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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/CHSP_2016_GPLF_tech_Dec2020.pdf
January 01, 2016 - If physicians billing under the same group practice reported that most of their
relevant services occurred … If the majority of a group
practice’s billings at HOPDs occurred at a specific HOPD linked to a system … If such a group practice reported a majority of 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 two rows for
this TIN: one row
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www.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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www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - Three surgeries were missed because the SSI occurred greater than 30 days post-operatively. … Both occurred in total hip arthroplasties with onset of infection greater than 30 days post-operatively … At IH, 11 of 16 false negatives occurred because the algorithm missed important information in the notes … All data necessary to make an SSI diagnosis occurred after discharge from the initial surgery.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
November 01, 2017 - Risk Factors Report
Provides information regarding the number and percentage of falls that have occurred … Factors Report Quiz
For the Contextual Factors Report to display the shift on which the fall occurred
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_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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www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
February 01, 2017 - and objective outcome measures, and correctly apply VAE diagnostic criteria to determine if a VAE has occurred … Patients
Say:
We will now use the VAC criteria reviewed earlier to determine whether a VAC has occurred
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www.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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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
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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www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
January 01, 2014 - "It's not about blaming them that an error occurred."
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
June 01, 2014 - documentation of communication with physician managing the patient's on-going care that a fracture occurred
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - Generally, only findings that are
reasonably certain to have occurred and
unlikely to change should … investigate and analyze it (e.g., a root cause
analysis may be conducted) to determine
whether patient harm occurred
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www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - Scope
Where Most Patient Safety Research Has Occurred: Over the past decade, there has
been a flurry … : The interviewer then asked the participant to describe the most
significant harms that could have occurred
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
November 01, 2019 - Pocket Cards_4 Moments
Th
e
Fo
ur
M
om
en
ts
o
f A
nt
ib
io
tic
D
ec
isi
on
M
ak
in
g
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Moment 1 occurs at the time that initiation of antibiotic
therapy is being considered. Ask, “Does my patient have an
infection that requires antibiotics?”
Mome…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
Previous Page Next Page
Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Distributed Cognition
Nu…
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - the event or issue by providing teams the tools and resources needed to make sense of a failure that occurred … We then ask why this consequence occurred. … Try to view the world as they did when the event occurred.
Why did it happen?
Step 1.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - What actions occurred?
What were the team members thinking and feeling? … Say:
Asking these questions, and others, can help you understand how a defect occurred. … Say:
Try to find out what occurred in real time.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … Once the staff became aware of the rash, the appropriate evaluation occurred.
3.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - All department heads attend and we do talk about falls that occurred. Dr. … We have a falls meeting, but we don’t talk about falls risk; we talk about falls that have occurred. … use of the Monthly Contextual Factors Report to help identify patterns such as what time of day falls occurred … These are falls that occurred during the quarter. … The Falls Risk Report provides a count of all risk factors associated with the falls that have occurred
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - Measure before and after you implement TeamSTEPPS to see whether the desired changes occurred.