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  1. 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?
  2. 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
  3. 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
  4. Ppe-Quiz (doc file)

    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
  5. Ppe-Quiz-Key (doc file)

    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
  6. 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
  7. 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.
  8. 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
  9. 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
  10. 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
  11. 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.
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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?
  18. 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?  
  19. 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
  20. 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

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