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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
January 01, 2013 - the immersion calls, the mid-course meeting was approximately 12 months later, with the final meeting occurring
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www.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
December 01, 2012 - CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
April 01, 2016 - ■ Assess what is occurring in the organization’s legal
community regarding medical litigation.
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
February 01, 2014 - What, if any, unintended consequences of the process are occurring?
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www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
January 01, 2024 - Traditionally, management of pregnancy loss has been dilation and
curettage (D&C), most often occurring … Traditional management has been dilatation and curettage (D&C), most often occurring in
an operating … surgical center, and the place of service was not an office, the
procedure was also classified as occurring … hospitals, and there were no inpatient procedure
or revenue codes, the procedure was classified as occurring … we were unable to assess whether early adoption of misoprostol and/or office uterine
evacuations is occurring
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - several studies have highlighted the significant liability claim costs associated with preventable ADEs occurring … claims analyzed, 73 percent of them were deemed preventable and were nearly evenly divided between ADEs occurring … This project highlights the need to proactively implement strategies to minimize potential ADEs occurring
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www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - from 2011 to 2014 as a result of the reduction in HACs, with nearly $16 billion of those cost savings occurring
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www.ahrq.gov/topics/medical-errors.html
Topic: Medical Errors
Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. AHRQ has sponsore…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
June 02, 2025 - clinicians understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Pneumothoraces occurring during or immediately after a procedure are generally considered
iatrogenic … Pneumothoraces occurring during or immediately after a procedure are
generally considered iatrogenic … Pneumothoraces occurring
during or immediately after a procedure are generally considered iatrogenic … PDI 05
Iatrogenic Pneumothorax X Pneumothoraces occurring during or
immediately after a procedure … PSI 06 Iatrogenic Pneumothorax X Pneumothoraces occurring during or
immediately after a procedure are
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - As such, consumers may be able to provide much more information on events occurring during transitions … vigilant health care professionals and systems will attempt to both prevent patient safety events from occurring
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www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - Participation in the Collaborative involved a
commitment to conduct RCAs of falls occurring at their … Those that chose to join were asked to send WVMI
retrospective baseline data on all falls occurring
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
December 01, 2017 - For all residents on the report, which triggers are occurring most often? … Are the Weekly Nutrition Risk Huddles occurring as scheduled? Are the nursing assistants attending?
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - the defect harming the patient, the severity of harm the defect causes, the frequency of the defect occurring … A postmortem is important, but a premortem exercise helps prevent the losses from occurring.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - the defect harming the patient, the severity of harm the defect causes, the frequency of the defect occurring … A postmortem is important, but a premortem exercise helps prevent the losses from occurring.
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www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
March 01, 2013 - themes
CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-2.pdf
January 01, 2016 - studies of the head (CT or MRI; Table IMG1) for the evaluation of
atraumatic headache (Table IMG3) occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - severity index scale based on patient outcomes
allows users to break down actual and potential errors occurring … All data are voluntary
and self-reported and may not be an accurate reflection of what is occurring … In fact, the reported data most likely represent a small
percentage of the events that are occurring
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www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - Until recently, knowledge about the number and types of errors and adverse events occurring within the … reiteratively refined during the first month of data
collection to more precisely reflect the incidents occurring
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - The baseline rates were generally very low, with most CSAE improvements occurring in favoring intervention … For births occurring from 2001-2012, the project reported a 19% reduction in frequency of obstetric claims