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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014
December 2016
Saving Lives and Saving Money: Hospital-Acquired Conditions
Update
Final Data From National Efforts To Make Care Safer, 2010-2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-coordination-of-care-cgcahps-adult-2357-17a.docx
October 12, 2017 - Some items cover events that occur with low frequency in the general population.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh_items_cg-cahps-child-survey_2358-2a.docx
March 11, 2016 - Some items cover events that occur with low frequency in the general population.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure
as long as all … of the services occur within the time frame established in the measure.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure
as long as all … of the services occur within the time frame established in the measure.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure
as long as all … of the services occur within the time frame established in the measure.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
January 20, 2006 - 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
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www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-medical-supplies-hp-adult.html
December 01, 2018 - Some items cover events that occur with low frequency in the general population.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - community and the public on the estimation that
between 48,000 and 98,000 deaths from medical errors occur … Yes:
Did any of the following occur during hospitalization? … Yes:
Did any of the following occur during the hospitalization (check all that apply)
∗ Death
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
March 01, 2016 - that specific indicator
Expected events = for each QI indicator, the total sum of events expected to occur … by the size of your hospital’s patient population and the types of quality
and safety events that occur … eligible hospital stay is assigned an expected probability that a particular indicator event
will occur
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - pharmacy alerts
for allergies to antibiotics
4
Changing the System
4
Active Failures
Errors that occur
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Slide 17: For Information Transfer – Handoffs
Say:
Handoffs occur during a change in assignment … A handoff may occur when a resident is first welcomed to the nursing home from the hospital or during … another staff member, even for a short timespan such as a lunch break, a structured communication should occur
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
March 01, 2017 - CAUTIs.
2
Health Care Workers’ Hands Spread Infections1
1-3 million serious infections estimated to occur … remember these four times for hand hygiene during your care of residents, including interactions that occur … Hand contamination may occur as a result of small undetected holes in gloves
Hand contamination may occur
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
March 01, 2017 - Whichever template you choose, you should document the following:
· What actions or changes will occur … · By when will the actions and changes occur?
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www.qualitymeasures.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
January 01, 2024 - Resources
AHRQ Papers on Diagnostic Safety Topics
Diagnostic errors occur
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
January 01, 2013 - Technology Example
“…if [people] accept the need to adopt a particular practice, implementation should occur … ☐
Yes
☐
No
When
did
the
briefing
occur?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-sdm-english-557-5a.docx
March 07, 2017 - Please note: Some items cover events that occur with low frequency in the general population.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-coordination-of-care-cgcahps-child-2358-17a.docx
October 12, 2017 - Some items cover events that occur with low frequency in the general population.