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Total Results: 498 records

Showing results for "occur".

121. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
     November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge

122. Toolkit To Promote Safe Surgery | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/tools/surgery/index.html
     December 01, 2017 - address respectively adaptive and technical work, which are both critical elements for improvement to occur

123. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - Some of these elements, such as screening for behavioral health and patient education needs, occur on

124. Documentation and Coding for Patient Safety Indicators (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - For example, missed cases could occur if an accidental laceration is not clearly documented in the medical … Code all re- intubations that occur after surgery and extubation.

125. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - Shift or staff changes: Transitions in care are the times when most communication breakdowns occur. … Where did miscommunication occur in this situation? What are the possible outcomes?

126. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
     December 01, 2017 - When did briefing occur? Image: Logistics section of briefing form: Who initiated briefing? … When did briefing occur? Before patient entered. Before induction. Before incision.

127. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - For example, Kotter's Eight Steps of Change describes what happens to get change to occur. … transparency and open communication are necessary for true cooperation, coordination, and teamwork to occur

128. Offering Two-Day Training Content | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
     February 01, 2024 - Key points to make include: That shared mental models are TEAM outcomes that occur when team members … continuously to retain shared mental models and that communication needed to sustain shared mental models can occur

129. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - patient harm are often caused by a provider overlooking messages alerting them to a test result or occur

130. Facapplycusp (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     September 04, 2012 - transparency and open communication are necessary for true cooperation, coordination, and teamwork to occur

131. Patient Safety Awareness Week 2022 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
     July 01, 2022 - Thomas, M.D., M.P.H., " Understanding Where, Why, and How Diagnostic Errors Occur " AHRQ PSNet Primer

132. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
     June 01, 2023 - This step is particularly crucial for handoffs that occur electronically (e-handoffs).

133. Selected Best Practices and Suggestions for Improvement (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - Education should occur upon hire, annually, and when this protocol is added to job responsibilities.

134. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
     July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4…

135. Module 5: Situation Monitoring
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - problems that arise when understanding and expectations are out of sync.    6 Slide Where do failures occur

136. Enhancing Code Blue Team Effectiveness
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-may2016.pptx
     January 01, 2016 - and corrective information given to the learner Just-in-time correction Allows minor changes to occur

137. TeamSTEPPS 2.0 Module 2: Team Structure
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule2.pptx
     February 09, 2006 - how to prepare to deliver this module Module 2: Team Structure ‹#› of 25 Teamwork cannot occur … It is important to identify and recognize the structure of teams because teamwork cannot occur in the … Where did the breakdowns occur? … Now, where did the breakdowns occur between the components of this multi-team system?

138. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
     January 05, 2022 - When and where does clinic/site‐level quality improvement planning occur now? 2. Who attends? … They occur after an event or shift and are designed to improve teamwork skills.

139. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
     December 01, 2014 - Monthly After about 6 months, the facilitator’s role is to check in to identify obstacles that could occur … The expectation is that reports will be used on a weekly basis except for meetings that occur less frequently

140. Situation Monitoring (Instructor Guide) (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
     February 12, 2014 - information must be communicated, a leader must be clearly designated, and mutual support must occur … Here are some examples of where failure can occur in the STEP process: • Status of the Patient: … It is important to establish the expectation that these team events will occur and that all team members