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Total Results: 3,105 records

Showing results for "caused".

401. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
     January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care PROL IN HOME HEALTH CARE Title: Process Reliability and Organizational Learning in Home Health Care Principal Investigator and Team Members: Michael P. Silver, MPH Principal Investigator Cher Edmonds Study Coordinator Robert…

402. HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
     April 01, 2019 - use of germ-killing soap and ointment on all ICU patients was effective for preventing infections caused

403. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
     November 01, 2019 - Program for Improving Antibiotic Use – Acute Care 6 Moment 2: Diagnostic Tests for HAP HAP can be caused

404. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
     September 01, 2022 - Because patients with complicated UTIs are at risk for UTIs caused by organisms such as Pseudomonas aeruginosa

405. Strategy 2: Communicating for Improve Quality (Tool 6)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
     July 23, 2010 - shows patient-centered communication can improve: Patient safety More than 70 percent of adverse events caused … For example, one study found that more than 70 percent of adverse events are caused by breakdowns in

406. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
     August 01, 2017 - Good disclosures can also involve soliciting patients’ perceptions of what caused the adverse event, … While we cannot infer from these results that training caused the improved perceptions of culture, it

407. Patient Safety Data Sharing and Protection from Legal Discovery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
     January 01, 2001 - Introduction The 2000 publication of the Institute of Medicine (IOM) report, To Err Is Human,1 caused … that potentially preventable adverse events attributable to medical errors during hospitalization caused

408. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - Third, although many errors are caused by systemic failures or breakdowns in teamwork, nurses and other … restrictions later were relaxed, and we began to include errors that may have reached the patient but caused

409. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - Errors appearing to have been caused by either the failure or lack of a good system were reported in … necessary for the development and evaluation of specific interventions designed to reduce the harm caused

410. 105-What-Are-The-4-Es-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation…

411. Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-8x11-UTI.pdf
     June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents For Residents With a Urinary Catheter or if Nonverbal One or more of the following without another recognized cause: � Fever (>100°F or a…

412. 4 Things You Should Know about Urine Cultures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
     March 01, 2017 - 4 Things You Should Know about Urine Cultures 4 Things You Should Know About Urine Cultures 1. Bacteria in the urine does not necessarily mean a catheter-associated urinary tract infection (CAUTI) is present. Bacteriuria is the term used to describe a positive urine culture, the presence of bacteria in the urine. …

413. Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
     December 01, 2017 - Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transit…

414. Identifying Barriers to the Success of a Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
     March 01, 2004 - to use a mandatory reporting system if the care provider witnessed or contributed to an error that caused … Incident reviews are completed for the purpose of investigating an error that caused or had the potential

415. Appendix-K-Debrief-Audio-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
     June 02, 2025 - AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix K. Quality Improvement Study Framework Debrief Example Audio Transcript/Facilitator Notes Hello everyone, I'm Jeff Durney. I'm one of the quality improvement advisers in the AHRQ Safety Program for Ambulatory Surgery, and for the next few m…

416. Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmission Webinar 2
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
     January 01, 2015 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmission Webinar 2 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide) Agenda …

417. Self-Assessment Worksheet for Pressure Ulcer (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
     June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Prevention 1 On-Time Pressure Ulcer Prevention Self-Assessment Worksheet for Pressure Ulcer The Self-Assessment Worksheet i…

418. 066-Dec-Staff-Faqs-Safety-Side-Effects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization: Staff Frequently Asked Questions Safety & Side Effects This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols. The…

419. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - Eighty percent of claims involved injuries that caused significant (39%) or major (15%) disability or … found that closed malpractice claims yielded a rich source of data about errors and the factors that caused

420. Decolonization | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/decolonization/index.html
     May 01, 2025 - Decolonization Decolonization is an infection prevention practice that removes germs from the skin. It is often used in healthcare facilities when patients carry methicillin-resistant Staphylococcus aureus (MRSA) or other dangerous germs on their bodies. It can keep them from developing an infection themselve…