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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/144-cusp-tip-sheet-engaging-surgeons.docx
April 01, 2025 - Smith very sternly said, “It’s my job to decide when hair removal should occur, not yours.”
· Background
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
March 01, 2017 - Whichever template you choose, you should document the following:
· What actions or changes will occur … · By when will the actions and changes occur?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - 385,000 needlesticks and other sharps-related injuries to
hospital-based health care personnel that occur … Education should occur upon hire, annually, and when this protocol is
added to job responsibilities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - 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
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www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - built an automated language translation tool to allow clinical evaluations of recorded interviews to occur
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex
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www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
January 01, 2024 - Methods: In this
research, we use automated proof techniques to determine if masking can occur in a … 17,25,29,31,32 and
instances of it have been detected experimentally.30,37 However, masking may only occur … of the represented alarms along with the specification properties for checking
whether masking can occur … This is because total
masking can occur in the presence of three or fewer alarms, and partial masking … A ∅ indicates that no masking could occur.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - 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?
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www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
December 01, 2023 - that it helped them prepare and access resources; unfortunately, community engagement did not commonly occur
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/blood-pressure-flowchart.pdf
June 02, 2025 - No
PATIENT NOT
INCLUDED IN
DENOMINATOR
Yes
No
Did the patient’s most
recent visit occur on or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
June 02, 2025 - Nurse shift changes occur when nurses who are
going off duty share information about your care
with
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-child-survey_2358-1a.docx
June 02, 2025 - Some items cover events that occur with low frequency in the general population.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - Depending on the setting and
the patient’s needs, these transitions may occur many times, once, or not … Petersen reported that medication problems were more likely to occur when
inpatients were being managed … Differential misunderstandings are more
likely to occur in handovers involving unlike participants. … When they did occur, they were extremely limited; for example, a
Transitions in Emergency Care … Virtually all ED transitions occur beneath the angled line.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Within the first 72 hours of a CANDOR event, the following actions should occur:
Schedule and complete
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/6.html
December 01, 2017 - Limited Assistance (LA)
Extensive Assistance (EA)
Total Dependence (Total)
Activity Did Not Occur … DO NOT USE Activity Did Not Occur (NO) to calculate weekly value.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - She will know that it is successful when fewer similar problems occur. … remind you that there are resources to facilitate escalation of critical, safety-related issues that may occur
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 01, 2017 - She will know that it is successful when fewer similar problems occur. … remind you that there are resources to facilitate escalation of critical, safety-related issues that may occur
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - Diagnostic Errors and Uncertainty
EDs are among the most common settings in which diagnostic error may occur … diagnostic errors and uncertainty at the time of ED-hospital admission are high risk: approximately 3 in 20 occur
-
www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - Abstract
Purpose: Ventilator-associated pneumonia, a common nosocomial infection, has been shown to
occur … situations in which healthcare workers forget to raise the bed after
performing patient activities occur … the patient laterally; (iii) the
5
patient would not be comfortable; (iv) skin breakdown would occur … During these procedures, frequent
interruptions occur and may cause personnel to leave bed angles out … the bed angle for patient care, a perspective that forgives small, short-duration adjustments
that occur