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Showing results for "occur".

161. 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

162. 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

163. 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.

164. 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.

165. 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

166. 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

167. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
     May 01, 2024 - being given to cognitive load theory (CLT), an educational model for how human memory and processing occur

168. 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

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

170. Supplemental-Shareddecisionmaking-Cgcahps-Adult-2357-5A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-shareddecisionmaking-cgcahps-adult-2357-5a.docx
     June 02, 2025 - Some items cover events that occur with low frequency in the general population.

171. 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?

172. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
     May 19, 2003 - heparin administration procedures to identify the types and sources of potential and real errors that occur … Presentation of the protocol in this manner made it possible for an error to occur if the practitioner … It is likely that inexperience of this kind would make errors more likely to occur. … the process should be clearer and, as a result, there will be less likelihood that an error will occur … when a practitioner is highly stressed or fatigued—two conditions that occur far too frequently in

173. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - second-order problem solving; List contributing factors that make defects in care more likely to occur … Ask: Why did the defect occur? Why did the contributing factor occur? … It did not occur to anyone that this patient could be misidentified. … Say: In the case study, why did the defect occur? … Ask: Does the factor occur rarely and does it have a high likelihood of happening again?

174. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - and second-order problem solving; List contributing factors that make defects in care more likely to occur … ASK: Why did the defect occur? Why did the contributing factor occur? … It did not occur to anyone that this patient could be misidentified. … ASK: Does the factor occur rarely and does it have a high likelihood of happening again? … Focus on a defect that carries the greatest risk of harm to patients, is most likely to occur, and has

175. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - 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 … Understanding event disclosure will occur. Concerns about litigation. … The second-victim understands that disclosure of the event will occur with the patient and/or family

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

177. Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Patient-Centered Medical Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-pcmh-items-cg-survey30-adult.html
     December 01, 2018 - Some items cover events that occur with low frequency in the general population.

178. PPE
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-precautions.pptx
     March 01, 2017 - performed; the anticipated degree of contact with blood and/or body fluids or pathogen exposure that might occur … during that task; and whether or not splashing or sprays may occur.1 Once these three elements are … Contamination can occur through direct contact with blood or body fluids, mucous membranes, nonintact

179. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
     December 01, 2012 - physicians and nurses identify the problems that occurred during the night and potential problems that may occur

180. 10 Patient Safety Tips for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
     December 01, 2009 - Healthcare Research and Quality PATIENT SAFETY 10 Patient Safety Tips for Hospitals Medical errors may occur … minute DVD provides video excerpts of 50 actual chest tube insertions to illustrate problems that can occur