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  1. www.qualitymeasures.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
    August 01, 2014 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  2. 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
  3. 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.
  4. 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
  5. 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…
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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)…
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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…
  16. 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.
  17. 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
  18. 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…
  19. 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.
  20. 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

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