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  1. www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    February 01, 2025 - what went wrong, how delays could be avoided, and what strategies could mitigate any harm that has occurred … electronically identify patients who may have experienced errors and delays in diagnosis and understand why they occurred
  2. www.ahrq.gov/research/shuttered/hospevactab6.html
    July 01, 2018 - Have any other incidents occurred that increase the likelihood that an evacuation order will be issued
  3. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 11, 2021, from 10 a.m. to
  4. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on November 6, 2020, from 1 p.m.
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
    April 01, 2022 - (Communication Plan) Now that you have more information about how and why this CLABSI occurred, how
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
    April 01, 2022 - (Communication Plan) Now that you have more information about how and why this CAUTI occurred, how will
  7. www.ahrq.gov/data/infographics/adverse-drug-events.html
    August 01, 2018 - Adverse Drug Events Occurring in U.S. Hospitals Adverse Drug Events Occurring in U.S. Hospitals (PDF, 1.5 MB) Source:   HCUP Statistical Brief #164: Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
    June 02, 2025 - CALCULATION Step 1: Identify all deliveries that occurred in medical facilities, using the criteria … Step 8: Count the number of high risk deliveries that occurred in Class 1 and Class 2 facilities for
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - The results showed that 62 percent of patient falls occurred between 8:00 p.m. and 8:00 a.m., which … was not surprising, since the night shift has fewer care providers; 67 percent of patient falls occurred … Discussion Since the program launch in March 2007, multiple system and process changes have either occurred … For example, three of the falls in Q2 occurred while the patient was being attended by staff who had
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - Thirty-seven errors (67 percent) occurred in hospital, while 8 errors (14.5 percent) occurred in emergency … departments (without subsequent admission); 8 errors (14.5 percent) occurred in ambulatory practices … points” for providers and quality leaders alike, while honestly identifying individual error where it occurred
  11. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
    March 01, 2013 - Note: If this is not alluded to, the observer may have to ask the family members if this occurred (AFTER … a staff member or an informal support indicates that contact/communication with another team member occurred … person) or written communication between two or more team members (i.e., professional/informal supports) occurred … Scoring Yes if verbal or written communication occurred between two or more team members.
  12. www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
    April 01, 2013 - Training 12% Organizational Culture 12% Slide 8 Exercise Think of a defect that has occurred … logo and penguin Slide 24 Feedback 1 Timely—given soon after the target behavior has occurred
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
    January 01, 2006 - for AHRQ Tool B.3a The observed rate is the actual rate at which events measured by the indicator occurred … for AHRQ Tool B.3a The observed rate is the actual rate at which events measured by the indicator occurred
  14. www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
    February 01, 2017 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the
  15. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
    October 01, 2015 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
    May 01, 2017 - CUS contact person determines what communication has occurred with the patient/family regarding the event … If communication has not yet occurred and is required, CUS contact person will speak with the patient
  17. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
    June 02, 2025 - Review: Confirm anticipated result has occurred or apply contingency if required.
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
    June 02, 2025 - Patients 12 to 17 years of age with a depression-related PHQ-9 or PHQ-A score greater than 9 that occurred
  19. www.ahrq.gov/cahps/about-cahps/patient-experience/index.html
    March 01, 2025 - considers whether—or how often—various aspects of care (such as clear communication with providers) occurred
  20. www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool7.html
    May 01, 2014 - Indication that brief counseling around diet, exercise, weight management occurred during the encounter

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