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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
January 01, 2025 - Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network
Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers
in a Regional Care Network
Rachel A. Umoren, MBBCh, MS
Mega…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
May 01, 2018 - this process was participation by a broad group of experts in the
development of clinically detailed scenarios … The route to measure specification included development of relevant scenarios and issues for
formal
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
November 01, 2019 - this process was participation by a broad group of experts in the
development of clinically detailed scenarios … The route to measure specification included development of relevant scenarios and issues for
formal
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
October 01, 2019 - this process was participation by a broad group of experts in the
development of clinically detailed scenarios … The route to measure specification included development of relevant scenarios and issues for
formal
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
September 01, 2019 - this process was participation by a broad group of experts in the
development of clinically detailed scenarios … The route to measure specification included development of relevant scenarios and issues for
formal
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas2-report.pdf
May 01, 2004 - The
teams would go through scenarios in the simulator and be videotaped.
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - The
teams would go through scenarios in the simulator and be videotaped.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - The SBAR training scenarios reflect a range of clinical conditions and patient circumstances and
are
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - The SBAR training scenarios reflect a range of clinical conditions and patient circumstances and
are
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - and screening of potential initiation events (IEs) that
would lead to errors, and the modeling of scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - reviewed current medications for 62.7 percent of patients,
and outlined contingency plans for possible scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - demonstrations of decolonization with CHG and mupirocin, and scenes with live actors acting out common scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
May 01, 2017 - family members in the health
care and safety of the surgical patient
• Apply the methods learned to scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - interactive was through “forum
theater” exercises, in which actors acted out different patient
visit scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/fielding-child-hcahps.pdf
February 18, 2021 - of 300 completed surveys is based on the likelihood of achieving
sufficient reliability across most scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
June 19, 2017 - of 300 completed surveys is based on the likelihood of achieving
sufficient reliability across most scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
December 17, 2019 - Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
Overuse of Imaging for the Evaluation of Children with
Post-Traumatic Headache
Section 1. Basic Measure Information
1.A. Measure Name
Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
1.B. Measure Num…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - knowledge around the epidemiology of diagnostic safety events in children and to
identify patient scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23459-McCarthy-draft-1.pdf
July 01, 2019 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Title Page
EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use
Principal Investigator: Danielle M. McCarthy, MD, MS
Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…