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Showing results for "occur".

21. Module 7: Resolution | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Slide 1 Say: When adverse patient events occur, the patient and their family are looking for

22. Fall Prevention Toolkit (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Ensure timescales for assessing and preventing falls are tailored to when falls are most likely to occur … Observations at the bedside should occur at the time of day when most patients who are well enough would

23. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/pfp/2014-final.html
    January 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 …

24. Patient and Family Engagement | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … Rarely does an adverse event occur as a result of intent.

25. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Could this type of communication failure occur in the future during normal working conditions? … Why did they occur? Is there any opportunity to overcome the barriers?

26. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - In addition, learning about system vulnerabilities before they occur is critical. … The CANDOR Response Team is responsible for conducting a preliminary review, which should occur within … The preliminary review should occur at the event location. … understanding of the event: if individual interviews, appropriate information gathering, and observations occur … Please note that the bulk of the time and effort of the event review process should occur during the

27. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - 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 …

28. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/828.html
    August 01, 2022 - An estimated 250,000 diagnostic errors occur annually in U.S. hospitals. … interactions are responsible for up to 14 percent of adverse drug reactions in hospitalized patients and occur

29. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    teamstepps.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…

30. Selected Best Practices and Suggestions for Improvement (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - community and the public on the estimation that between 48,000 and 98,000 deaths from medical errors occur …  Yes:  Did any of the following occur during hospitalization? …  Yes:  Did any of the following occur during the hospitalization (check all that apply) ∗ Death

31. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - Slide 17: For Information Transfer – Handoffs Say: Handoffs occur during a change in assignment … A handoff may occur when a resident is first welcomed to the nursing home from the hospital or during … another staff member, even for a short timespan such as a lunch break, a structured communication should occur

32. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
    January 01, 2024 - Resources AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur

33. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - Medicine report, To Err Is Human , revealed more than 15 years ago the extent of medical errors that occur

34. Tips and Suggestions for Enhancing Organizational Readiness | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps/readiness/abouttips.html
    April 01, 2016 - 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 …

35. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested t…

36. Prioritization Worksheet (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - Ideally, if your data permit, you would consider only costs that occur after the adverse event occurred

37. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19 era, including false negatives and other

38. Strategy 3: Nurse Bedside Shift Report (Tool 1) (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
    February 24, 2011 - Nurse shift changes occur when nurses who are going off duty share information about your care with nurses

39. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - 0026-2-EF. 1 e Introduction Each year, approximately 141 million emergency department (ED) visits occur … Thus, distributed cognition will not occur. … diagnostic process and a patient’s journey through the ED and may help prevent the anchoring bias that can occur … documented but solutions to the problem are sparse.44-46 For example, communication breakdowns can occur … Thus, it is no wonder that diagnostic errors occur.

40. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
    March 01, 2021 - 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 …