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www.qualitymeasures.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
August 01, 2014 - Skip to main content
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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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www.qualitymeasures.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.qualitymeasures.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
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
April 01, 2022 - Unit Action Plan
The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
January 01, 2015 - Most
index hospitalizations occurred at hospitals whose readmission rate reliability was at least 0.7
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
May 01, 2013 - substantial variation by State and hospital.1,2
● Overall, nearly a third of all births (32.8 percent) occurred
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - Most index
hospitalizations occurred at hospitals with a readmission rate reliability of at least 0.7
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
September 01, 2022 - Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections
Best Practices in the Management of Patients With Antibiotic Allergies
Ambulatory Care
AHRQ Safety Program for
Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
September 2022
Antibiotic Allergies
AHRQ Safety Program for Improving Antibiotic Us…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/igleadership.pdf
March 10, 2014 - include:
• Accurate recounting and documentation of key events;
• Analysis of why the event occurred … • Recap the situation, background, and key events that occurred.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - The systems should capture
both objective information about what occurred and more subjective information … About 88 percent
of the patient safety events occurred in a hospital setting. … One quarter of patient safety events
occurred in an ambulatory setting and 10 percent in a long-term … Among the participants, about 91 percent reported that the
event occurred in a hospital setting, 21 … ; who was involved (functions, not names); why it occurred (most dominant
cause); and risk assessment
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - care
workers learn these strategies on the job, in the setting where a serious or sentinel event has
occurred