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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
    January 01, 2004 - Depending on the setting and the patient’s needs, these transitions may occur many times, once, or not … Petersen reported that medication problems were more likely to occur when inpatients were being managed … Differential misunderstandings are more likely to occur in handovers involving unlike participants. … When they did occur, they were extremely limited; for example, a Transitions in Emergency Care … Virtually all ED transitions occur beneath the angled line.
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
    January 01, 2004 - concern was that, while the intent of the APL PSI is to identify all punctures and lacerations that occur … validation of the indicator intended to identify cases of accidental puncture or laceration (APL) that occur … Because the intent of the indicator is to identify cases that occur after admission, Table 1. … Human: Building a Safer Health System,30 there has been an emphasis on identifying adverse events that occur … reviewers was that, while the intent of the APL PSI is to identify all punctures and lacerations that occur
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - For factors that occur often and impact a significant percentage of cases in your unit, place it in the
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-technicalspecs.pdf
    February 04, 2020 - This subsequent visit in which weight was addressed could occur in various settings: with a primary
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
    May 21, 2020 - admissions are related to an adverse drug event An estimated 160 million medication errors occur
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
    March 03, 2021 - The education could occur during a structured phone follow-up call.
  7. ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - For factors that occur often and impact a significant percentage of cases in your unit, place it in the
  8. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/overview.html
    January 01, 2013 - & Medicaid Services (CMS) does not reimburse hospitals for certain types of traumatic injuries that occur … while a patient is in the hospital iv ; many of these injuries could occur after a fall. … This toolkit focuses specifically on reducing falls that occur during a patient's hospital stay.
  9. ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - physicians and nurses identify the problems that occurred during the night and potential problems that may occur
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
    April 01, 2022 - Tier 1 interventions offer foundational interventions that occur around the catheter lifecycle consistently … The tier 2 activities occur at various frequencies. … CUSP can be implemented through CLABSI and CAUTI prevention practices, policies, and procedures that occur
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
    November 01, 2019 - Aspiration Pneumonitis/Pneumonia Diagnosis • Aspiration pneumonitis is an abrupt chemical injury caused by inhalation of sterile gastric contents. o It can progress quickly to a decline in respiratory status followed by rapid improvement within 48 hours of the insult. o Chest x rays appear similar to multi…
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-coordination-of-care-cgcahps-adult-2357-17a.docx
    October 12, 2017 - Some items cover events that occur with low frequency in the general population.
  14. CAHPS (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh_items_cg-cahps-child-survey_2358-2a.docx
    March 11, 2016 - Some items cover events that occur with low frequency in the general population.
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
    January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure as long as all … of the services occur within the time frame established in the measure.
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
    January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure as long as all … of the services occur within the time frame established in the measure.
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
    January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure as long as all … of the services occur within the time frame established in the measure.
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
    January 20, 2006 - Followup questions: When and where does planning occur for you now? Who attends? … Sample some responses, and then emphasize that updates should occur as often as necessary, particularly
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory T…
  20. ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-medical-supplies-hp-adult.html
    December 01, 2018 - Some items cover events that occur with low frequency in the general population.

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