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Showing results for "occur".

101. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/implguide.html
     November 01, 2018 - Key Actions: Multiple actions occur during Phase I to assess organizational readiness for a TeamSTEPPS … Where will it occur? What do we hope to achieve with a TeamSTEPPS Intervention? … Key Actions: Three key actions occur during Phase II — writing a TeamSTEPPS Action Plan, conducting … TeamSTEPPS Action Plan written during Phase II provides the "how-to" guidelines for the key actions that occur … targeted problem or opportunity for improvement occurs – write down the process steps as they currently occur

102. TeamSTEPPS Team Leadership Module 2
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
     February 28, 2022 - the components and composition of a multi-team system. 3 3 Team Structure Teamwork cannot occur … Where did the breakdowns occur between the components of this multi-team system? … Leadership Debriefs foster process improvement: Brief, informal information exchange and feedback sessions Occur

103. Monitoring for Perinatal Safety: Electronic Fetal Monitoring | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
     July 01, 2023 - determined, and staff should know what resources are available should a sudden change in patient status occur … Recurrent decelerations: occur with ≥ 50% contractions in any 20-min window. … Intermittent decelerations: occur with < 50% contractions in any 20-min window. … Timing : may occur with or without contractions. … Timing : In most cases, the onset, nadir, and recovery occur after the beginning, peak, and ending of

104. Tool 3. Clinical Care Observation Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/tools/obesity/obpcp-tool3.html
     May 01, 2014 - When does this counseling occur? How does this counseling occur?

105. AHRQ Workshop Bolsters New Jersey Patient Safety Act | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ockt0504.html
     October 01, 2014 - accountable for their conduct and encouraging honest disclosure and analysis of the errors that inevitably occur … If the desired culture change is to occur, they need to know that their honest sharing of information

106. Appendix A. Atlas Perspective and Domain Definitions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccapa.html
     July 01, 2018 - Communication may occur through a wide variety of channels, but for the purposes of measurement, we distinguish … While in practice interpersonal communication and information transfer often occur together, for the … Efforts aimed at specific transitions, which occur when information about or accountability for some

107. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - • Area-level indicators identify all cases of the potentially preventable complications that occur … AHRQ developed the hospital-level PSIs to capture inpatient events that occur during a single admission … These data help estimate the volume of those adverse events that occur in the admission during which … By attributing area-level PSI cases that occur because of inpatient care to the hospital-level PSI, … Because the intent of the hospital-level indicator is to identify cases that occur after admission,

108. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
     January 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

109. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - The Learn from Defects Form, which provides a standardized means to assess where defects occur and to … in that the failure mode and effects analysis searches for all possible ways in which an event could occur … These conditions are the mistakes that occur without human error. … By doing this, teams are able to assign meaning to the system breakdowns that occur on their units. … Making use of these ideas on the unit will help teams understand where breakdowns occur and collaborate

110. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - and second-order problem solving; List contributing factors that make defects in care more likely to occur … ASK: Why did the defect occur? Why did the contributing factor occur? … It did not occur to anyone that this patient could be misidentified. … ASK: Does the factor occur rarely and does it have a high likelihood of happening again? … Focus on a defect that carries the greatest risk of harm to patients, is most likely to occur, and has

111. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     January 30, 2020 - focus on the overall quality of care of the NICU, as some of the variation in readmission rates may occur

112. Pressure Ulcer Prevention Toolkit (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - Friction may occur when moving a person up in bed. 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Friction may occur when moving a person up in bed. True 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals

113. Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0208-technical-specs.pdf
     January 30, 2020 - that focus solely on the overall quality of care of the NICU; some variation in readmission rates may occur

114. FileNewTemplate
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module11.pptx
     March 07, 2019 - So, look at those things that occur frequently. … When and where will the improvements occur? … The outcome aims should focus on changes that occur because your staff carries out the interventions … Write down the process steps as they currently occur, and identify who’s doing what, when, with what … When will the training sessions occur and for how long? Where will the sessions occur?

115. Healthy Living: Infant Mortality | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
     September 01, 2015 - Approximately two-thirds of infant deaths occur in the neonatal period or within 1 month and one-third … occur in the postneonatal period from 1 month to less than 1 year.

116. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - Defects 2 • The Learn From Defects Form, which provides a standardized means to assess where defects occur … These conditions are the mistakes that occur without human error. … • Organizational failures occur when decisional elements, such as culture, procedures, and leadership … By doing this, teams are able to assign meaning to the system breakdowns that occur on their L&D unit … defects on the L&D unit, it is important for staff to understand where and how breakdowns in safety occur

117. A Practice-Based Intervention to Improve Care for a Diverse Population of Women with Urinary Incontinence (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_optima.pdf
     January 01, 2024 - Monthly intervention feedback over Zoom or email will occur between the clinical champions and the individual … A post-intervention quality assessment will occur six months after the initial patient assessment through

118. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … These conditions are the mistakes that occur without human error. … Organizational failures occur when decisional elements, such as culture,procedures, and leadership decisions … By doing this, teams are able to assign meaning to the system breakdowns that occur on their L&D unit … defects on the L&D unit, it is important for staff to understand where and how breakdowns in safety occur

119. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - historically on the individuals involved, rather than the systems and processes that allowed the error to occur

120. Mod01-Grand-Rounds-Slides (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - Slide 39 Say: Resolution can truly occur only after the organization has completed its investigation