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Showing results for "occur".
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www.ahrq.gov/chain/research-tools/featured-certs/stroke-patients-discontinue-medications.htmlMarch 01, 2017 - Nearly 200,000 recurrent strokes occur in the United States each year, accounting for more than 25% of … the overall number of strokes that occur annually.
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148-Investigating-Defect-Lfd-Worksheet (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docxAugust 08, 2024 - Enter lessons learned Why Did This Defect Occur? What Are the Top Contributing Factors? -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdfMay 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdfMay 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
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www.ahrq.gov/data/infographics/adverse-drug-events.htmlAugust 01, 2018 - Adverse Drug Events Occurring in U.S. Hospitals Adverse Drug Events Occurring in U.S. Hospitals (PDF, 1.5 MB) Source: HCUP Statistical Brief #164: Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdfMay 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.
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www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccapa.htmlJuly 01, 2018 - Communication may occur through a wide variety of channels, but for the purposes of measurement, we distinguish … While in practice interpersonal communication and information transfer often occur together, for the … Efforts aimed at specific transitions, which occur when information about or accountability for some
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www.ahrq.gov/news/blog/ahrqviews/rethinking-role-of-primary-care.htmlMarch 01, 2020 - primary care physician aren’t often made within a 14-day window, the time period when many readmissions occur … And finally, patients themselves weighed in on the potential breakdowns that can occur during the transition
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111-Ss-Cusp-Lfd-Worksheet-A3 (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docxApril 01, 2025 - contributing factor Enter intervention Enter responsible staff, deadline Enter status Why Did This Defect Occur -
111-Cusp-Learning-From-Defects-Worksheet (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docxApril 01, 2025 - contributing factor Enter intervention Enter responsible staff, deadline Enter status Why Did This Defect Occur -
The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
www.ahrq.gov/teamstepps/instructor/essentials/implguide3.htmlNovember 01, 2018 - achieved, who will be involved (whose behavior will change), and when and where the change will occur … during which the problem, challenge or opportunity occurs - write the process steps as they currently occur … trainee audience including who will attend, what will be taught, when and where sessions will occur -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan-ig.pptxJanuary 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,
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.htmlOctober 01, 2015 - Phlebitis (inflammation of the vein) can also occur, either related to chemical irritation of the vein … Although serious events related to PVC use occur less commonly than do those related to central venous
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_slides_teamstructure.pptxFebruary 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
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Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docxSeptember 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. -
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.htmlOctober 01, 2024 - CUSP Premortem Tool is to help the CUSP team anticipate and mitigate potential problems before they occur
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/chapter6.htmlOctober 01, 2014 - indicated that the consumer perspective may be particularly important for patient safety events that occur … system features (often substantially removed from the consumer) that enabled a patient safety event to occur … attempt to both prevent patient safety events from occurring and understand the causes of events that do occur … This may particularly apply to patient safety events that occur in outpatient settings, where there is … Decisions regarding system functions/activities that occur at the "system hub" versus those that occur
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Supplemental-Policyholder-Hp-Adult-2157-16A (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-policyholder-hp-adult-2157-16a.docxDecember 08, 2017 - Some items cover events that occur with low frequency in the general population. -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlJuly 01, 2023 - 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
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.htmlAugust 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?
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