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Showing results for "occur".

181. 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

182. Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Access to Specialist Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-specialist-access-hp-adult.html
     February 01, 2018 - Some items cover events that occur with low frequency in the general population.

183. Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/questions/resources/index.html
     November 01, 2020 - the waiting room.  20 Tips to Help Prevent Medical Errors Learn to prevent medical errors that can occur

184. 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

185. Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Health Promotion & Education | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-health-promotion-education-hp-adult.html
     December 01, 2018 - Some items cover events that occur with low frequency in the general population.

186. Access of Central Venous Catheter for Initiation of Dialysis Procedural Checklist 1a (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist1a-access-cvc.pdf
     December 08, 2014 - gloves ☐ Hand hygiene Note: If troubleshooting or manipulation of catheter or dialysis lines must occur

187. 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

188. 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

189. 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

190. 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?

191. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - Friction may occur when moving a person up in bed. 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Friction may occur when moving a person up in bed. True 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals

192. 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

193. Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
     January 01, 2024 - a number of authors have now identified that important and outcome-altering patient deteriorations occur … ,xi Using such criteria, Hillman conservatively estimates that some 130,000 crisis events per year occur … In the United States, 10 times that amount could occur. … Medicine in their publication To Err is Human have estimated that up to 98,000 preventable deaths occur

194. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - Defects 2 • The Learn From Defects Form, which provides a standardized means to assess where defects occur … These conditions are the mistakes that occur without human error. … • Organizational failures occur when decisional elements, such as culture, procedures, and leadership … By doing this, teams are able to assign meaning to the system breakdowns that occur on their L&D unit … defects on the L&D unit, it is important for staff to understand where and how breakdowns in safety occur

195. 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.

196. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     January 30, 2020 - focus on the overall quality of care of the NICU, as some of the variation in readmission rates may occur

197. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - mistakes safely, and to learn from these mistakes while avoiding patient harms that might otherwise occur … More focused forms of feedback with the guidance of an instructor are likely to occur during a debrief … clinicians’ inquiries, they may evoke a wide range of emotional and behavioral characteristics that occur … Because of the uncertainty, complexity, and rapidly emerging conditions that occur in many health care … Given that unexpected events will occur, there are lessons to be learned regarding their anticipation

198. Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0208-technical-specs.pdf
     January 30, 2020 - that focus solely on the overall quality of care of the NICU; some variation in readmission rates may occur

199. 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

200. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/probabilistic-thinking1.html
     September 01, 2022 - Pathway Future Vision for Probabilistic Diagnostic Decisions References Errors that occur