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361. Hospital Evacuation Decision Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/hospevac4.html
     July 01, 2018 - Hospital Evacuation Decision Guide Public Health Emergency Preparedness This resource was part of AHRQ's Public Health Emergency Preparedness program, and focused on post-event evacuations. Post-Event Evacuation Decision Guide Post-event evacuations have occurred either following Advanced Warning Events …

362. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
     March 12, 2008 - It might also occur if staff has a verbal order and acts upon it, or if a physician demands that a medication

363. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     June 02, 2025 - ■ UTI and urolithiasis do not occur any more frequently than in general population. … – Earlier followup should occur if poor weight gain, difficulty feeding, and tachypnea develop. … ■ Fungal infections: can occur in the warm, moist environment beneath the barrier and erode skin … – Sporadic motor movements may occur with low muscle tone between these movements. … ■ Tracheo-esophageal fistula may occur as a result of posterior wall erosion.

364. Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/about/impact-stories/enabling-real-time.html
     April 01, 2025 - Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices AHRQ Impact: Researchers have developed a prediction tool to identify primary care practices at high-risk of clinician burnout. Instead of relying on clinician surveys that increase burden, the tool enables…

365. 152-Cusp-Tip-Sheet-Engaging-Physicians (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Engaging Physicians in MRSA Prevention ICU & Non-ICU Issue1-5 Physicians play crucial roles in quality and safety, as leaders, champions, committee members, and participants in planning and executing change. Each role is vital in the success of any undertaking to…

366. Chipra204-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
     January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure as long as all … of the services occur within the time frame established in the measure.

367. Chipra202-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
     January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure as long as all … of the services occur within the time frame established in the measure.

368. Chipra205-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
     January 01, 2014 - Organizations may count services that occur over multiple visits toward this measure as long as all … of the services occur within the time frame established in the measure.

369. Measure Descriptions for Daily Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-fac-guide.html
     February 01, 2017 - measurement, it’s recommended to choose the value closest to 10 a.m. because this is usually when rounds occur … performed, it’s recommended to choose the value closest to 10 a.m. because this is usually when rounds occur

370. NICU Family Information Packet, Appendix B, Anemia of Prematurity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Anemia of Prematurity Anemia Of Prematurity Characteristics ■ Occurs during the normal developmental switch from fetal to adult hemoglobin synthesis. ■ Immediately after birth, the increase in blood oxygen content results in the downregulation of erythropoietin. ■ On…

371. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 2. Fall Response Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. F…

372. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - Another example is using a checklist to ensure that a standardized series of events occur each time a … Slide 15 Beyond Personal Responsibility SAY: When errors occur, it is common to focus on the actions … It is their action that enables the event to occur. … These adverse outcomes are our “defects”—the events that occur and we don’t want them to happen again

373. Applying the AHRQ Pediatric Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
     March 01, 2016 - for that specific indicator Expected events = for each PDI, the total sum of events expected to occur … by the size of your hospital’s patient population and the types of quality and safety events that occur … eligible hospital stay is assigned an expected probability that a particular indicator event will occur

374. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - that specific indicator Expected events = for each QI indicator, the total sum of events expected to occur … by the size of your hospital’s patient population and the types of quality and safety events that occur … eligible hospital stay is assigned an expected probability that a particular indicator event will occur

375. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - In addition, learning about system vulnerabilities before they occur is critical. … The CANDOR Response Team is responsible for conducting a preliminary review, which should occur within … The preliminary review should occur at the event location. … Please note that the bulk of the time and effort of the event review process should occur during the … Why did they occur? ■ Is there any opportunity to overcome the barriers? ■ If not, why?

376. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - patient safety, it is critical to understand how clinical systems actually work and why adverse events occur … systems actually work, what factors make them work well (or not so well), and why adverse events occur … When adverse events do occur, it may be difficult retrospectively to accurately determine their etiology … it proved unnecessary during the data review process in this project, remediation of reviewers may occur … Studies have shown that NRE 1) occur frequently and are of diverse type; 2) are commonly associated

377. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - For factors that occur often and impact a significant percentage of cases in your unit, place it in the

378. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     December 01, 2017 - For factors that occur often and impact a significant percentage of cases in your unit, place it in the

379. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
     January 01, 2004 - concern was that, while the intent of the APL PSI is to identify all punctures and lacerations that occur … validation of the indicator intended to identify cases of accidental puncture or laceration (APL) that occur … Because the intent of the indicator is to identify cases that occur after admission, Table 1. … Human: Building a Safer Health System,30 there has been an emphasis on identifying adverse events that occur … reviewers was that, while the intent of the APL PSI is to identify all punctures and lacerations that occur

380. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - Intrasubject comparison will occur to document the effects of fatigue on medical decision making and … Intersubject comparison will also occur to investigate the types of errors most often made in rested