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Total Results: 2,959 records

Showing results for "occur".

381. PowerPoint Presentation: Learn From Defects for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     December 01, 2017 - For factors that occur often and impact a significant percentage of cases in your unit, place it in the

382. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
     January 01, 2024 - demonstrate that emergency physicians are interrupted frequently and that these interruptions typically occur

383. Chapter 3. Structure of Learning Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet3.html
     October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter 3. Structure of Learning Network Previous Page Next Page Table of Contents Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter 1. Introduction Chapter 2. Project Description Chapte…

384. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
     August 01, 2022 - TEP members indicated that certain reporting system functions need to occur at a national (or central … the TEP was reluctant to specify reporting system functions and activities that should or should not occur … MedWatch system, but did not provide details as to how interactions with other reporting systems would occur … specify all circumstances, caveats, and limitations for when public reporting should or should not occur

385. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
     January 01, 2004 - prescribed in ambulatory settings, little is known about the frequency and types of medication errors that occur … appropriate frequency for the medication; (6) communication with the parent or caregiver often will occur … Tenfold dosing errors in children can easily occur due to a misplaced decimal point or a trailing zero … United States, very little information is available on the epidemiology of medication errors that occur

386. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
     January 01, 2024 - members for severity (effect to the patient if the failure occurred), occurrence (how often does this occur … Documented infrequently; the condition has a reasonable chance to occur. … The condition will inevitably occur during long periods typical for the step or link. … regimens often have upward of 10 to 20 individual component orders, which commonly must be specified to occur

387. Warm Handoff Plus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     June 02, 2025 - A warm handoff can occur between any two members of the healthcare team, including clinicians, medical … We will also evaluate our implementation success: How often does the intended Warm Handoff Plus occur

388. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
     June 02, 2025 - A warm handoff can occur between any two members of the healthcare team, including clinicians, medical … We will also evaluate our implementation success: How often does the intended Warm Handoff Plus occur

389. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
     November 01, 2017 - The fall-related meetings listed are examples of those that may occur in a nursing home.

390. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

391. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

392. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
     September 01, 2022 - prescribed in ambulatory practices are unnecessary, and approximately 59 percent of antibiotic expenditures occur … The decision to reconsider the need for antibiotics did not occur. 

393. 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/measuredesc-dailyearlymobility-facguide.docx
     January 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

394. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
     January 01, 2024 - o Debriefings must occur and focus on getting results of a survey back to frontline staff, help them … An alternative approach is to look at both catastrophes and the safety events that occur in normal function … a failure and getting resilient people to be proactive and look for potential failures before they occur … This tends to occur because:  Confirmation bias - leadership already decided what the safety issue is

395. Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.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

396. Strategy 3: Bedside Shift Report (Tool 3) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
     June 02, 2025 - – Treatment – Health care operations – Payment • HIPAA acknowledges incidental disclosures may occur … Shift Report (Tool 3) Addressing HIPAA concerns (continued 3) • Oral communications often must occur

397. Action-Plan-Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
     April 01, 2022 - Unit Action Plan The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…

398. Objective Outcomes Data Collection Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/objective-outcome-tool.html
     January 01, 2017 - Objective Outcomes Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Hospital ___________            Unit___________                   Month ___________ Please record the following occurrences for all patients in your unit within the selected month. ________ Total…

399. Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
     January 01, 2024 - We found that errors were more likely to occur for patients discharged from surgical services or the … emergency department (ED; compared with discharge from medical services) and were less likely to occur

400. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - second-order problem solving, list the contributing factors that make defects in care more likely to occur … ASK: Does the defect occur rarely or have a high likelihood of returning? … SAY: Focus on a defect that carries the greatest risk of harm to the patients, is most likely to occur … As a general rule, consider factors that occur often as major reasons for the defect.