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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - reductions seen in 2015, 2016, and 2017
compared with 2014, AHRQ estimates a total of 910,000 fewer HACs occurred … 9 Due to the transition from ICD-9 to ICD-10 that occurred … the number of events (HACs) for the full year of 2015.
10 Due to the ICD-9 to ICD-10 transition that occurred … discharges, i.e., the
number of HACs shown in 2015–2017 is based on the number of HACs that would have
occurred
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talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Think about how this communication would have been more challenging if it had occurred in a series of
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talkingquality.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - trend-observed
The observed rate is the actual rate at which events measured by the indicator occurred … trend-observed-expected
The observed rate is the actual rate at which events measured by the indicator occurred
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Skip to main content
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talkingquality.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - process failures (DPFs) in a cohort of representative cases. 1 Most of the significant DPFs (63.3%) occurred
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
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talkingquality.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - cases (PPV
<1) (e.g., individuals were coded as having a patient safety event when no event actually
occurred … that arrived at the hospital with a condition that would be coded as
a patient safety event had it occurred
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
August 31, 2023 - TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department
TeamSTEPPS Video Debrief Guide: Huddle in Emergency
Department
Video Objective
To demonstrate the benefits of a team huddle to enhance performance and patient safety.
TeamSTEPPS Tool or Concept
Huddle.
Brief Video Description
A multidisciplinary …
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
November 03, 2023 - Workgroup Summary: The latest workgroup meeting occurred virtually on July 14, 2023, and
was attended
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talkingquality.ahrq.gov/funding/training-grants/r36.html
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/820.html
June 01, 2022 - During 2016-2018, hot spots of inpatient stays related to schizophrenia and other psychotic disorders occurred
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talkingquality.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Skip to main content
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talkingquality.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety
SAY:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
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talkingquality.ahrq.gov/research/publications/search.html?page=17
March 01, 2010 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
January 05, 2022 - This debrief would recap the established plan and key events
that occurred and ask questions related
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Two new AHRQ issue briefs describe the importance of patient engagement after a diagnostic error has occurred