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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
May 01, 2017 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17358-Strom-draft-1.pdf
June 30, 2010 - We excluded outcomes occurring on the first day of statin exposure because of
pharmacological data … The baseline
sCr measurement was the lowest sCr value occurring within 365 days before the elevated … Outcomes occurring during follow-up time
were attributed to the current exposure category. … Outcomes occurring within 30 days after the included
follow-up time were attributed to the prior exposure … Outcomes occurring more than 30 days
after included follow-up time were not included in the analysis
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www.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
November 01, 2019 - Four Moments Poster
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Moment 1 occurs at the time initiation of antibiotic therapy is considered:
Ask, “Does my patient have an infection that requires antibiotics?”
occurs when the dec…
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www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
May 01, 2016 - determined to involve a potential transition of care event, defined by a multidisciplinary team as occurring … collected and reviewed the hospital’s clinical and administrative documents to identify potential failures occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/readiness.pdf
August 01, 2005 - Identify the changes that are occurring or will occur during the timeframe within
which TeamSTEPPS implementation … Identify any current safety and quality initiatives (e.g., Lean Six Sigma)
that may already be occurring
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www.ahrq.gov/patient-safety/resources/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/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/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-policyholder-hp-adult.html
December 01, 2018 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Relation to Policyholder
Population version: Adult
Download these items: English (Word, 24 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local marke…
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www.ahrq.gov/news/newsletters/e-newsletter/820.html
June 01, 2022 - Pharmacotherapy interventions for adolescent co-occurring substance use and mental health disorders:
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www.ahrq.gov/news/newsletters/e-newsletter/845.html
January 01, 2023 - Emergency Department Visits
Despite no significant change in mental health emergency department visits occurring
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
April 01, 2022 - from it
Assessment of current status
Determination if progress is being made or not
If progress is occurring
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-providertype-cg30-adult.html
December 01, 2018 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Provider Type
Population Version: Adult
Download these items: English (Word, 25 KB)
Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred or is 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - and reported increased distractions and feelings of fatigue during the 30
minutes prior to the error occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus
Patent Ductus Arteriosus
Characteristics
■ A persistent open connection beyond 3 months of age between the pulmonary artery and the
aorta with blood flow from the aorta to the pulmonary artery.
■ An open ductus may lead to:
– Congestive heart…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-utilization-hp-adult.html
December 01, 2018 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Utilization
Population version: Adult
Download these items: English (Word, 24 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or au…
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-utilization-hp-child.html
December 01, 2018 - Supplemental Items for the CAHPS Health Plan Child Survey 5.0: Utilization
Population version: Child
Download these items: English (Word, 28 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or au…