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Showing results for "occur".

101. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     June 02, 2025 - Topic 2: Readmissions by Payer How many readmissions occur at your hospital every year? … What you are looking for: Typically, 25% of readmissions occur within 4 days and 50% of readmissions … occur within 10 days of discharge. … How many readmissions occur at your hospital every year? … occur within 10 days of discharge.

102. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
     June 02, 2025 - ■ UTI and urolithiasis do not occur any more frequently than in general population.

103. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - • Area-level indicators identify all cases of the potentially preventable complications that occur … AHRQ developed the hospital-level PSIs to capture inpatient events that occur during a single admission … These data help estimate the volume of those adverse events that occur in the admission during which … By attributing area-level PSI cases that occur because of inpatient care to the hospital-level PSI, … Because the intent of the hospital-level indicator is to identify cases that occur after admission,

104. Guide Promotional Postcard (pdf file)
     www.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

105. Auditing Strategies to Improve Infection Prevention Processes in Nursing Homes | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/materials/prevention/observational-audits.html
     July 01, 2021 - Observational Audits Observational audits occur while staff are in the work environment and help obtain

106. Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
     January 01, 2024 - a number of authors have now identified that important and outcome-altering patient deteriorations occur … ,xi Using such criteria, Hillman conservatively estimates that some 130,000 crisis events per year occur … In the United States, 10 times that amount could occur. … Medicine in their publication To Err is Human have estimated that up to 98,000 preventable deaths occur

107. Pressure Ulcer Prevention Toolkit (doc file)
     www.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

108. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
     September 01, 2017 - Communicate risk changes as they occur. … Improve root cause analyses when adverse events occur. … When will the meeting occur? … How will communication occur with other disciplines to confirm changes in care? … When will the meeting occur?

109. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - Defects 2 • The Learn From Defects Form, which provides a standardized means to assess where defects occur … These conditions are the mistakes that occur without human error. … • Organizational failures occur when decisional elements, such as culture, procedures, and leadership … 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

110. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - Active surveillance aids in the detection and description of a wide range of errors as they occur. … is a systematic, proactive method of process evaluation that identifies where and how failures may occur … reporting methods, and FMEA to identify, characterize, and categorize errors, both active and latent, that occur … in this project was to identify and quantify, using active surveillance, nonideal care events that occur … In other words, in an ED, it is possible that evaluation, diagnostics, and treatment may occur interlaced

111. The How-To’s of Hand Hygiene | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/hand-hygiene-slides.html
     March 01, 2017 - 3: Health Care Workers' Hands Spread Infections 1 1-3 million serious infections estimated to occur … Hand contamination may occur as a result of small undetected holes in gloves. … Hand contamination may occur during glove removal.

112. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     June 02, 2025 - focus on the overall quality of care of the NICU, as some of the variation in readmission rates may occur

113. Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0208-technical-specs.pdf
     June 02, 2025 - that focus solely on the overall quality of care of the NICU; some variation in readmission rates may occur

114. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.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

115. CAHPS Cancer Care Supplemental Items (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-access-english-557-1a.docx
     June 02, 2025 - Please note: Some items cover events that occur with low frequency in the general population.

116. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.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.

117. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
     April 01, 2025 - checks to ensure patients receive appropriate therapies, and fostering a culture of learning when errors occur … is a brief survey tool that is used to identify defects that are happening or have the potential to occur … process is to tap into the wisdom of frontline caregivers—those individuals who know best what issues may occur … connections between what happens in the surgical area, how defects like surgical site infections might occur … effective CUSP team knows mistakes happen and is committed to being vigilant to prevent them—and when they occur

118. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
     November 01, 2014 - Including physicians and hospital department leadership on the team ensured that change could occur and

119. Appendix L. Infection Prevention Infographic - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-l.html
     May 01, 2017 - Surgical site infections are infections that can occur after surgery in the part of the body where

120. Morningbriefing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     June 02, 2025 - physicians and nurses identify the problems that occurred during the night and potential problems that may occur