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Showing results for "occur".

81. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
    May 01, 2017 - determined, and staff should know what resources are available should a sudden change in patient status occur … Recurrent decelerations: occur with > 50% contractions in any 20-min window. … Intermittent decelerations: occur with < 50% contractions in any 20-min window. … Timing: may occur with or without contractions. … Timing: In most cases, the onset, nadir, and recovery occur after the beginning, peak, and ending of

82. FileNewTemplate
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - Objectives After completing this module, you will be able to: Describe the impact of errors and why they occur … ‹#› After completing this module, you’ll be able to: Describe the impact of errors and why they occur … , and have a shared understanding of how a procedure should happen in order to identify when errors occur … Module 1 Summary In this module you learned to: Describe the impact of errors and why they occur Describe … Module 1: Introduction ‹#› In this module, you learned to: Describe the impact of errors and why they occur

83. Appendix B: Bringing It To Life - Case Study | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
    September 01, 2020 - It is important to focus on the processes of care that do or do not occur leading to poor communication … patient safety. 64 , 65 While this case may seem extreme, research shows that errors like these occur … patient safety for LEP patients so that they can track these situations and learn from errors that occur

84. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
    August 01, 2022 - 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 … The second-victim understands that disclosure of the event will occur with the patient and/or family … 21 Say: The following videos will help you understand how a peer support interaction can occur

85. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
    November 01, 2019 - This can occur as early as after the first day the patient is on antibiotics; thus, the Moment 3 questions … Moment 4 should occur when the patient’s diagnosis becomes clear.

86. Module 11 Instructor Slides (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pdf
    June 09, 2017 - ■ When and where will the improvements occur? … When will the training sessions occur and for how long? Where will the sessions occur?

87. Supplemental-Medical-Supplies-Hp-Adult-2157-18A (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-medical-supplies-hp-adult-2157-18a.docx
    December 15, 2017 - Some items cover events that occur with low frequency in the general population.

88. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - Recommended Practice: Postoperative Wound Assessment • Documentation of the surgical wound should occur … 48 hours after surgery to establish a baseline.1,2,7 • Repeat assessment should occur every shift … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.1

89. PowerPoint Presentation: Learn From Defects Through Sensemaking
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - Why 2: Why did the answer to “Why 1” occur? Why 3: Why did the answer to “Why 2” occur? … Why 4: Why did the answer to “Why 3” occur? Why 5: Why did the answer to “Why 4” occur? … Why did the contributing factor occur? … It did not occur to anyone that this patient could be misidentified. … Does it occur rarely or have a high likelihood of reoccurring?

90. Introduction | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
    August 01, 2022 - References Each year, approximately 141 million emergency department (ED) visits occur

91. Module 2 Instructor Slides (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_slides_team.pdf
    June 12, 2017 - teams interact is critical for implementation planning Team Structure • Teamwork cannot occur … Mod 2 LTC 2.0 Page 16 • Ancillary and support services • Where did the breakdowns occur between the

92. Sensemakingnotes (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
    August 08, 2012 - . · The Learn from Defects Form, which provides a standardized means to assess where defects occur and … in that the failure mode and effects analysis searches for all possible ways in which an event could occur … These conditions are the mistakes that occur without human error. … failures are problems with physical items, such as equipment and software. · Organizational failures occur … By doing this, teams are able to assign meaning to the system breakdowns that occur on their units.

93. Changing-System-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - Slide 4 Active Failures SAY: Active failures occur because of human error. … Swiss Cheese Model SAY: Let’s return to our “Swiss cheese model” to help visualize where mistakes can occur … As you can see, along the process of an antibiotic prescribing decision, latent failures can occur if … Without these defenses, an “active” or human failure can occur, resulting in a poor outcome. … Change cannot occur if the workforce is not aware and engaged, so share the results from your hard work

94. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - second-order problem solving; List contributing factors that make defects in care more likely to occur … Ask: Why did the defect occur? Why did the contributing factor occur? … It did not occur to anyone that this patient could be misidentified. … Say: In the case study, why did the defect occur? … Ask: Does the factor occur rarely and does it have a high likelihood of happening again?

95. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
    November 01, 2012 - foreign objects can include perforation of the bowel, sepsis, and even death.1 These complications can occur … o A manual inspection of the incision site should occur, along with inspection of the surrounding surgical … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.5 … performing a failure mode and effects analysis to better understand the process and where breakdowns can occur

96. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - foreign objects can include perforation of the bowel, sepsis, and even death.1 These complications can occur … o A manual inspection of the incision site should occur, along with inspection of the surrounding surgical … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.2 … performing a failure mode and effects analysis to better understand the process and where breakdowns occur

97. Learn-From-Defects-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … These conditions are the mistakes that occur without human error. … Organizational failures occur when decisional elements, such as culture, procedures, and leadership decisions … By doing this, teams are able to assign meaning to the system breakdowns that occur on their L&D unit … defects on the L&D unit, it is important for staff to understand where and how breakdowns in safety occur

98. Implementation (Instructor Guide) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_ig_implementation.pdf
    June 26, 2017 - Write down the process steps as they currently occur and identify who is doing what, when, and with … ” – 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, with what … 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

99. TeamSTEPPS, Module 11 (Instructor Guide) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/igimplement.pdf
    March 04, 2014 - Write down the process steps as they currently occur and identify who is doing what, when, and with … ” – 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, with what … 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

100. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - Slide 39 Say: Resolution can truly occur only after the organization has completed its investigation