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Total Results: 2,959 records

Showing results for "occur".

241. Pf-Engagement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     May 01, 2017 - Slide 16 SAY: Adverse events occur when a patient is harmed as a result of receiving medical care. … Rarely does an adverse event occur as a result of intent.

242. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
     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

243. AHRQ National Advisory Council To Meet in Baltimore on June 28-29 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/nac-meeting-june28-29.html
     June 01, 2024 - The meeting will occur at the Hilton Baltimore Inner Harbor, 401 W. Pratt St., Baltimore, MD 21201.

244. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/warmhandoff.html
     April 01, 2018 - A Warm Handoff Plus can occur between any two members of the healthcare team, including clinicians, medical

245. Toolkit To Promote Safe Surgery | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/index.html
     December 01, 2017 - address respectively adaptive and technical work, which are both critical elements for improvement to occur

246. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
     August 01, 2021 - Four Moments of Antibiotic Decision Making The Four Moments of Antibiotic Decision Making are the critical time periods of antibiotic decision making. Frontline staff and prescribing clinicians are encouraged to use the Four Moments framework for all residents whenever the need for antibiotics is being c…

247. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Slide 17: Engaging After Adverse Events Say: Adverse events occur when a patient is harmed as a … Rarely does an adverse event occur as a result of intent.

248. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - community and the public on the estimation that between 48,000 and 98,000 deaths from medical errors occur …  Yes:  Did any of the following occur during hospitalization? …  Yes:  Did any of the following occur during the hospitalization (check all that apply) ∗ Death

249. Hand Hygiene
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
     March 01, 2017 - CAUTIs. 2 Health Care Workers’ Hands Spread Infections1 1-3 million serious infections estimated to occur … remember these four times for hand hygiene during your care of residents, including interactions that occur … Hand contamination may occur as a result of small undetected holes in gloves Hand contamination may occur

250. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
     January 01, 2024 - Incomplete regimens may occur in over half of instances (Clin Infect Dis 2012). … Rebound and development of resistance often occur by 7 to 14 days (AIDS 2008). … Post-discharge outpatient HIV follow-up visits occur about 2/3 of the time but typically occur 7 to 14 … Thus, adverse effects are likely to occur before an outpatient HIV provider can correct the error. … HCV viral rebound may occur quickly.

251. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/908.html
     April 01, 2024 - Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds Issue Number 908 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 9, 2024 AHRQ Stats: Trends in Psychological Distress During the COVID-19 Pandemic Between 2018 and 2021, the proportion …

252. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - historically on the individuals involved, rather than the systems and processes that allowed the error to occur

253. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - Slide 39 Say: Resolution can truly occur only after the organization has completed its investigation

254. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - Slide 39 Say: Resolution can truly occur only after the organization has completed its

255. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - patient harm are often caused by a provider overlooking messages alerting them to a test result or occur

256. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
     June 01, 2021 - Disparities in diagnosis occur by race, color, ethnicity, disability, sex, gender expression, gender

257. Content-Specific Versus Process-Focused Checklists | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
     September 01, 2020 - An example is a “debiasing” checklist that aims to reduce errors that occur due to shortcuts in the diagnostic

258. Teaching Pre-Implementation Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
     May 01, 2023 - implementation; how long after the training were you expecting the changes in processes and outcomes to occur

259. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
     May 01, 2024 - being given to cognitive load theory (CLT), an educational model for how human memory and processing occur … When you consider all the cognitive processes that must occur with reasonable precision during the diagnostic … If clinicians cannot selectively engage with interruptions, cognitive overload will occur if too much … If extrinsic load is low, both type 1 and type 2 thinking can occur. … Conversely, if extrinsic load increases, as can occur with a chaotic environment, distractions, unsafe

260. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
     June 01, 2023 - This step is particularly crucial for handoffs that occur electronically (e-handoffs).