Results

Total Results: 2,959 records

Showing results for "occur".

181. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - Preventable adverse drug events (ADEs) have been shown to frequently occur in a variety of settings, … at least one medication discrepancy in the transition from hospital to home care, and discrepancies occur … costs were estimated to exceed $117 billion. 28 ADEs that are primarily the result of human errors occur … As discussed previously, preventable ADEs have been shown to occur frequently in a variety of settings … Conclusion Medication discrepancies frequently occur during the transition from hospital to home care

182. 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

183. NICU Family Information Packet, Appendix B, Ostomy Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
     June 02, 2025 - ■ Fungal infections: can occur in the warm, moist environment beneath the barrier and erode skin

184. Supplemental-Sdm-Hp-Adult-2157-5A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-sdm-hp-adult-2157-5a.docx
     June 02, 2025 - Some items cover events that occur with low frequency in the general population.

185. Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-5.html
     June 01, 2023 - diagnostic mishaps cross multiple clinical settings, half of the diagnostic problems patients report occur

186. Four Moments Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
     November 01, 2019 - Four Moments Poster AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time initiation of antibiotic therapy is considered: Ask, “Does my patient have an infection that requires antibiotics?” occurs when the dec…

187. Choosing a Stewardship Intervention and Measuring Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/intervention-worksheet.pdf
     June 01, 2021 - Choosing a Stewardship Intervention and Measuring Change • Antibiotic stewardship interventions can occur

188. Two-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
     January 01, 2024 - Describe the impact of errors and why they occur. Describe the TeamSTEPPS 3.0 framework. … Describe the impact of errors and why they occur. Describe the TeamSTEPPS framework. … The team also will be safer, allowing members to more readily identify and correct errors if they occur

189. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4m_combo_psi18-19-obstetriclaceration-bestpractices.pdf
     May 20, 2016 - • The rate of third or fourth degree perineal lacerations range from 4% to 13%.1 • When they do occur … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.2

190. Appendix A: Interview Questions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalap.html
     January 01, 2013 - Did they occur often enough? Anything else? … Occur frequently enough? Was it by Email or phone?

191. AHRQ Comment Policy | Agency for Healthcare Research and Quality
     www.ahrq.gov/policy/social-media/comments/index.html
     August 01, 2018 - Comment and content review and posting will generally occur during regular business hours from Monday

192. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
     December 01, 2014 - Help the team problem solve obstacles that occur during the implementation process. … to describe their process for conducting investigations or root cause analyses when adverse events occur … Some of the suggested meetings may already occur at the nursing home but may need to be restructured … When would the meeting occur? … How will communication occur with other disciplines to confirm changes in care?

193. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - Diagnostic errors occur in all settings of care; it’s estimated that 795,000 Americans become permanently

194. Sharing the Care Plan: Brief | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/tools/briefs.html
     December 01, 2023 - When would the brief occur? Who would be expected to attend?

195. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Among the areas where errors occur frequently is the intensive care unit (ICU). … human error in U.S. hospitals each year.1 Critical care is one of the areas in which human errors occur … a more proactive strategy of error management; its goal is to anticipate where and how errors may occur … Our initial finding is consistent with the existing literature on error in the ICU: Errors not only occur … in the ICU, but they occur rather frequently, as reflected in the high mean nurse estimates of 6.35

196. Introduction on Diagnostic Documentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.html
     July 01, 2024 - Errors in the diagnostic process can occur at various stages, from initial patient presentation to the

197. CAHPS (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh_items_cg-cahps-child-survey_2358-2a.docx
     June 02, 2025 - Some items cover events that occur with low frequency in the general population.

198. CAHPS Supplemental Items | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html
     July 21, 2025 - Note: Some items cover events that occur with low frequency in the general population.

199. FAQs (Staff) Safety and Side Effects CHG and Iodophor (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.docx
     March 01, 2022 - Local CHG side effects are estimated to occur in 1–3 percent of patients.

200. Supplemental Items for the CAHPS Clinician & Group Child 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-child.html
     August 01, 2021 - Some items cover events that occur with low frequency in the general population.