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41. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
    October 01, 2016 - There are five potential health problems that occur as a result of taking an antibiotic. 1. … • Although we cannot be certain that any of these problems will occur, it is important that you and

42. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
    March 13, 2014 - be achieved, who will be involved (whose behavior will change), and when and where the change will occur … Write the process steps as they currently occur, identifying who is doing what, when, with what tools … each trainee audience, including who will attend, what will be taught, when and where sessions will occur

43. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - As improvements in the SASD, NIS, and the SEDD databases occur, additional information regarding the … Intervention implementation can occur with or without regulatory oversight; however, the ability to hold … providers accountable for performance in these settings over time is most likely to occur with the establishment … Once the performance steps are identified, education needs to occur, with feedback that addresses the

44. TeamSTEPPS Fundamentals Course: Module 4 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module4/exbriefing.html
    March 01, 2014 - When will the briefing occur?     Where will the briefing occur?    

45. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan-ig.html
    September 01, 2015 - Write down the process steps as they currently occur and identify who is doing what, when, and with what … intervention: what will be achieved, who will be involved, and when and where the change will occur … Outcome aims focus on changes that occur because your staff carries out the intervention. … Write down the process steps as they currently occur and identify who is doing what, when, and with … When the training sessions will occur and for how long. Where the sessions will occur.

46. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
    May 17, 2016 - Recommended Practice: Conduct postoperative wound assessment • Documentation of the surgical wound should occur … 48 hours after surgery to establish a baseline.3-5 • Repeat assessment should occur every shift thereafter … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.4

47. Understand the Science of Safety for Perinatal Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
    May 01, 2017 - SAY: Errors occur within the health care setting because health care professionals are human, and … 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.

48. Four Moments Poster (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
    November 01, 2019 - Four Moments Poster AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time initiation of antibiotic therapy is considered: Ask, “Does my patient have an infection that requires antibiotics?” occurs when the dec…

49. Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
    September 01, 2022 - They occur within minutes to hours of receipt of an antibiotic. … Type 2 reactions can occur soon after antibiotics are started, but also during subsequent days and weeks … They occur after a patient had been on antibiotics for several days. … They also tend to occur after a patient has been on antibiotics for several days. … It can occur days to weeks into therapy and can vary in severity.

50. Office-Based Teams Instructor Guide
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan-ig.pptx
    January 20, 2006 - Write down the process steps as they currently occur and identify who is doing what, when, and with what … Outcome aims focus on changes that occur because your staff carries out the intervention. … Write down the process steps as they currently occur and identify who is doing what, when, and with what … Who will attend the training sessions; What skills you will teach; When the training sessions will occur … and for how long; Where the sessions will occur; How you will train (method of presentation, tools,

51. Module 2 Slides
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_slides_teamstructure.pptx
    February 02, 2006 - system TEAMSTEPPS 05.2 Mod 2 LTC 2.0 Page ‹#› Team Structure 2 Team Structure Teamwork cannot occur … Core team Coordinating team Contingency team Ancillary and support services Where did the breakdowns occur

52. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/infographics/adverse-drug-events.html
    August 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 …

53. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - just a subset of the data that are out there, and we have enough to confirm that diagnostic errors occur … DM: Why do diagnostic errors occur in the first place? … This focus can occur even when their current patient’s history or symptoms suggest a different diagnosis … Systemic errors, in contrast, can occur when processes within organizations aren’t designed well or don

54. Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
    March 01, 2022 - Diagnostic errors occur in part because diagnosis itself is a multi-layered process, potentially involving … Documentation errors occur frequently, with about one in five patients reporting a perceived serious … Bell and her team developed and tested the framework for patient-reported diagnostic breakdowns that occur

55. Measure Dx: Making Diagnostic Safety Your Measurement Priority (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdf
    July 01, 2022 - diagnostic error in the outpatient setting every year.a About 250,000 harmful diagnostic errors occur

56. Supplemental-Policyholder-Hp-Adult-2157-16A (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-policyholder-hp-adult-2157-16a.docx
    December 08, 2017 - Some items cover events that occur with low frequency in the general population.

57. One-Pager-Influenza (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
    June 01, 2021 - onset of fever, headache, sore throat, cough, myalgias, rhinorrhea.1-3 • Influenza testing should occur …  Active influenza surveillance should occur until at least 1 week after the last influenza case

58. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/brock.html
    August 01, 2017 - interventions focused on patient safety generally have not proven effective. 2-4 When success does occur … Disclosure coaches strengthen clinician confidence and allow disclosure to occur in a timely fashion. … Our organizations’ leaders and stakeholders hold a shared vision that organizational change needs to occur … organization’s leaders and stakeholders hold a shared vision of what organizational change needs to occur … organization’s leaders and stakeholders hold a shared vision of how organizational change needs to occur

59. Chapter 2: Five Key Recommendations To Improve Patient Safety for LEP Patients | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
    September 01, 2020 - engage in a systematic approach to better identify and prevent medical errors and adverse events that occur … Medical Errors Among LEP Patients Background To accurately identify and analyze medical errors that occur … need of improvement to ensure that staff are empowered and can identify and report medical errors that occur … not receive training on what constitutes an error or a near miss, or on how to report these when they occur … Hospitals rarely analyze events that occur among culturally diverse and LEP patients.

60. Do Transient Working Conditions Trigger 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/Grayson.pdf
    January 01, 2003 - whether transient changes in working conditions may precipitate errors or make errors more likely to occur … question, “Were exposures immediately preceding the case event different from those that typically occur … These events were less likely to occur during the 30 minutes preceding the error (OR = 0.14, 95% CI … the medical error than during the rest of the error shift, though they were more likely to occur on … Breaks from policy were significantly more likely to occur on the error shift but not during the 30