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Showing results for "occur".

121. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
     May 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur? Which reports will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

122. Equipment and Supplies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
     July 01, 2018 - Timeframe: The operations activities listed below will occur between opening day and until the facility … The steps listed below must occur for this process to be successful. … will be transported within the first few days, but continued patient transport to the facility might occur … Also, termination of on-going contracts or arrangements must occur. … determined that the surge facility is no longer needed, all patient transport out of the facility should occur

123. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet
     psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
     November 11, 2020 - effectiveness of medical emergency teams (MET) has been widely researched , critical incidents that occur … Related Resources From the Same Author(s) Do falls and other safety issues occur

124. PSOPPC: Supporting Documents - Version 1.2

     Research Study
     www.psoppc.org/psoppc_web/publicpages/supportingDocsV1.2
     March 31, 2025 - Safety concerns for this module includes incidents, near-misses, and unsafe conditions that occur … Patient safety concerns for Fall include only incidents that occur in a hospital. … Patient safety concerns for the HAI category include only incidents that occur in a hospital. … The Pressure Ulcer category includes only incidents that occur in a hospital. … Patient safety concerns for the VTE category include only incidents that occur in a hospital.

125. Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Mupirocin (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.pdf
     March 01, 2022 - However, as with any product, side effects may occur. … Local CHG side effects are estimated to occur in 1–3 percent of patients.

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35588/psn-pdf
     February 03, 2011 - This theory asks the question of what should change, to what should it change, and how should change occur … Responses are framed with discussion of six thought processes that must occur at an organization for

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34784/psn-pdf
     June 24, 2015 - to introduce emergency department communities to teamwork systems, teamwork failures that commonly occur … includes retrospective analysis of more than 50 incidents suggesting that nearly nine teamwork failures occur

128. Recalls and safety alerts affecting automated external defibrillators. | PSNet
     psnet.ahrq.gov/issue/recalls-and-safety-alerts-affecting-automated-external-defibrillators
     December 03, 2014 - authors analyzed recall and safety alerts for automated external defibrillators and found that advisories occur … frequently, and actual malfunctions occur occasionally.

129. Failure Mode and Effect Analysis (FMEA) | PSNet
     psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
     September 13, 2021 - FMEA begins with a complete process mapping that identifies all the steps that must occur for a given … process to occur (e.g., programming an infusion pump or preparing an intravenous medication in the pharmacy

130. 047-Ss-Faqs-Staff-Safety-Side-Effects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
     April 01, 2025 - Local CHG side effects are estimated to occur in 1–3 percent of patients. … For example, this may occur if CHG enters the ear canal of patient with a perforated ear drum.

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44767/psn-pdf
     January 20, 2016 - failures-modern Despite widespread efforts to improve health care safety, medical errors continue to occur … psychology, including theories related to behavior and cognition, to understand why care failures occur

132. The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet
     psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
     July 07, 2021 - to introduce emergency department communities to teamwork systems, teamwork failures that commonly occur … includes retrospective analysis of more than 50 incidents suggesting that nearly nine teamwork failures occur

133. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.html
     September 01, 2021 - 700 birthing people dying every year from pregnancy-related causes. 7 One-third of maternal deaths occur … The brief focuses on the maternal events that occur during childbirth and up to a week postpartum, with

134. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - Say: Errors occur within the health care setting because health care professionals are human, and humans … Providers, executives, and managers need to understand why errors occur. … Errors occur because medicine is still treated as an art, not a science. … In analyzing how errors occur, frontline providers must recognize the scientific nature of medicine. … Errors also occur because systems frequently do not catch mistakes before they reach the patient.

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36315/psn-pdf
     July 10, 2008 - A prior study indicated a rate of approximately 1 case per 112,000 surgeries, but WSPEs may occur in … from both mandatory and voluntary reporting systems indicates that approximately 1300 to 2700 WSPEs occur

136. Dual Diagnosis | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/health-topics/dual-diagnosis
     September 13, 2012 - These conditions occur together frequently. … In particular, alcohol and drug problems tend to occur with Depression Anxiety disorders Schizophrenia

137. AHRQ Slide Template (ppt file)
     qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/AHRQQI_McDonald_Davies_Pediatric_Indicator_Module.ppt
     January 01, 2005 - of AHRQ QIs Miller et al., Sedman et al., NACHRI chart reviews Lessons learned Complications DO occur … DO occur: The complications are important for kids, especially since mortality is rare Some comps were … more frequently in high risk groups but some occur in traditionally low risk Lower rate in premature … Points: QIs occur at various frequency. … Rates per 1000 Complications in All Patients These are QIs that could occur in any patient Most are

138. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - Each failure mode was then scored on two parameters: the probability that it could occur (frequency … score) and the severity of the potential outcome if it did occur (severity score). … N/A Greater than 1x/week 5 N/A Greater than 1x/month but less than 1x/week 4 Frequent: Likely to occur … (may happen several times in 1 to 2 years) Less than 2x/year 2 Uncommon: Possible to occur (may happen … sometime in 2 to 5 years) Once every 2 - 5 years 1 Remote: Unlikely to occur (may happen sometime in

139. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. | PSNet
     psnet.ahrq.gov/issue/medication-safety-emergency-department-study-serious-medication-errors-reported-101-hospitals
     March 24, 2021 - Medication errors can occur in all clinical settings , but can have especially devastating results … Errors were more likely to occur on weekends and between 12:00 pm and midnight; patients were more likely

140. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
     December 01, 2015 - Understands the processes of care within workspace where changes will occur. … When does the "problem" occur? … When will the improvement occur? Within what timeframe?   … When will the improvement occur? Within what timeframe?   … When will the improvement occur? Within what timeframe?