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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm occurred
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ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - The systems should capture both objective information about what occurred and more subjective information … Information collected from consumers should include where a patient safety event occurred; what contributed … submitted to relevant health care facilities (presumably facilities where events of the specified type occurred
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - failure mode based
on three factors: (1) its likelihood of occurrence (L), (2) its severity if it occurred … This failure mode occurred in every simulation trial, and in situ participants repeatedly
identified … Again, this failure mode occurred in
every simulation and resulted in delays in receiving blood and/ … team
in the operating room assumed that the blood bank would be sending the blood, neither of which
occurred
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - [1: ]
Often, it is appropriate to apply type 2 problem solving to understand why the problem occurred
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
September 01, 2015 - Analysis of what occurred, what worked, and what did not. … To conduct a debrief, the team leader recaps the established plan and key events that occurred and asks
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_eval_exsheet.pdf
April 24, 2017 - Evaluating TeamSTEPPS Worksheet
Evaluating
TeamSTEPPS Exercise
Evaluating TeamSTEPPS Worksheet
SCENARIO
Staff from the dementia care unit recently attended the 2-day TeamSTEPPS Master
Training course. During the implementation planning session, the team noted that Mr.
Stevens has had increasing instanc…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - and objective outcome measures, and correctly apply VAE diagnostic criteria to determine if a VAE has occurred … POTENTIAL VAC
SAY:
We will now use the VAC criteria reviewed earlier to determine whether a VAC has occurred
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Question 9: If the antibiotic dose was incorrect, indicate where the defect occurred in the administration … If the antibiotic dose was incorrect, indicate where the defect occurred in the administration of the
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module7/igsummary.pdf
February 21, 2014 - • Identify the instances where a breakdown in teamwork has
occurred as it relates to the specific … – A better handoff would have occurred.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - The nurse will write in the resident's name, medical record number, date the incident occurred and time … If the resident slipped, the nurse should specify how this occurred.
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ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - The learning that occurred as a result of the simulation reveals opportunities for organizations to address
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ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - change, the target facility may be sold, or regulatory changes or technological advancements may have occurred
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module11.pptx
March 07, 2019 - for that measure, and measure before and after you implement TeamSTEPPS to see if the desired changes occurred
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-tool.html
January 01, 2017 - Unknown : it is unknown regarding what activity, if any, occurred. … Unknown : it is unknown regarding what activity, if any, occurred. … If multiple events occurred, you can enter up to two more events.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
January 01, 2018 - If most of a group practice’s 2018 billings at HOPDs occurred at a specific HOPD linked
to a system, … If such a group practice reported that most 2018
billings at hospital-based settings occurred at specific … For example,, if
60 percent of the DOSs for a TIN occurred at a facility linked to hospital 1, and 40 … percent
occurred at a facility linked to hospital 2, the file includes the CCN for hospital 1 in the … xxiii The data we used to identify whether group practices occurred in a hospital-based setting include
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training
Overview of On-Time
On-Time Preventable Hospital and
ED Visits Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilita…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Overview of On-Time
On-Time Falls Prevention
Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and implementation…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Healing Facilitator Training
Two-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and …
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ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves … This tool provides physicians and nurses with a structured approach to review problems that may have occurred
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
November 01, 2019 - Moments of Antibiotic Decision
Making
SAY:
Moment 2 reminds us to ensure appropriate testing has
occurred … It spanned over a decade, so other changes that
occurred during this time period may have impacted … In addition,
improvements in infection control practices occurred.