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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
    October 01, 2015 - for Healthcare Research and Quality (AHRQ) to provide information on safety-related adverse events occurring
  2. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp3.html
    January 01, 2013 - Further, there were approximately 28 million hospital admissions in 2010 with slightly over 10 million occurring
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool7_portfolio_pres.ppt
    August 30, 2016 - readmissions % of all discharges with a behavioral health diagnosis % of all readmissions occurring
  4. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - This type of problem solving generally does not help prevent future harm from occurring. … It identifies problems in the system and works to prevent them from occurring again.
  5. 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
  6. www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiff-questions3.html
    September 01, 2012 - First, you need to be able to verify that the interventions are occurring.
  7. www.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
    July 01, 2018 - Directed toward improvement: Helps prevent the same problem from occurring in the future.
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/slmutualsupp.pptx
    February 03, 2006 - feedback is— Timely Respectful Specific Directed toward improvement Helps prevent the same problem from occurring
  9. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
    February 03, 2006 - feedback is— Timely Respectful Specific Directed toward improvement Helps prevent the same problem from occurring
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
    May 11, 2016 - The reporting system will need to be flexible regarding analysis and other activities occurring at local
  12. www.ahrq.gov/patient-safety/reports/hotline/appa.html
    May 01, 2016 - The reporting system will need to be flexible regarding analysis and other activities occurring at local
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
    October 01, 2014 - Many of the trends occurring in care management, such as population-based approaches and managing comorbid
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
    May 01, 2017 - Divergent thinking occurs during brainstorming sessions and when trying to understand what might be occurring
  16. 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
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - dispensing and administration studies.6, 7 However, the goals of the present study were to identify errors occurring … The identification and characterization of medication errors occurring in the Medical Errors Prior … Specifically, the team was very interested in identifying errors occurring in patients greater than … The types of errors that are characterized in the ambulatory setting are often different from those occurring
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - 0.004 0.012 Depression 0.002 0.006 Sample size 21,574 903 aPSI refers to a patient safety event occurring … PSI refers to a patient safety event occurring. … PSI refers to a patient safety event occurring. … PSI refers to a patient safety event occurring. Standard errors are in parentheses.
  19. www.ahrq.gov/teamstepps/officebasedcare/handouts/readiness.html
    December 01, 2015 - A practical strategy for this aspect of readiness is to: Identify the changes that are occurring or … Identify any current safety and quality initiatives (e.g., Lean Six Sigma) that may already be occurring
  20. www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - Using this process, they found that harmful DEs were common, occurring in about 7% of hospitalized patients

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