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  1. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter1.html
    June 01, 2014 - currently struggling to determine how to measure the extent to which this vital activity is or is not occurring
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Communication errors, however, can be considered a gap that, when addressed, may help prevent accidents from occurring
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    December 01, 2017 - identify defects that the team can address Teams can design interventions that prevent defects from occurring … defects that the team can address, and helps teams design interventions that prevent the defects from occurring
  4. www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
    January 01, 2024 - conference was so successful that there were multiple requests for follow-up conferences, which are now occurring
  5. www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
    November 19, 2015 - from 2011 to 2014 as a result of the reduction in HACs, with nearly $16 billion of those cost savings occurring
  6. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - specific incidents and trends that may or may not have been reported to the CU DFM as well as trends occurring … Our data have helped describe the types of errors occurring in primary care offices and corroborate … Furthermore, this taxonomy—with our revisions— provided useful details about the types of errors occurring … , a critical point will be to ensure that useful, practice-specific feedback about types of events occurring
  7. www.ahrq.gov/data/apcd/backgroundrpt/discuss.html
    April 01, 2017 - APCDs can capture process measures occurring in the outpatient setting, such as appropriate ordering
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-2.pdf
    November 12, 2010 - significant costs attributable to greater health-care needs, more frequent unintentional injury, co-occurring
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_fs_14-p005-1-ef.pdf
    October 01, 2014 - significant costs attributable to greater health care needs, more frequent unintentional injury, co-occurring
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-2.pdf
    November 12, 2010 - significant costs attributable to greater health-care needs, more frequent unintentional injury, co-occurring
  11. www.ahrq.gov/research/shuttered/acfselection/chapter2.html
    July 01, 2018 - non-ambulatory or ambulatory care can be provided at a time of markedly increased need during a naturally occurring
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - • Postoperative sepsis remains a major surgical complication in children, occurring in around 10 per
  13. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-post-intervention-va.pdf
    February 23, 2018 - It is disruptive to me that so many changes are occurring at my place of employment. 2.
  14. www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
    March 01, 2017 - the family members are the eyes and ears of the patient, having the situational awareness of what is occurring
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
    January 01, 2017 - the family members are the eyes and ears of the patient, having the situational awareness of what is occurring
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - • Postoperative sepsis remains a major surgical complication in children, occurring in around 10 per
  17. www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
    January 01, 2024 - Background Medication errors are common, occurring in nearly 20% of inpatient medication doses (Barker … objective was to assess the flow outcome and any messages/alarms that resulted from intentional misloads occurring
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Engage Patients and Families for Perinatal Safety AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members un…
  19. www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
    January 01, 2024 - Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety --------------------------------------- Weekend Effects and the July Phenomenon in Patient Safety Final Research Report to AHRQ Principal Investigator: Joel S. Weissman, PhD February 6, 2006 Co-Investigators and Study Staff (i…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
    April 01, 2022 - Indwelling Urinary Catheter Maintenance Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Maintenance Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Maintenance,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…

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