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Showing results for "occur".

421. 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…

422. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.html
     December 01, 2017 - Most Recent Weight must occur during the current week. … The Previous Weight does not need to occur in the week just prior to the current week.

423. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - For dialysis patients and facilities, this means that infections occur when infection control practices … Data should be directly linked to the outcomes you want to occur. … When new procedures are instituted, staff can identify when improvements occur and understand the relationship … defects in the facility, it is important for the staff to understand where and how breakdowns in safety occur … It’s easier to talk about near misses because they often occur more frequently, are less sensitive and

424. Hypertension Screening for Children Who Are Overweight or Obese: Table 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
     January 01, 2011 - Although death and cardiovascular disability don’t occur in children with hypertension, intermediate

425. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
     January 01, 2025 - Despite efforts to provide safe, effective care, adverse events still occur. … Despite efforts to provide safe, effective care, adverse events still occur – clinicians make diagnostic … Though abruption can occur at any stage of gestation, we were interested in modeling those cases in … interventions or recovery events is; and 4) explain what features of the system enable recovery to occur

426. 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…

427. Location-Release (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
     July 01, 2024 - will hold the Administrator harmless from, and indemnify against, any injury to any person(s) that may occur

428. Workflow (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
     February 01, 2005 - • Encourage open dialogue • Record your system workflow as it truly occurs, not how it should occur

429. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
     March 22, 2014 - Most Recent Weight must occur during the current week. … The Previous Weight does not need to occur in the week just prior to the current week. … Static Week Calculation:  Identify all weights that occur in the range of 85-95 days from the most … The Previous Weight does not need to occur in the week just prior to the most recent week. … DO NOT USE Activity Did Not Occur (NO) to calculate weekly value.

430. 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…

431. Competencies To Improve Diagnosis in Health Professions Education  | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
     March 01, 2022 - To allow this partnering to occur, patient engagement must go beyond simply being a worthwhile goal for … For this change to occur, massive structural and cultural aspects must be addressed.

432. Fundamental Concepts for Understanding Cognitive Load | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
     August 01, 2024 - When you consider all the cognitive processes that must occur with reasonable precision during the diagnostic

433. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
     November 01, 2019 - CDI has not been shown to occur in the absence of toxin B production. … Low- grade fevers occur in approximately 15 percent of patients. … presence of toxin and not just simply the presence of the organism, as persistence of the organism may occur … It may not occur immediately after discontinuing antibiotics.

434. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
     December 01, 2017 - They are an opportunity to LISTEN to the wisdom of your frontline providers as defects occur. … By default, they occur at the beginning of a case to ensure every member of the care team is on the same … Huddles occur on an emergent or as-needed basis. … Different sections can occur at different times. … Slide 27: Timeout: Prior to Incision Say: A timeout can occur just before incision to verify the

435. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
     July 01, 2018 - Although consumers may lack a complete picture of patient safety, they are aware that medical errors occur … assume that most care is safe and that there are system checks to prevent errors. 25 , 27 When errors do occur … providers work. 26 , 28 In addition, consumers tend to underestimate the number of medical errors that occur … example, about half (49 percent) of consumers sampled in a KFF survey thought that 5,000 or fewer deaths occur … This includes identifying adverse events that occur and reporting on these events. 15,16 , 18,19 , 48

436. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
     March 03, 2008 - gaps in the defensive barriers) align or change size, conditions become favorable for an accident to occur … included teaching the staff to evaluate the proposed change, identifying personal gains or losses that occur … In Q3 we saw the same thing occur, as 10 new staff were hired and had not completed the safety program

437. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: 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/vol3/West.pdf
     September 01, 2005 - • A process focus—ASIPS interventions were developed to address the processes within which errors occur … prevention orientation—ASIPS interventions focused upon reducing hazards and preventing errors before they occur … technique to be extremely useful for summarizing our onsite observations of how practice-level processes occur … information technology to reduce the frequency of errors and identify errors immediately when they occur … that individual was away from the practice, tracking of ordered and received test results did not occur

438. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
     December 01, 2017 - They are an opportunity to LISTEN to the wisdom of your frontline providers as defects occur. … By default, they occur at the beginning of a case to ensure every member of the care team is on the same … Huddles occur on an emergent or as-needed basis. … Different sections can occur at different times. … Slide 26 Timeout: Prior to Incision SAY: A timeout can occur just before incision to verify the patient

439. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - patients who received prescriptions are combined with chart review data, errors have been found to occur … An error could occur during any of the transactions during any of the encounters making up the medication … This pilot study demonstrates that the typical daily medication management transactions that occur in … Additional larger studies in more venues and studies of transaction errors that occur with ambulatory

440. 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…