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Total Results: 4,281 records

Showing results for "occur".

141. Fallpxtool3A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3a.docx
     January 28, 2013 - Background: The purpose of this tool is to provide an overview of how fall prevention care processes could occur

142. 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

143. Supplemental-Providertype-Cgcahps-Adult-2357-10A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-providertype-cgcahps-adult-2357-10a.docx
     September 22, 2017 - Some items cover events that occur with low frequency in the general population.

144. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
     April 04, 2008 - steps in developing a culture of safety is the recognition by staff and clinicians of errors that occur … These processes are recognized to occur in a cyclical fashion, as shown by the clockwise progression … system, especially with respect to errors and opportunities for errors, including errors that may occur … In the emergency room (circle no. 2), similar cycle(s) of care occur, starting with Assessment (point … , contributors that might be present, and consequences that can occur, thereby improving situational

145. Data Measures Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - , o 3 have adverse event (9) occur, o 2 have adverse event (18) occur, and o 3 have adverse event … (20) occur. … ) occur and 30% of the patient days had adverse event (20) occur Target Accurate documentation of … (20) occur. … ) occur and 30% of the patient days had adverse event (20) occur Target Accurate documentation of

146. FileNewTemplate
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
     March 01, 2010 - Objectives After completing this module, you will be able to: Describe the impact of errors and why they occur … ‹#› After completing this module, you’ll be able to: Describe the impact of errors and why they occur … , and have a shared understanding of how a procedure should happen in order to identify when errors occur … Module 1 Summary In this module you learned to: Describe the impact of errors and why they occur Describe … Module 1: Introduction ‹#› In this module, you learned to: Describe the impact of errors and why they occur

147. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
     May 01, 2017 - determined, and staff should know what resources are available should a sudden change in patient status occur … Recurrent decelerations: occur with > 50% contractions in any 20-min window. … Intermittent decelerations: occur with < 50% contractions in any 20-min window. … Timing: may occur with or without contractions. … Timing: In most cases, the onset, nadir, and recovery occur after the beginning, peak, and ending of

148. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/vtguide/guide2.html
     February 01, 2016 - steps and to identify where failures—or missed chances to prevent hospital-associated VTE (HA-VTE)—occur … For those steps that occur less than 100 percent of the time, the team will want to identify things that … prioritize these failure modes and to put some effort into delving into the root causes of why they occur

149. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - steps and to identify where failures—or missed chances to prevent hospital-associated VTE (HA-VTE)—occur … For those steps that occur less than 100 percent of the time, the team will want to identify things that … prioritize these failure modes and to put some effort into delving into the root causes of why they occur

150. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - steps and to identify where failures—or missed chances to prevent hospital-associated VTE (HA-VTE)—occur … For those steps that occur less than 100 percent of the time, the team will want to identify things that … prioritize these failure modes and to put some effort into delving into the root causes of why they occur

151. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
     January 01, 2024 - and categorize the types, characteristics, and contributing factors of patient safety incidents that occur … readily identifiable, preventable, and severe potential for harm) used to define “never events” that occur … contexts of home hospice care suggest unique types and patterns of patient safety incidents that may occur … • Pain crises or other needs for sudden changes in care plans frequently occur during home hospice … Significance This proposed study resulted in the first reported descriptions of adverse events that occur

152. TeamSTEPPS 2.0: Module 11. Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/fundamentals/module11/slimplement.html
     March 01, 2014 - When and where will the improvements occur? … When will the training sessions occur and for how long?   … Where will the sessions occur?  

153. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan.html
     September 01, 2015 - When and where will the improvements occur? … When will the training sessions occur and for how long? Where will the sessions occur?

154. Module 11 Instructor Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_slides_implementation.pdf
     June 09, 2017 - ■ When and where will the improvements occur? … When will the training sessions occur and for how long? Where will the sessions occur?

155. Supplemental-Medical-Supplies-Hp-Adult-2157-18A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-medical-supplies-hp-adult-2157-18a.docx
     December 15, 2017 - Some items cover events that occur with low frequency in the general population.

156. How to Enter the Challenge | Agency for Healthcare Research and Quality
     www.ahrq.gov/challenges/cds-connect/how-to-enter.html
     November 01, 2023 - Presentations will occur in January 2024.

157. Appendix B: Bringing It To Life - Case Study | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
     September 01, 2020 - It is important to focus on the processes of care that do or do not occur leading to poor communication … patient safety. 64 , 65 While this case may seem extreme, research shows that errors like these occur … patient safety for LEP patients so that they can track these situations and learn from errors that occur

158. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
     May 20, 2016 - Recommended Practice: Postoperative Wound Assessment • Documentation of the surgical wound should occur … 48 hours after surgery to establish a baseline.1,2,7 • Repeat assessment should occur every shift … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.1

159. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Why 2: Why did the answer to “Why 1” occur? Why 3: Why did the answer to “Why 2” occur? … Why 4: Why did the answer to “Why 3” occur? Why 5: Why did the answer to “Why 4” occur? … Why did the contributing factor occur? … It did not occur to anyone that this patient could be misidentified. … Does it occur rarely or have a high likelihood of reoccurring?

160. Module 2 Instructor Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_slides_team.pdf
     June 12, 2017 - teams interact is critical for implementation planning Team Structure • Teamwork cannot occur … Mod 2 LTC 2.0 Page 16 • Ancillary and support services • Where did the breakdowns occur between the