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www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
March 01, 2022 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
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Issue Brief 8
Distributed Cognition and the Rol…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
February 19, 2014 - Delivering feedback several weeks after poor
performance has occurred is too late for it to be effective
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www.talkingquality.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
June 01, 2019 - Description Phase
Recap of what happened in the scenario
Team members share their perspectives on what occurred
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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www.talkingquality.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html
November 01, 2018 - results – including team-specific results – with practice goals will confirm if planned changes have occurred
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
November 01, 2022 - Significant improvements have occurred for people receiving care at home.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Once a trigger is found, an in-depth review is undertaken to
determine whether an AE occurred. … In the case of naloxone, administration may indicate an AE
occurred if the drug was given to counteract … on overdose of opioids given in the hospital but, on
the other hand, may not if the overdose occurred … was judged to be reasonably likely to identify an underlying
AE, indicating that harm potentially occurred … Secondary reviewers then
evaluated all suspected AEs to confirm whether an AE had indeed occurred and
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
January 01, 2014 - specifically about the developmental screening
results or whether a discussion with family/guardian occurred … there is a queriable field in the EHR indicating whether
a discussion with the patient’s family has occurred … actually indicates that a discussion occurred. … A structured field for the date the discussion occurred.
5. … Further, a report on the rate of
discussions of screens and the date on which they occurred would remind
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - reductions seen in 2015, 2016, and 2017
compared with 2014, AHRQ estimates a total of 910,000 fewer HACs occurred … 9 Due to the transition from ICD-9 to ICD-10 that occurred … the number of events (HACs) for the full year of 2015.
10 Due to the ICD-9 to ICD-10 transition that occurred … discharges, i.e., the
number of HACs shown in 2015–2017 is based on the number of HACs that would have
occurred
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Think about how this communication would have been more challenging if it had occurred in a series of
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-section-2-technical-specifications.pdf
October 19, 2017 - Step 7: Note whether or not the ARRIVAL temperature occurred within
15 minutes of arrival to the nursery
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_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.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
August 01, 2022 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - Section 5, Table 3
Table 3: Evidence for Obtaining a Blood Culture for Treatment of Children with Sepsis Syndrome
Type of
Evidence
Key Findings Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinical
guidelines
Pediatric considerations in severe sepsis: Empiric
antibiotics should be administered with…
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www.talkingquality.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - cases (PPV
<1) (e.g., individuals were coded as having a patient safety event when no event actually
occurred … that arrived at the hospital with a condition that would be coded as
a patient safety event had it occurred
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www.talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
November 03, 2023 - Workgroup Summary: The latest workgroup meeting occurred virtually on July 14, 2023, and
was attended
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - investigated and analyzed (e.g., a root cause analysis may be conducted) to determine if patient harm has occurred