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Showing results for "occur".

201. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
     April 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety  Diagnostic errors occur in all care

202. 003-Ss-Antimicrobial-Prophylaxis-Part-2-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
     April 01, 2025 - How soon after drug exposure did the reaction occur? … These generally occur within one hour or up to 6 hours after exposure to the drug. … There are also delayed hypersensitivity reactions, which occur anywhere from days to weeks after exposure … Reported cephalosporin allergies or hypersensitivities occur less commonly than penicillin allergies. … educated communication is key to creating a culture of safety, where these defects are less likely to occur

203. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
     January 12, 2022 - To put it simply, errors that affect diagnosis can occur anywhere in the healthcare delivery system. … It is not surprising, therefore, that errors in the process occur. … TeamSTEPPS for Diagnosis Improvement addresses the dynamics that can occur among, physicians, nurses … Reflection can occur in short spurts or in longer thought, depending on the situation. … Types of Diagnostic Error Where Do Diagnostic Errors Occur?

204. Arizona State University Uses AHRQ’s Quality and Disparities Reports in Curriculum | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201505.html
     March 01, 2015 - "Students need to understand where gaps in care occur and what needs remain unfulfilled.

205. Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Shared Decisionmaking | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-decisionmaking-cg30-adult.html
     November 01, 2017 - Some items cover events that occur with low frequency in the general population.

206. AHRQ Safety Program for Perinatal Care: Be a Partner in Your Care (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/partner-care.docx
     May 01, 2017 - · Nurse shift changes occur when nurses who are going off duty share information about you with nurses

207. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - o 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 will the meeting occur? … How will communication occur with other disciplines to confirm changes in care?

208. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - o 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 would communication occur with other disciplines to confirm changes in care?

209. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     June 02, 2025 - o 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?

210. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     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 …

211. Appendix B. Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/discussion.html
     October 01, 2019 - Whichever template you choose, you should document the following: What actions or changes will occur … By when will the actions and changes occur?

212. Patient Safety Awareness Week 2022 | Agency for Healthcare Research and Quality
     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

213. Prevehosp-Implementation-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
     June 02, 2025 - health, and reviews how staff evaluate the potential causes of hospitalizations and ED visits that do occur … This is in contrast to waiting for hospitalizations to occur before intervening. … Visits 7 On-Time Preventable Hospital and ED Visits: Implementation If multiple meetings occur

214. Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Iodophor (pdf file)
     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.

215. Four Moments of Antibiotic Decision Making Explained (pdf file)
     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…

216. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
     April 01, 2025 - SAY: Defects are flaws, imperfections, or problems that occurred or could occur in the clinical or operational … A contributing factor that is a major reason but does not occur often offers a potential opportunity … Slide 25 Case Example Using the Investigating a Defect Worksheet: Why Did This Defect Occur?

217. 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/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

218. Antibiotic Side Effects (pdf file)
     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

219. 030-Hand-Hygiene-Webinar-Slides-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
     October 01, 2024 - This helps to prevent the pathogen colonization that can occur with longer and artificial nails. … Moisturizers should be made available in the same areas where hand hygiene is expected to occur, and … Many of these moments occur behind closed doors or behind curtains during patient care and are therefore … hygiene policies, instruction on product use, and demonstration of proper hand hygiene technique should occur … This could occur concurrently with the installation of several new alcohol-based hand rub dispensers

220. 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