Results

Total Results: 418 records

Showing results for "occur".

1. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
   August 01, 2022 - This table demonstrates just a few of the changes that must occur to realize the goals of the CANDOR … After the CANDOR System Activation occurs, the 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … The second part should occur within 30-45 business days after a CANDOR event has been identified. … Resolution of the event can only occur after Event Investigation and Analysis has been completed.

2. 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/questions/resources/20-tips.html
   November 01, 2020 - 20 Tips To Help Prevent Medical Errors: Patient Fact Sheet Medical errors can occur … But medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers … What do I do if they occur?

3. PowerPoint Presentation
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
   November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur? Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

4. FAQs (Staff): Safety and Side Effects: CHG and Mupirocin (doc file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.docx
   March 01, 2022 - However, as with any product, side effects may occur. … Local CHG side effects are estimated to occur in 1–3 percent of patients.

5. PowerPoint Presentation
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
   December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur? Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

6. PowerPoint Presentation
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
   May 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur? Which reports will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

7. Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Mupirocin (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.pdf
   March 01, 2022 - However, as with any product, side effects may occur. … Local CHG side effects are estimated to occur in 1–3 percent of patients.

8. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
   August 01, 2022 - For example, more than 1.5 million preventable infections occur annually among inpatients. … While these two processes occur at the same time during the CANDOR process, they have been numbered for … While an initial disclosure conversation will occur within 60 minutes after the CANDOR event occurs, … a full disclosure will typically not occur until after the Event Investigation and Analysis has been … Figure 2: CANDOR Implementation Phases Phase I: Assessments Phase I activities should occur during

9. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
   preventiveservices.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 …

10. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/908.html
    April 01, 2024 - 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 …

11. Guide Promotional Postcard (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
    April 01, 2018 - admissions are related to an adverse drug event An estimated 160 million medication errors occur

12. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    preventiveservices.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

13. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    preventiveservices.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.

14. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - The Learn from Defects Form, which provides a standardized means to assess where defects occur and to … 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. … By doing this, teams are able to assign meaning to the system breakdowns that occur on their units. … Making use of these ideas on the unit will help teams understand where breakdowns occur and collaborate

15. Pressure Ulcer Prevention Toolkit (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
    January 01, 1995 - Friction may occur when moving a person up in bed. 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Friction may occur when moving a person up in bed. True 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals

16. A Practice-Based Intervention to Improve Care for a Diverse Population of Women with Urinary Incontinence (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_optima.pdf
    January 01, 2024 - Monthly intervention feedback over Zoom or email will occur between the clinical champions and the individual … A post-intervention quality assessment will occur six months after the initial patient assessment through

17. Understand the Science of Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - Say: Errors occur within the health care setting because people are fallible. … 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.

18. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - mistakes safely, and to learn from these mistakes while avoiding patient harms that might otherwise occur … More focused forms of feedback with the guidance of an instructor are likely to occur during a debrief … clinicians' inquiries, they may evoke a wide range of emotional and behavioral characteristics that occur … Because of the uncertainty, complexity, and rapidly emerging conditions that occur in many health care … Given that unexpected events will occur, there are lessons to be learned regarding their anticipation

19. 20 Tips To Help Prevent Medical Errors (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/care-planning/errors/20tips/20tips.pdf
    September 01, 2011 - But medical errors can occur anywhere in the health care system: In hospitals, clinics, surgery centers … What do I do if they occur?

20. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    preventiveservices.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