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www.innovations.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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www.monahrq.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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www.healthcare411.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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talkingquality.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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patientregistry.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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cahps.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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healthcare411.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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monahrq.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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ahrqpubs.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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preventiveservices.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 18
Say:
Once the CANDOR system is activated, two processes are occurring at the same … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring
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psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - points of failure in the patient’s care and the other that shares strategies to prevent the event from occurring
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www.ahrq.gov/ncepcr/building-community/pbrn-registry/register.html
January 01, 2022 - Register Your Network
Register Your Network
Recognizing the tremendous growth occurring around
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-sdm-hp-child.html
December 01, 2018 - confirmed that it is difficult to obtain an adequate sample based on the frequency of these events occurring
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psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
March 25, 2020 - June 22, 2007
Preventable harm occurring to critically ill children.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan108/folic-acid-for-the-prevention-of-neural-tube-defects-preventive-medication
October 16, 2014 - Interventions
Folic acid supplementation, with or without food fortification or naturally occurring … prevention of neural tube defects only
Food fortification only
Naturally occurring
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan108/folic-acid-for-the-prevention-of-neural-tube-defects-preventive-medication-january-2017
October 16, 2014 - Interventions
Folic acid supplementation, with or without food fortification or naturally occurring … prevention of neural tube defects only
Food fortification only
Naturally occurring
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www.ahrq.gov/news/newsroom/case-studies/cquips1101.html
October 01, 2014 - Assessment and Plan Performance at CMS, says, "We know that there are quality improvement activities occurring