to a test result or occur
  13. www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
    March 01, 2016 - Different types of errors may occur with different frequencies in any clinical report depending on the … However errors that occur in fewer than 10 percent of data rows in a report may be difficult to detect … “Inclusion errors” occur when patients appear in the report with erroneous information. … “Exclusion errors” occur when patients and their data are missing from the report.
  14. www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/meenan.html
    October 01, 2015 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  15. www.innovations.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
    July 01, 2022 - Thomas, M.D., M.P.H., " Understanding Where, Why, and How Diagnostic Errors Occur " AHRQ PSNet Primer
  16. www.innovations.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
    December 01, 2019 - distribution of reports serves two purposes: It will help you keep track of all of the changes that should occur
  17. www.innovations.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
    June 01, 2023 - This step is particularly crucial for handoffs that occur electronically (e-handoffs).
  18. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  19. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-reid.pdf
    April 01, 2015 - functioning (including building shared goals, mutual respect, and within-team communication) was expected to occur
  20. www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p005-3-ef.pdf
    October 01, 2015 - . --- Followup for ADHD chronic care management should occur at least twice during the first year following

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