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  1. CHG Bathing (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
    March 01, 2022 - No. 20(22)-0036 March 2022 During your stay, bathing will occur every day with a special antiseptic
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdf
    July 01, 2022 - diagnostic error in the outpatient setting every year.a About 250,000 harmful diagnostic errors occur
  3. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module11.pptx
    March 07, 2019 - So, look at those things that occur frequently. … When and where will the improvements occur? … The outcome aims should focus on changes that occur because your staff carries out the interventions … Write down the process steps as they currently occur, and identify who’s doing what, when, with what … When will the training sessions occur and for how long? Where will the sessions occur?
  4. www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?page=23
    April 24, 2024 - Note: Some items cover events that occur with low frequency in the general population.
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
    September 01, 2017 - Communicate risk changes as they occur. … Improve root cause analyses when adverse events occur. … When will the meeting occur? … How will communication occur with other disciplines to confirm changes in care? … When will the meeting occur?
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
    July 25, 2008 - about privacy and the security of health data, and the unintended consequences that can sometimes occur … Medication errors are a frequent cause of adverse drug events, and they can occur at any point in the
  7. Ppe-Quiz (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
    March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
  8. Ppe-Quiz-Key (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
    March 01, 2017 - Gowns should be worn when splashing or spraying of blood or other body fluids could occur during resident
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
    December 13, 2013 - ■ UTI and urolithiasis do not occur any more frequently than in general population.
  10. www.ahrq.gov/teamstepps/instructor/essentials/implguide.html
    November 01, 2018 - Key Actions: Multiple actions occur during Phase I to assess organizational readiness for a TeamSTEPPS … Where will it occur? What do we hope to achieve with a TeamSTEPPS Intervention? … Key Actions: Three key actions occur during Phase II — writing a TeamSTEPPS Action Plan, conducting … TeamSTEPPS Action Plan written during Phase II provides the "how-to" guidelines for the key actions that occur … targeted problem or opportunity for improvement occurs – write down the process steps as they currently occur
  11. 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
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/ca-ucsd-execsum.pdf
    February 01, 2022 - Monthly intervention feedback over Zoom will occur between the clinical champions and the individual … A post-intervention quality assessment will occur six months after the initial patient assessment through
  13. www.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - The Learn from Defects Form, which provides a standardized means to assess where defects occur and to … in that the failure mode and effects analysis searches for all possible ways in which an event could occur … These conditions are the mistakes that occur without human error. … By doing this, teams are able to assign meaning to the system breakdowns that occur on their units. … Making use of these ideas on the unit will help teams understand where breakdowns occur and collaborate
  14. www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - Say: Errors occur within the health care setting because people are fallible. … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient.
  15. 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
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
    June 01, 2021 - Four Moments of Antibiotic Decision Making Explained Moment 1 occurs when a resident is assessed for a change in status and there is a concern for infection. Sometimes long-term care staff recognize that something is not quite right with the resident but aren’t clear on what is wrong. The person doing the assessmen…
  17. www.ahrq.gov/hai/pfp/interimhacrate2014.html
    January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Next Page Table of Contents Saving Lives and Saving Money: Hospital-Acquired Conditions Update Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact …
  18. 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
  19. 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
  20. www.ahrq.gov/news/newsroom/case-studies/ktcoe10.html
    October 01, 2014 - Gynecologists recommends in its Practice Bulletin 10, Induction of Labor , that elective delivery not occur

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