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Showing results for "occur".
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www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.htmlAugust 01, 2022 - Slide 39 Say: Resolution can truly occur only after the organization has completed its
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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.pdfApril 01, 2016 - Slide 39 Say: Resolution can truly occur only after the organization has completed its investigation -
www.ahrq.gov/health-literacy/professional-training/lepguide/app-f.htmlSeptember 01, 2020 - engage in a systematic approach to better identify and prevent medical errors and adverse events that occur … patient safety among LEP patients, as well as processes to analyze medical errors and near misses that occur … among LEP patients Create routine forums for analyzing cases of medical errors and near misses that occur … engage in a systematic approach to better identify and prevent medical errors and adverse events that occur
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004-Cusp-Learning-From-Defects (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docxOctober 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? -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/tinetti_r21grant.pdfSeptember 01, 2013 - Beta-Blocker Effect on a Range of Health Outcomes in Older Adults with CAD and COPD Comparative Effectiveness Research to Optimize Prevention and Healthcare Management for the Complex Patient – R21 Grants Beta-Blocker Effect on a Range of Health Outcomes in Older Adults with CAD and COPD Principal Inv…
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www.ahrq.gov/teamstepps/primarycare/handouts/pcvideo.htmlJanuary 01, 2013 - Video Reflections TeamSTEPPS Primary Care Version Participant Handouts As you view the video, make a note of your thoughts and observations. What problems do you see occurring? Where do you see breakdowns in the process of providing quality patient care? How could the breakdowns have been avoided? Direction…
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article19.htmlJune 01, 2014 - These events usually occur infrequently, but when they do, they can be catastrophic for patients. … as a major limitation of isolated database analyses where interactions of different-level processes occur … are added together, with the overlap subtracted to prevent double counting the gate if both failures occur … Is proactive, identifying the possible adverse events before they actually occur, thereby enabling the … As improvements in the SASD, NIS, and SEDD datasets occur, additional information regarding the care
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article19.htmlJune 01, 2014 - These events usually occur infrequently, but when they do, they can be catastrophic for patients. … as a major limitation of isolated database analyses where interactions of different-level processes occur … are added together, with the overlap subtracted to prevent double counting the gate if both failures occur … Is proactive, identifying the possible adverse events before they actually occur, thereby enabling the … As improvements in the SASD, NIS, and SEDD datasets occur, additional information regarding the care
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/pf-engagement-fac-guide.htmlMay 01, 2017 - 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.
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www.ahrq.gov/research/findings/evidence-based-reports/sysreviews.htmlApril 01, 2018 - recommendation such as every two years will miss a substantial number of important signals for updating that occur
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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.pptxSeptember 10, 2015 - Within the first 72 hours of a CANDOR event, the following actions should occur: Schedule and complete
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Risk-Based Patient Safety Metrics (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdfMarch 25, 2008 - If an error rate is: Identified errors Potential opportunities for that error to occur then, the … In order for chart review to identify all errors, the following sequence of events must occur: Error … The need for each of these additional steps to occur perfectly makes it less likely that chart review … That rate would be: Identified injuries Potential opportunities for those injuries to occur As … Thus, the error might occur and go undiscovered and unmeasured. -
Communication-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docxJune 01, 2021 - This can occur after someone has had antibiotics and can be devastating in nursing home residents. … 13 Case 3: Communication SAY: Let’s walk through a final case of communication errors that can occur … The nurse does not feel comfortable with this plan and knows that serious side effects can occur on antibiotics … Slide 16 Case 3 — DESC Script SAY: Conflict can occur in teams, and it is important to know how … to handle such situations when they occur. -
www.ahrq.gov/policy/social-media/comments/index.htmlAugust 01, 2018 - Comment and content review and posting will generally occur during regular business hours from Monday
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10 Patient Safety Tips for Hospitals (pdf file)
www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdfDecember 01, 2009 - Healthcare Research and Quality PATIENT SAFETY 10 Patient Safety Tips for Hospitals Medical errors may occur … minute DVD provides video excerpts of 50 actual chest tube insertions to illustrate problems that can occur -
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-healthpromotion-education-cgcahps-adult-2357-11a.docxSeptember 21, 2017 - Some items cover events that occur with low frequency in the general population.
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/partner-care.htmlMay 01, 2017 - Nurse shift changes occur when nurses who are going off duty share information about you with nurses
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh-items_cg-cahps-adult-survey_2357-2a.docxMarch 11, 2016 - Some items cover events that occur with low frequency in the general population.
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CAHPS Cancer Care Supplemental Items (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-info-english-557-6a.docxMarch 07, 2017 - Please note: Some items cover events that occur with low frequency in the general population. -
www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-5.htmlJune 01, 2023 - diagnostic mishaps cross multiple clinical settings, half of the diagnostic problems patients report occur
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