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patientregistry.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - would almost always be placed by a doctor, so the nurse should not be held accountable if an infection occurred
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patientregistry.ahrq.gov/news/newsroom/case-studies/201801.html
April 01, 2018 - The majority of falls occurred as patients left their beds to walk to or from the bathrooms, Myers said
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patientregistry.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - responsibility for completing medication reconciliation to the ICU charge nurse to eliminate the confusion that occurred
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patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - components:
Taking responsibility—This is not admitting guilt, but rather admitting that an adverse event occurred
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patientregistry.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Skip to main content
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patientregistry.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - provided detailed information concerning the incident, the patient, and
the context in which the incident occurred … events
8
were associated with no known harm; for 7.7% of reports, it was too early to tell if harm
occurred … base a
review of claims activity (both before and after the event) to determine if any medical error
occurred … Mistakes occurred in a variety of settings. … Other errors occurred in nursing homes (10.3%), emergency
departments (13.8%), and pharmacies (10.3%
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
June 05, 2016 - The observed rate is the actual rate at which events measured by the indicator occurred in
your hospital
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patientregistry.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm occurred
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patientregistry.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
October 01, 2014 - By creating a flowchart of the medication reconciliation process that occurred from hospital discharge
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patientregistry.ahrq.gov/research/publications/search.html?page=10
September 01, 2015 - experienced by hospital patients in 2011, 2012, and 2013 relative to the number of HACs that would have occurred
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Pressure Ulcer Prevention Toolkit
Pressure Ulcer Prevention Toolkit
Module 4 Tools
2G: Pieper Pressure Ulcer Knowledge Test
4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team
4B:…
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patientregistry.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm occurred
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patientregistry.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - Analysis of why the event occurred, what worked, and what did not work. … Recap the situation, background, and key events that occurred.
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/index.html
April 23, 2024 - of Digital Healthcare Technologies Advance Equity
April 9, 2024
Surge in Drug Shortages Occurred
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patientregistry.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 23, 2024 - of Digital Healthcare Technologies Advance Equity
April 9, 2024
Surge in Drug Shortages Occurred
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patientregistry.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
August 01, 2014 - Skip to main content
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patientregistry.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html
November 01, 2023 - CMS implemented the HCAHPS survey in October 2006, and the first public reporting of HCAHPS results occurred
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/m11impguide.pptx
February 03, 2006 - newbref
TeamSTEPPS Implementation Guide
TEAMSTEPPS 05.2
Page ‹#›
Implementation
Guide
1
Page ‹#›
Shift Toward a Culture of Safety
TEAMSTEPPS 05.2
Page ‹#›
Implementation
Guide
2
Page ‹#›
10 Steps of Implementation Planning
Create a Change Team
Define the problem, challenge, or opportunity for improv…
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patientregistry.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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patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
November 02, 2018 - They also realized that calling a huddle when a fall occurred was an important step in their process. … baseline before implementation, and then evaluate after implementation to see if the desired changes occurred