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Showing results for "occur".

141. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - Within the first 72 hours of a CANDOR event, the following actions should occur: Schedule and complete

142. Evaluating TeamSTEPPS Worksheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_eval_exsheet.pdf
     April 24, 2017 - Evaluating TeamSTEPPS Worksheet Evaluating TeamSTEPPS Exercise Evaluating TeamSTEPPS Worksheet SCENARIO Staff from the dementia care unit recently attended the 2-day TeamSTEPPS Master Training course. During the implementation planning session, the team noted that Mr. Stevens has had increasing instanc…

143. CAHPS Cancer Care Supplemental Items (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-access-english-557-1a.docx
     March 07, 2017 - Please note: Some items cover events that occur with low frequency in the general population.

144. Serious Reportable Adverse Events in Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Identifying where and when in the care process mishaps occur, and changing processes of care to reduce … and the NQF formally endorsed a list of Serious Reportable Events in health care that should never occur—what … Many rare, but serious, events are cause for considerable concern when they occur. … reportable events that should be reported and investigated by all health care facilities if they occur … Excludes emergent situations that occur in the course of surgery and/or whose exigency precludes obtaining

145. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - Categories B through D errors involved situations in which an error did occur, but no harm resulted … suggest that, by targeting these risk factors for harm in the NICU, a significant number of errors that occur

146. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     September 20, 2016 - Topic 2: Readmissions by Payer How many readmissions occur at your hospital every year? … What you are looking for: Typically, 25% of readmissions occur within 4 days and 50% of readmissions … occur within 10 days of discharge. … How many readmissions occur at your hospital every year? … occur within 10 days of discharge.

147. Section 5, Table 3 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
     August 01, 2014 - Because rapid sterilization of blood cultures can occur within a few hours after the first antimicrobial … Sampling before antibiotic therapy is important, because sterilization of blood cultures can occur

148. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - Rare or unfamiliar circumstances compounded the potential that an adverse event would occur. … failure-to-rescue type events may help hospitals to undertake proactive steps so that, when an error does occur

149. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - 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 …

150. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013.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 …

151. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
     January 01, 2024 - patient care rounds, when face-to-face communication between physicians and nurses was most likely to occur … and end of rounds represent engagement and disengagement periods, when interactions are likely to occur … As a result, answers to questions of how and why specific events occur align more closely with the … VRE is an intervention that can change behavior because of the learning and behavior change that occur

152. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
     May 20, 2016 - PE may occur in 1% to 2% of patients, and fatal PE may occur in 0.1% to 0.4%. … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.

153. Using Fall Risk Assessment Tools in Care Planning (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar4_falls_usingriskassttools.pdf
     January 01, 2013 - identified by the Morse Fall Scale 19 Types of Falls and How To Prevent Them Accidental falls • Occur … fall precautions 20 Types of Falls and How To Prevent Them Unanticipated physiological falls • Occur … not be preventable. 21 Types of Falls and How To Prevent Them Anticipated physiological falls • Occur

154. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - feel exposed or vulnerable when reporting a medical error or event—otherwise, disclosure will rarely occur … Because adverse events usually occur as a result of multiple failures, it is imperative that medical … patients and families following unexpected outcomes, and the importance of seeking support when errors occur … care team is one of the leading causes for why errors are not caught before serious adverse events occur … Why do errors occur? Ambul Outreach 2000 (Spring):16–20. 21.

155. Supplemental-Specialist-Access-Hp-Adult-2157-14A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-specialist-access-hp-adult-2157-14a.docx
     December 08, 2017 - Some items cover events that occur with low frequency in the general population.

156. Practice Facilitator Agenda - Lesson 2: Leading Teams and Situation Monitoring (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/agenda-lesson2.pdf
     November 30, 2015 - Team Meetings (Briefs)  Where and when does planning occur for your team now?

157. University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cdom0803.html
     October 01, 2014 - At least 4.3 million sports and recreational injury episodes occur each year in school-aged children … In the U.S., more than 300,000 sports-related traumatic brain injuries (TBIs) occur each year, and many

158. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
     October 01, 2015 - Phlebitis (inflammation of the vein) can also occur, either related to chemical irritation of the vein … Although serious events related to PVC use occur less commonly than do those related to central venous

159. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
     August 01, 2021 - 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 …

160. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
     January 01, 2003 - Steps in the nursing process are represented in a timeline as they occur along the pathway. … nature of the RN’s work and the RN’s vulnerability to making errors or omissions when cognitive shifts occur … Clearly, cognitive shifts occur in response to patients’ needs, organizational style of the RN, and … Cognitive shifts between patients occur frequently throughout a shift of care and demonstrate the challenge