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Total Results: 2,792 records

Showing results for "occur".

321. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
     June 04, 2008 - that this approach would increase the likelihood that the FDA would learn about device problems that occur … seemed critical for the pediatric clinical community to be aware of the types of problems that could occur … Such a program would focus on identifying IVD devices and the problems that can occur with them, stressing … Examples of laboratory devices were provided, along with a listing of the problems that could occur … KidNet’s focus is on identifying and reporting all medical device-related adverse events that occur

322. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
     October 01, 2017 - Unit staff tell the Wound Care Team about high-risk patients or if skin problems occur. … Slide 21: Communication Patterns Good communication needs to occur among staff at all levels.

323. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
     October 01, 2014 - However, what we can do is eliminate needless falls and limit the injuries from falls that do occur. … vests, pelvic restraints, and lap trays on geri-chairs all contribute to falls and to injuries that occur

324. Resident and Family Engagement: What is my role as a leader? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
     March 01, 2017 - Healthcare-associated infections (HAIs) occur far too often in nursing homes.

325. Chapter 9. Potential Future Uses of the Data Infrastructure | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter9.html
     December 01, 2017 - for addressing distributional issues related to the outcome variables and selection bias issues that occur

326. It Takes a Team: Preventing Infections in Ambulatory Surgery Centers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
     May 01, 2017 - Surgical site infections are infections that can occur after surgery in the part of the body where

327. Low Tidal Volume Ventilation Facts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
     January 01, 2017 - Prevent the lung damage that can occur within a few hours of mechanical ventilation at high tidal volume

328. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
     January 01, 2017 - Prevent the lung damage that can occur within a few hours of mechanical ventilation at high tidal volume

329. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/debra-rosen-slides.pdf
     March 15, 2016 - agencies)  Focus priorities at the site or organizational level  Significant change/efforts must occur

330. Labor and Delivery Unit Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 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.

331. Disclosure Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - tool: Use Part I of the checklist to prepare for the initial disclosure conversation, which should occur

332. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
     January 01, 2024 - Purpose: The purpose of this study was to examine whether adverse events or complications in hospitals occur … The purpose of this study was to examine whether adverse events or complications in hospitals occur … fact that we only examined eight types of complications out of dozens of known complications that occur

333. Mod5-Disclosure-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - tool: Use Part I of the checklist to prepare for the initial disclosure conversation, which should occur

334. Engage Patients and Families for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     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.

335. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
     January 01, 2003 - Steps in the nursing process are represented in a timeline as they occur along the pathway. … nature of the RN’s work and the RN’s vulnerability to making errors or omissions when cognitive shifts occur … Clearly, cognitive shifts occur in response to patients’ needs, organizational style of the RN, and … Cognitive shifts between patients occur frequently throughout a shift of care and demonstrate the challenge

336. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - not an isolated event, since there are many different points at which disclosure conversations can occur

337. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - interventions were those that focused on identifying (1) weak points in the flow of events at which errors occur … Reported events are only a subset of all medical errors that occur. … Thus, these errors can occur at various points along the chain of activities associated with diagnostic … the procedure event chain the error occurred, how and why it occurred, and why harm did or did not occur … diagnostic testing process and the transition points within and between stages at which errors can occur

338. How to Use This Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
     July 01, 2018 - This should occur every few days at the beginning, and once a week as the facility continues operations

339. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
     August 24, 2015 - resolution process before and after CANDOR implementation. 2 Module 7 When adverse patient events occur

340. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
     January 01, 2003 - examined 14 potentially preventable adverse medical events defined by the PSI methodology that can occur