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Showing results for "caused".

281. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
     January 01, 2025 - interactions suggest, however, that the sense made of such events is that they are either inevitable, caused

282. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
     November 01, 2017 - Identify resident risk factors that may have caused a fall.

283. References (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
     January 01, 2017 - The difference was due to the significant reduction of VAP caused by gram-positive cocci and Haemophilus … However, no difference was observed in the incidence of VAP caused by nonfermenting bacteria. … morbidity of VAP in mechanically ventilated patients can be reduced by drainage, especially for VAP caused

284. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - The majority of errors that occur are considered “near misses”—errors that could have caused harm to … Unfortunately, a small portion of errors do result in an “adverse event”—an injury caused by medical … information technology can be a tool in reducing the number of medication errors and adverse events caused

285. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
     October 01, 2024 - Prevention 4 Pneumonia1,5-10 Pneumonia: An inflammatory condition that affects one or both lungs, caused … by an infectious pathogen Can be caused by bacteria, virus, or fungi Clinical diagnosis based on: Signs

286. Video-Transcript-Spanish (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
     June 02, 2025 - And I´m so, so sorry, to think that I caused Mr. Friedricks additional pain… Sí, así fue. … MJ: Well, we´re not sure that this situation caused the infection.

287. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Sensemaking and Learn From Defects for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Introduce …

288. Quality Improvement Study Framework (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
     June 02, 2025 - Quality Improvement Study Framework Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. · Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed. · Speculating about the cause of a problem before a th…

289. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
     December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Handouts: Overview of On-Time (continued) Menu of Implementation Strategies Pressure Ulcer Prevention Menu of Implementation Strategies   Existing New On-Time Nutrition Risk Reports        1. Care Plan…

290. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
     March 01, 2017 - The nature of her urine could also be caused by her medication or what she ate yesterday.

291. Two-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
     February 01, 2024 - a story of when a team didn’t listen to a patient or family caregiver and how the failure to listen caused … Conflict is inevitable and can be caused by differences in clinical knowledge, work approaches, values

292. NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
     March 18, 2025 - • Are you aware of any “near misses” in your area that could have caused harm?

293. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
     July 01, 2013 - Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #2: Statistical Process Control (Slide Presentation) This slide presentation was presented on May 14, 2013. Presenter: Jill Marsteller, PhD, MPP Discussant: Stephen Al…

294. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

295. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

296. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     June 02, 2025 - Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal … – Caused by: immature sleep-wake cycles, disruptions in sleep patterns caused by the need to give … ■ Subglottic stenosis may be caused by intraoperative damage to cricoid, tracheostomy placed too

297. Final Progress Report: Improving Patient Safety and Disease Management While on Contact Isolation (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
     January 01, 2024 - more chronically ill having more depression or anxiety and being more likely to be isolated (and not caused

298. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
     January 01, 2004 - occurred in your care that was responsible for the harm you experienced, and we apologize for the harm it caused

299. 053-Dec-Guide-Readiness (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
     October 01, 2024 - with daily chlorhexidine bathing and nasal mupirocin is effective at reducing bloodstream infections caused

300. Appendix K. Quality Improvement Study Framework - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
     May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide Study Elements Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. Avoid suggesting causes in the purpose statement. Cause determination will come later afte…