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Showing results for "occur".

421. Aspiration Pneumonitis/Pneumonia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
     November 01, 2019 - Aspiration Pneumonitis/Pneumonia Diagnosis • Aspiration pneumonitis is an abrupt chemical injury caused by inhalation of sterile gastric contents. o It can progress quickly to a decline in respiratory status followed by rapid improvement within 48 hours of the insult. o Chest x rays appear similar to multi…

422. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 01, 2023 - AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century AHRQ's Making Healthcare Safer reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the health…

423. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
     June 02, 2025 - Appendix A. Recommendations for Ideal Consumer Reporting Systems Appendix A. Recommendations for Ideal Consumer Reporting Systems A 2010 report by Research Triangle Institute (RTI) and Consumers Advancing Patient Safety, Designing Consumer Reporting Systems for Patient Safety Events, outlined recommendations for…

424. Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/enabling-real-time.pdf
     January 01, 2023 - Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices 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…

425. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
     June 02, 2025 - 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

426. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
     January 01, 2024 - responded to the needs of rural healthcare providers to know what kinds of errors are most likely to occur … settings and identify the conditions, including working conditions, under which system change can occur … Our study showed that three key conditions must be met in order for system change to occur: (1) shared … can be handled; (3) belief that organizational changes, or corrective actions, are possible and will occur … care in one’s hospital is safe) so that they can recognize the full range of errors that actually occur

427. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
     January 01, 2025 - When errors do occur, our pride leads us to respond with surprise (This should never happen here!) … Because of powerful vested interests, change will not occur without substantial increases in public … Handoffs between providers will occur electronically. … vision of “patient-centeredness” within patient safety in 2025, the necessary changes that need to occur … To develop those new ways of thinking and better understanding, three fundamental changes must occur

428. Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     April 01, 2025 - Quality and Safety Review System (QSRS) Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…

429. 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.

430. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - Unlike simulations that occur in a laboratory setting, in situ simulation is a strategy that takes place … Severity How severe the outcome is to the patient should failure occur. … Cost is certainly a factor, but as simulation becomes more commonplace, efficiencies will occur.

431. Design Guide for Warm Handoff Plus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
     June 02, 2025 - Next, you need to understand how the many types of transitions currently occur.

432. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a sust…

433. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Interim Data From National Efforts To Make Care Safer, 2010-2014 Summary Interim estimates for 2014 show a s…

434. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
     December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustainability: Learning From Defects Slide 2: Learning Objectives After this session, you will be able to– Describe the difference between first-orde…

435. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
     January 01, 2024 - technology, and a new online data-capture-response tool to prevent patient identification errors that occur … technology, and a new online data-capture-response tool to prevent patient identification errors that occur

436. 055-Guide-Nursing-Practice (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Nursing Practice Guide Use this guide to help ensure that all nursing practice procedures and leadership support are in place to actively support the decolonization intervention. Engagement & Collaboration Determine Which Patients Need Treatment CHG Bath Docume…

437. How To Prepare Your Facility for a Surge | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/how-to-prepare-for-surge.html
     June 01, 2022 - How To Prepare Your Facility for a Surge Resource: How To Prepare Your Facility for a Surge ​This course is free and is designed to meet the critical staff shortages occurring as a result of COVID-19. Completion of this training is intended to prepare facilities to develop, manage, and maintain a surge plan…

438. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - Errors of ignorance are due to inadequate knowledge, whereas errors of implementation occur during application … No-fault diagnostic errors occur when the disease is silent, appears in an atypical fashion, or mimics … An exception may occur if a physician experienced a particularly bad outcome with a missed diagnosis … Fatigue may occur independently of sleep deprivation and sleep debt, but these invariably lead to fatigue … exercise is to provide meaningful, realistic self-feedback so that insight will develop, learning will occur

439. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - patients with diverse health beliefs, language preferences, cultural norms, and health-seeking behaviors occur … misunderstandings about the nature of an illness, its remedies, and appropriate health behaviors are more likely to occur … Cross-cultural communication, which requires an exchange of shared meaning, can occur even when both … This can be due to a range of phenomena, including fear of the shame that could occur if the patient's … appointments, you can reference the calendar to determine whether any special religious observances will occur

440. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - patients with diverse health beliefs, language preferences, cultural norms, and health-seeking behaviors occur … misunderstandings about the nature of an illness, its remedies, and appropriate health behaviors are more likely to occur … Cross-cultural communication, which requires an exchange of shared meaning, can occur even when both … This can be due to a range of phenomena, including fear of the shame that could occur if the patient's … appointments, you can reference the calendar to determine whether any special religious observances will occur