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Showing results for "occur".

141. Serious Reportable Adverse Events in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Identifying where and when in the care process mishaps occur, and changing processes of care to reduce … and the NQF formally endorsed a list of Serious Reportable Events in health care that should never occur—what … Many rare, but serious, events are cause for considerable concern when they occur. … reportable events that should be reported and investigated by all health care facilities if they occur … Excludes emergent situations that occur in the course of surgery and/or whose exigency precludes obtaining

142. Suppl Pcmh-Items Cg-Cahps-Adult-Survey 2357-2A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh-items_cg-cahps-adult-survey_2357-2a.docx
     June 02, 2025 - Some items cover events that occur with low frequency in the general population.

143. CAHPS Cancer Care Supplemental Items (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-info-english-557-6a.docx
     June 02, 2025 - Please note: Some items cover events that occur with low frequency in the general population.

144. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-8.html
     July 01, 2022 - The process must encompass all areas where patient transitions occur in your facility: admission, transfer

145. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
     July 01, 2022 - The process must encompass all areas where patient transitions occur in your facility: admission, transfer

146. Talking With Residents and Family Members About Antibiotics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
     June 01, 2021 - Five potential health problems can occur as a result of taking an antibiotic. 1.

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

148. TeamSTEPPS® Diagnosis Improvement: Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf
     February 01, 2022 - patients experiences a diagnostic error firsthand.11 in 3 Diagnostic-related communication failures occur

149. Supplemental Items for the CAHPS Cancer Care Survey: Access | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-access-items.html
     March 01, 2017 - Please note: Some items cover events that occur with low frequency in the general population.

150. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - feel exposed or vulnerable when reporting a medical error or event—otherwise, disclosure will rarely occur … Because adverse events usually occur as a result of multiple failures, it is imperative that medical … patients and families following unexpected outcomes, and the importance of seeking support when errors occur … care team is one of the leading causes for why errors are not caught before serious adverse events occur … Why do errors occur? Ambul Outreach 2000 (Spring):16–20. 21.

151. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily1.html
     July 01, 2018 - patient and family engagement, the explication of a conceptual framework for how engagement is likely to occur … All these elements occur within an external environmental context that includes resources, constraints

152. Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
     June 01, 2020 - While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic … While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic

153. Section 5, Table 3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
     August 01, 2014 - Because rapid sterilization of blood cultures can occur within a few hours after the first antimicrobial … Sampling before antibiotic therapy is important, because sterilization of blood cultures can occur

154. 139-Sample-Completed-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/139-sample-completed-staff-safety-assessment.docx
     April 01, 2025 - · Establish that hair removal should only occur immediately before a patient is taken to the OR. · Remove

155. 139-Sample-Completed-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/139-sample-completed-staff-safety-assessment.docx
     April 01, 2025 - · Establish that hair removal should only occur immediately before a patient is taken to the OR. · Remove

156. Strategy 2: Communicating for Improve Quality (Tool 1) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.pdf
     June 02, 2025 - • Nurse shift changes occur when nurses who are going off duty share information about you with

157. Urinary Catheter Maintenance
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
     April 01, 2022 - bacteriuria (ASB) or fungus in their urine, and 100% will have bacteriuria by day 30 Contamination can occur … Maintenance ׀ 6 6 Maintain a Closed System6 If breaks in aseptic technique, disconnection, or leakage occur

158. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
     May 20, 2016 - PE may occur in 1% to 2% of patients, and fatal PE may occur in 0.1% to 0.4%. … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.

159. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
     September 01, 2020 - These errors occur when the plan of an action was incorrect (e.g., due to lack of knowledge).

160. Patients With Devices: Prevent Infections During Your Hospital Stay_BATHE Daily With Chlorhexidine (CHG) Cloths (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.pdf
     March 01, 2022 - Your Hospital Stay BATHE Daily With Chlorhexidine (CHG) Cloths During your stay, bathing will occur