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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan.html
September 01, 2015 - When and where will the improvements occur? … When will the training sessions occur and for how long?
Where will the sessions occur?
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - which information must be communicated, a leader must be clearly designated, and mutual support must occur … Did the items on this checklist occur? If not, what was not done? … When would the briefing occur? Who would be expected to attend? … In addition, information updates within the team should occur as often as necessary. … difficult to find time for such reviews in health care, TeamSTEPPS advocates that after action reviews occur
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
July 25, 2008 - about privacy and the security of health data, and the unintended
consequences that can sometimes occur … Medication errors are a frequent cause of adverse drug events, and they can occur at any
point in the
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - Is proactive, identifying the possible adverse events before they actually occur, thus enabling the decision … major limitation of isolated database analyses in which the interactions of different-level processes occur … of ambulatory procedures, they are constrained in that complications, particularly infections that occur … Each site visit represented a different context in which SSIs can occur within the ambulatory surgery … a useful method for incorporating the data gathered from the site visits, because contamination can occur
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Slide 16
SAY:
Adverse events occur when a patient is harmed as a result of receiving medical care. … Rarely does an adverse event occur as a result of intent.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - heparin administration
procedures to identify the types and sources of potential and real errors that occur … Presentation of the protocol in this manner made it possible for an error to occur if
the practitioner … It is likely that
inexperience of this kind would make errors more likely to occur. … the process
should be clearer and, as a result, there will be less likelihood that an error will
occur … when a practitioner is highly stressed or fatigued—two
conditions that occur far too frequently in
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
April 01, 2022 - bacteriuria (ASB) or fungus in their urine, and 100% will have bacteriuria by day 30
Contamination can occur … Maintenance ׀ 6
6
Maintain a Closed System6
If breaks in aseptic technique, disconnection, or leakage occur
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Within the first 72 hours of a CANDOR event, the following actions should occur:
Schedule and complete
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Five potential health problems can occur as a result of taking an antibiotic.
1.
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ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Say:
Errors occur within the health care setting because people are fallible. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient.
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ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - mistakes safely, and to learn from these mistakes while avoiding patient harms that might otherwise occur … More focused forms of feedback with the guidance of an instructor are likely to occur during a debrief … clinicians' inquiries, they may evoke a wide range of emotional and behavioral characteristics that occur … Because of the uncertainty, complexity, and rapidly emerging conditions that occur in many health care … Given that unexpected events will occur, there are lessons to be learned regarding their anticipation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - Healthcare Research and Quality PATIENT
SAFETY
10 Patient Safety Tips for Hospitals
Medical errors may occur … minute DVD provides video excerpts of 50 actual chest
tube insertions to illustrate problems that can occur
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - Stages 1 through 3 may occur individually or simultaneously. … The reliving of the event is also known as a “tripping” or “triggering” event and can occur when the … An example of the emotions and thoughts that can occur at this stage from a second-victim are in the … Understanding event disclosure will occur.
Concerns about litigation. … The second-victim understands that disclosure of the event will occur with the patient and/or family
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
August 31, 2023 - In the huddle, the team anticipates problems that may occur and makes plans for them:
• The patient
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/care-planning/errors/20tips/20tips.pdf
September 01, 2011 - But medical errors can
occur anywhere in the health care system: In
hospitals, clinics, surgery centers … What do I do if
they occur?
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
March 01, 2014 - When and where will the improvements occur? … When will the training sessions occur and for how long?
… Where will the sessions occur?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Many different forms, by different people, occur over time:
Explanation of event’s cause and prevention … organization leaders in approaching these difficult discussions.
40
Module 1
Resolution can truly occur
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
November 28, 2017 - Assessment of Patient and Family Engagement Values and Practices
Indicate how frequently the following occur … Preparation
Preparing the Patient for their Next Appointment
Indicate how frequently the following occur … A3
Appointments
Appointments
Indicate how frequently the following occur in your facility by marking … A3
The Health Care Team
The Health Care Team
Indicate how frequently the following occur in your facility … A3
Care Partner
Care Partner Questions
Indicate how frequently the following occur in your facility