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www.cpsi.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
August 01, 2014 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
March 07, 2019 - include any of the following — accurate recounting and documentation of key events, analysis of what occurred … To conduct a debrief, the team leader recaps the established plan and key events that occurred and asks
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
June 05, 2016 - Ideally, if your
data permit, consider only costs that occur after the adverse event occurred.
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Sleep in Preterm Infants
Sleep in Preterm Infants
SIDS
■ Preterm infants are known to be at higher risk for SIDS; high-risk period lasts up to 10
months.
■ To reduce risk:
– Use supine positioning on a firm mattress with no fluffy or loose bedding.
– Be sure the in…
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www.cpsi.ahrq.gov/news/blog/ahrqviews/hard-questions-about-telehealth.html
June 01, 2021 - April 2020, when the pandemic was surging, nearly 1.3 million Medicare primary care visits per week occurred
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www.cpsi.ahrq.gov/funding/grant-mgmt/nces.html
November 01, 2020 - extension can only be considered by AHRQ if the grantee can demonstrate that unusual circumstances occurred
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - diagnosis later turned out to be wrong (e.g., a case
in which an undesirable diagnostic outcome had occurred … Missed elevated BP occurred when a provider failed
to document an appropriate action for a patient with … assumed diagnosis later turned out to be wrong (i.e., in
which an undesirable diagnostic outcome had occurred … or commission (doing
something wrong) exists at the particular point in time at which the “error” occurred … In the articles that did include
the NASEM definition (n = 52), most mentions occurred in the in-
troduction
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
September 20, 2016 - discharges for a given 1-year period, less exclusions listed below
• Numerator: all hospitalizations that occurred
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Anemia of Prematurity
Anemia Of Prematurity
Characteristics
■ Occurs during the normal developmental switch from fetal to adult hemoglobin synthesis.
■ Immediately after birth, the increase in blood oxygen content results in the downregulation of
erythropoietin.
■ On…
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health Care
Kenneth W. Kizer, Melissa B. Stegun
Abstract
Health care errors resulting in patient harm are a leading cause of morbidity and
mortality in the United States, although there is no national reporting of such…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4i
Selected Best Practices and Suggestions for Improvement
PDI 11: Postoperative Wound Dehiscence
Why focus on postoperative wound dehiscence in…
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www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - contextual and complex, but they agreed that full disclosure was desired when an error that caused harm occurred … The case studies were based on actual medication discrepancies that occurred during a hospital-to-home … Now, let’s consider the reason each of those contributing factors have occurred.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-growth.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Growth
Growth
General Growth
■ Use growth charts made specifically for premature infants.
■ After infant reaches term corrected gestational age, a standard growth chart may be used.
■ Use corrected postmenstrual age until 2 years of age.
■ Interpretations of catch-u…
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www.cpsi.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan.pptx
January 20, 2006 - Slide 1
TeamSTEPPS for
Office-Based Care
Implementation Planning
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Page ‹#›
RRS
1
Objectives
Describe the steps involved in implementing TeamSTEPPS in an office-based care setting
Discuss possible barriers at each step for the practices that will be recruited
®
TE…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pptx
February 03, 2006 - PowerPoint Presentation
Implementation Planning
TEAMSTEPPS 05.2
Mod 11 LTC 2.0 Page ‹#›
Implementation Planning
1
Implementation Planning
Objectives
Describe the steps involved in implementing TeamSTEPPS
Develop a TeamSTEPPS Implementation Plan
TEAMSTEPPS 05.2
Mod 11 LTC 2.0 Page ‹#›
Implementation Plan…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pdf
June 09, 2017 - Module 11 Instructor Slides
TEAMSTEPPS 05 2
TEAMSTEPPS 05 2
Implementation
Planning
Implementation Planning
Objectives
• Describe the steps involved in implementing
TeamSTEPPS
• Develop a TeamSTEPPS Implementation Plan
.
Mod 11 LTC 2.0 Page 2…