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Showing results for "occur".
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.htmlNovember 01, 2014 - Furthermore, additional effort invested in staff training might be needed for widespread adoption to occur
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.htmlJuly 01, 2023 - Errors associated with schematic tasks are labeled "slips" and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because … Checklists are cognitive aids that have numerous practical benefits, including reducing slips that occur … In practice, steps listed may not occur sequentially.
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.htmlDecember 01, 2017 - Yes No When did the briefing occur?
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Tool: OR Briefing and Debriefing Audit Tool (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docxDecember 01, 2017 - ☐ Yes ☐ No When did the briefing occur? -
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.htmlAugust 01, 2022 - highest correlation in patient/family member and clinician responses was found in regard to failures that occur … Discrepancies were found to occur across all classes of medications. … Themes and subthemes emerging from the analysis suggest failures may occur in multiple domains of the
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.htmlNovember 01, 2017 - Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Likewise, if multiple minor injuries occur, they will only be counted as one and if multiple major injuries … occur, they will only be counted as one. … Regardless of whether the report is monthly or quarterly, a room change must occur within 30 days of
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptxJanuary 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. … The case shows how gaps in communication and care coordination can occur, despite providers’ dedication
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.htmlJuly 01, 2017 - 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. … If multiple meetings occur without progress by the team toward making decisions about implementing the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdfMarch 27, 2008 - (e.g., like-to-like, like-to-unlike, across specialties) and the myriad contexts within which they occur … Another benefit of ordering by “most important first” is a decreased likelihood that interruptions will occur … problems and issues, situation, and resource assessment; planning for the short and long term also can occur … sharp end” of care is that they can be tailored to the clinical work setting, where the transitions occur … low-hanging fruit.”41 Introducing enhancements to existing processes—beginning with ensuring that handoffs occur
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-shared-decision-making-items.htmlMarch 01, 2017 - Please note: 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/candor/module1/grand-rounds-presentation-slides.pptxJanuary 01, 2014 - Many different forms, by different people, occur over time: Explanation of event’s cause and prevention … organization leaders in approaching these difficult discussions. 40 Module 1 Resolution can truly occur
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.htmlDecember 01, 2017 - Twenty-five percent of inpatient surgeries result in a complication, and about 1 million deaths occur … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … claims, sentinel events, and mortality and morbidity conferences when we want to identify defects that occur
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.htmlSeptember 01, 2013 - existing infrastructure for quality improvement (QI) by which QI and patient safety interventions usually occur
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Ldusafety Facguide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docxMay 01, 2017 - Errors associated with schematic tasks are labeled “slips” and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because … Checklists are cognitive aids that have numerous practical benefits, including reducing slips that occur … In practice, steps listed may not occur sequentially. -
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.htmlSeptember 01, 2022 - approaches to teaching diagnostic reasoning and the most common discussions of diagnosis for trainees occur … The number of positive tests that would occur in patients with disease and those without disease could
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdfMay 27, 2008 - rather only become unsafe when used in an environment in which mishaps and unacceptable losses can occur … design if possible, or if not, by preventing or minimizing their occurrence, controlling them if they occur … Accidents usually occur when factors have been forgotten or not accounted for in the software or system … necessary, which implies that there is a way to detect and communicate when safety-related incidents occur … states cannot be reached, or if they are reached, they are detected and handled safely before losses occur
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdfMarch 01, 2012 - Each site visit represented a different context in which SSIs can occur within the ambulatory surgery … A conversation should occur between the health care team members to determine whether the patient can … As improvements in the SASD, NIS, and the SEDD databases occur, additional information regarding the … Intervention implementation can occur with or without regulatory oversight; however, the ability to … hold providers accountable for performance in these settings over time is most likely to occur with
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.htmlAugust 01, 2022 - Within the first 72 hours of a CANDOR event, the following actions should occur: Schedule and complete
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.htmlDecember 01, 2019 - distribution of reports serves two purposes: It will help you keep track of all of the changes that should occur
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.htmlOctober 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
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