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Showing results for "occur".

141. Discussion of Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/findings.html
     March 01, 2017 - Factors influencing patient safety within primary care seldom occur in isolation but are part of a complex … error in both acute and nonacute health care settings is medication errors. 39 , 70 , 97–101 Errors occur … to integrate patients, families, and caregivers into the process of preventing diagnostic error may occur … communications Make it easy for patients, family members, and staff to speak up when care breakdowns occur

142. 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

143. 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

144. 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.

145. 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

146. 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

147. 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.

148. Communication-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
     June 01, 2021 - This can occur after someone has had antibiotics and can be devastating in nursing home residents. … 13 Case 3: Communication SAY: Let’s walk through a final case of communication errors that can occur … The nurse does not feel comfortable with this plan and knows that serious side effects can occur on antibiotics … Slide 16 Case 3 — DESC Script SAY: Conflict can occur in teams, and it is important to know how … to handle such situations when they occur.

149. 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

150. 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

151. 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

152. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - If an error rate is: Identified errors Potential opportunities for that error to occur then, the … In order for chart review to identify all errors, the following sequence of events must occur: Error … The need for each of these additional steps to occur perfectly makes it less likely that chart review … That rate would be: Identified injuries Potential opportunities for those injuries to occur As … Thus, the error might occur and go undiscovered and unmeasured.

153. 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).

154. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - UTI and urolithiasis do not occur any more frequently than in general population. … If the ductus is open at the time of hospital discharge, followup with a cardiologist should occur within … Earlier followup should occur if poor weight gain, difficulty feeding, and tachypnea develop. … Management If spontaneous closure does not occur, closure should be performed to: Eliminate pulmonary

155. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - UTI and urolithiasis do not occur any more frequently than in general population. … If the ductus is open at the time of hospital discharge, followup with a cardiologist should occur within … Earlier followup should occur if poor weight gain, difficulty feeding, and tachypnea develop. … Management If spontaneous closure does not occur, closure should be performed to: Eliminate pulmonary

156. 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

157. Be a Partner in Your Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/partner-care.html
     July 01, 2023 - Nurse shift changes occur when nurses who are going off duty share information about you with nurses

158. Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section6.html
     October 01, 2015 - Consider using the Learn From Defects tool from the CUSP Toolkit to assess where defects occur and to

159. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     June 02, 2025 - Help the team problem solve obstacles that occur during the implementation process. … Communicate risk changes as they occur. … Improve root cause analyses when adverse events occur. … When would the meeting occur? … How will communication occur with other disciplines to confirm changes in care?

160. How To Implement the Pressure Injury Prevention Program in Your Organization
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
     June 02, 2025 - Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … 19 Practice Insight Staff Turnover 20 Communication Patterns Good communication needs to occur