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Showing results for "occur".

121. 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.

122. 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

123. AHRQ Research Summit on Improving Diagnosis in Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
     April 01, 2019 - These errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are

124. 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

125. 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

126. 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.

127. 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

128. NICU Family Information Packet, Appendix B, Sleep in Preterm Infants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
     June 02, 2025 - – Sporadic motor movements may occur with low muscle tone between these movements.

129. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
     July 01, 2021 - Transitions of care can occur in multiple ways; from one inpatient setting to another, from inpatient

130. Training Module 3 Quiz | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-quiz.html
     March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident

131. Training Module 3 Quiz Answer Key | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-quiz-key.html
     March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident

132. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.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 … Say: The following videos will help you understand how a peer support interaction can occur

133. Measure Dx: Making Diagnostic Safety Your Measurement Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdf
     July 01, 2022 - diagnostic error in the outpatient setting every year.a About 250,000 harmful diagnostic errors occur

134. CHG Bathing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
     March 01, 2022 - No. 20(22)-0036 March 2022 During your stay, bathing will occur every day with a special antiseptic

135. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
     June 01, 2025 - AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur in all settings of care, contribute

136. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - Second, we sought to document the nature and extent to which medication administration workarounds occur … studies of healthcare professionals’ workaround behaviors that address when and to what extent they occur … In summary, research suggests that workarounds occur and are theoretically linked to medication errors … As our study suggests, barriers are necessary for workarounds to occur. … It may also occur due to the greater likelihood of the pharmacist observing and correcting potentially

137. Ppe-Quiz (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
     March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident

138. Ppe-Quiz-Key (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
     March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident

139. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 01, 2018 - Is proactive, identifying the possible adverse events before they actually occur, thus enabling the decision … major limitation of isolated database analyses in which the interactions of different-level processes occur … of ambulatory procedures, they are constrained in that complications, particularly infections that occur … Each site visit represented a different context in which SSIs can occur within the ambulatory surgery … a useful method for incorporating the data gathered from the site visits, because contamination can occur

140. TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
     June 02, 2025 - In the huddle, the team anticipates problems that may occur and makes plans for them: • The patient