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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/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/hai/pfp/hacrate2013.html
January 01, 2018 - incidents of harm occurred in 2011, 2012, and 2013 (compared to 2010), with most of the improvement 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/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/research/findings/final-reports/16774-Bundy-draft-1.pdf
September 29, 2009 - likely to result in harmful medication errors included use of ISMP High-
Alert Medications, errors occurring … harmful errors involved significantly more
administering errors (59% vs. 32%, p = 0.023), errors occurring
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www.ahrq.gov/hai/pfp/interimhacrate2013.html
November 01, 2015 - incidents of harm occurred in 2011, 2012, and 2013 (compared to 2010), with most of the improvement 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/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/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Action Planning Worksheets
TeamSTEPPS Implementation Guide
TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety.
Action Planning Worksh…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Ask them why these problems are occurring and where the problems reside. … Consider its impact on causing the defect, and whether the factor occurs rarely or has a likelihood of occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Ask them why these problems are occurring and where the problems reside. … Consider its impact on causing the defect, and whether the factor occurs rarely or has a likelihood of occurring
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www.ahrq.gov/research/findings/studies/index.html?page=307
January 01, 2024 - Miller T Automated screening of emergency department notes for drug-associated bleeding adverse events occurring … Automated screening of emergency department notes for drug-associated bleeding adverse events occurring
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www.ahrq.gov/research/findings/studies/index.html?page=374
January 01, 2024 - important differential rates of adverse events by diagnostic category, with the highest odds ratio occurring … They found evidence of increasing NOM use, with this increase occurring more frequently in black and
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Interplay Between Cognitive Load and Diagnostic Accuracy
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cogn…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/97-tenn-pop-health-consortium-bylaws.pdf
September 20, 2022 - emergent circumstances or unforeseen circumstance prevent
appointment of new Representatives from occurring
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Ask:
What does the nurse suggest that the team do to reduce the likelihood of the defect occurring … CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are the critical time periods of antibiotic decision making. Frontline staff and prescribing clinicians are encouraged to use the Four Moments framework for all residents whenever the need for antibiotics is being c…
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www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - designations have led to incentives to identify best practices and policies to prevent “never
events” from occurring
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Equipment and Supplies
Public Health Emergency Preparedness
1. Preplanning
Description: The equipment and supplies team must lay the groundwork for procurement prior to a surge event. Key decisions include: determining whether to outsource staffing and procurement of the equipment and supplies, deciding wh…