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81. Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
    February 04, 2020 - Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications The percentage of children aged 3 through 17 years with an outpatient care visit and a BMI ≥85th percentile who had a blood pressure percentile documented and classified as normal or abnormal during the measurem…

82. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
    July 01, 2018 - Identify Your RRS Structure RRS Execution Detection Detection: STEP Assessment Where can Detection occur … Return to Top Where can Detection occur? … Detection can occur from a variety of sources or concerns Image: Activator penguin holding oversize … Return to Top Evaluation: Debriefs Debriefs occur right after the event and are conducted by the

83. 6 Tk1 T1-Talking With Residents Checklist Version Final (pdf file)
    www.talkingquality.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.

84. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 - Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Likewise, if multiple minor injuries occur, they will only be counted as one and if multiple major … injuries occur, they will only be counted as one. … Regardless of whether the report is monthly or quarterly, a room change must occur within 30 days

85. Hypertension Screening for Children Who Are Overweight or Obese: Table 2 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
    January 01, 2011 - Although death and cardiovascular disability don’t occur in children with hypertension, intermediate

86. Asthma 1 Measure Calculation Steps (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
    March 11, 2021 - This means, for a given member-month, a comorbidity may occur in the future (but only within the same

87. Tips and Suggestions for Enhancing Organizational Readiness | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps/readiness/abouttips.html
    April 01, 2016 - 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 …

88. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    www.talkingquality.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…

89. It Takes a Team: Preventing Infections in Ambulatory Surgery Centers (pdf file)
    www.talkingquality.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

90. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
    www.talkingquality.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…

91. USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
    April 01, 2021 - USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities Introduction This user guide provides step-by-step instructions for nursing home staff to use the Hand Hygien…

92. Prioritization Worksheet (pdf file)
    www.talkingquality.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.

93. Prioritization Worksheet (pdf file)
    www.talkingquality.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

94. Introduction Instructor Guide – PDF (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
    January 01, 2007 - • Describe the TeamSTEPPS Master Trainer course; • Describe the impact of errors and why they occur … Introduction BARRIERS TO TEAM PERFORMANCE Slide SAY: Errors can occur … , your team will be safer, allowing the team to more readily identify and correct errors, if they occur … • Describe the TeamSTEPPS Master Trainer course; • Describe the impact of errors and why they occur … ; • Describe the impact of errors and why they occur; • Describe the TeamSTEPPS framework; and

95. TeamSTEPPS for Office-Based Care: Leading Teams | Agency for Healthcare Research and Quality
    www.talkingquality.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

96. TeamSTEPPS Primary Care Participant Handout: Video Reflections (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/video.pdf
    December 03, 2015 - TeamSTEPPS Primary Care Participant Handout: Video Reflections 6 I VIDEO REFLECTIONS pjrecrj005 As you view the video, make a note of your thoughts and observations. What problems do you see occurring? Where do you see breakdowns i:n the process of providing quaHty patient care? How coukl the breakdowns have …

97. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19 era, including false negatives and other

98. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - 0026-2-EF. 1 e Introduction Each year, approximately 141 million emergency department (ED) visits occur … Thus, distributed cognition will not occur. … diagnostic process and a patient’s journey through the ED and may help prevent the anchoring bias that can occur … documented but solutions to the problem are sparse.44-46 For example, communication breakdowns can occur … Thus, it is no wonder that diagnostic errors occur.

99. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - experience at least one medication discrepancy in the transition from hospital to home, and discrepancies occur … for all classes of medicines. 9-11 Medication discrepancies that occur during the transition from hospital … institution confirms the transfer and assumption of responsibility, 15 assigning liability for errors that occur … sub-theme of our focus group findings regarding patient harm and liability was that full disclosure should occur … When errors that result in harm occur, full disclosure is the best practice.

100. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
     June 01, 2017 - She will know that it is successful when fewer similar problems occur. … remind you that there are resources to facilitate escalation of critical, safety-related issues that may occur