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  1. Candor-Impguide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
    April 01, 2016 - For example, more than 1.5 million preventable infections occur annually among inpatients. … While these two processes occur at the same time during the CANDOR process, they have been numbered … While an initial disclosure conversation will occur within 60 minutes after the CANDOR event occurs, … a full disclosure will typically not occur until after the Event Investigation and Analysis has been … resources include videos, which include vignettes that demonstrate how the resolution process might occur
  2. www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - Data collection to measure uptake is planned to occur through DHQP/National Healthcare Safety Network … initiatives for World Patient Safety Day, which this year focuses on diagnostic safety and will occur … The next IAWG meeting is scheduled to occur on October 4, 2024.
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
    December 01, 2017 - Monthly After about 6 months, the facilitator's role is to check in to identify obstacles that could occur … The expectation is that reports will be used on a weekly basis except for meetings that occur less frequently
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - A study conducted by the American Academy of Family Physicians (AAFP) confirms that errors occur in … , in part, because they often do not see the consequences of the errors because those consequences occur … ambulatory care and the aspects of ambulatory medical care in which they occur. … Discussion The LEAP study confirms that medical errors occur in ambulatory pediatric settings. … The LEAP study documents that errors occur in ambulatory settings, most frequently in the context of
  5. www.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
    December 01, 2024 - Thomas, M.D., M.P.H., " Understanding Where, Why, and How Diagnostic Errors Occur " AHRQ PSNet Primer
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.pdf
    March 01, 2022 - Local CHG side effects are estimated to occur in 1–3 percent of patients.
  7. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
    June 01, 2021 - Common side effects and adverse reactions • Gastrointestinal disturbances (such as diarrhea) occur
  8. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-9.html
    November 01, 2014 - The team also notes where hand-offs and queuing occur and which steps are "checking" steps.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
    February 01, 2014 - University of North Carolina, Chapel Hill, is focused on reducing unintended harms to patients that occur
  10. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily6.html
    July 01, 2018 - Some level of testing, development of paired materials, or tailoring and adaptation must occur to complete
  11. www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-sdm-hp-adult.html
    December 01, 2018 - Some items cover events that occur with low frequency in the general population.
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
    April 01, 2022 - Tier 1 interventions offer foundational interventions that occur around the catheter lifecycle consistently … The tier 2 activities occur at various frequencies. … CUSP can be implemented through CLABSI and CAUTI prevention practices, policies, and procedures that occur
  13. www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
    January 01, 2024 - patient care rounds, when face-to-face communication between physicians and nurses was most likely to occur … and end of rounds represent engagement and disengagement periods, when interactions are likely to occur … As a result, answers to questions of how and why specific events occur align more closely with the … VRE is an intervention that can change behavior because of the learning and behavior change that occur
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-technicalspecs.pdf
    June 02, 2025 - This subsequent visit in which weight was addressed could occur in various settings: with a primary
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
    October 01, 2024 - . · Allow cleaning to occur as normal.
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-sdm-english-557-5a.docx
    June 02, 2025 - Please note: Some items cover events that occur with low frequency in the general population.
  17. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
    June 02, 2025 - admissions are related to an adverse drug event An estimated 160 million medication errors occur
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    June 02, 2025 - admissions are related to an adverse drug event An estimated 160 million medication errors occur
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
    June 02, 2025 - The education could occur during a structured phone follow-up call.
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
    April 01, 2025 - . · Allow cleaning to occur as normal.

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