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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
    August 15, 2019 - increased length of stay nor increased level of care) Probability Categories: Frequent (likely to occur … immediately or within a short period of time), Occasional (probably will occur), Uncommon (possible … to occur), Remote (unlikely to occur) How the SAC Matrix Works: When a severity category is paired
  2. www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - As improvements in the SASD, NIS, and the SEDD databases occur, additional information regarding the … Intervention implementation can occur with or without regulatory oversight; however, the ability to hold … providers accountable for performance in these settings over time is most likely to occur with the establishment … Once the performance steps are identified, education needs to occur, with feedback that addresses the
  3. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
    September 01, 2015 - Approximately two-thirds of infant deaths occur in the neonatal period or within 1 month and one-third … occur in the postneonatal period from 1 month to less than 1 year.
  4. effectivehealthcare-admin.ahrq.gov/health-topics/paralysis
    May 20, 2013 - It can occur on one or both sides of your body. … It can also occur in just one area, or it can be widespread.
  5. psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
    February 24, 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
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
    May 19, 2016 - This table demonstrates just a few of the changes that must occur to realize the goals of the CANDOR … After the CANDOR System Activation occurs, the 3rd and 4th components should occur simultaneously. … Let’s examine the specific activities that occur during the 4th component of the CANDOR process, Event … The second part should occur within 30-45 business days after a CANDOR event has been identified. … Resolution of the event can only occur after Event Investigation and Analysis has been completed.
  7. www.ahrq.gov/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses1.html
    August 01, 2022 - References Each year, approximately 141 million emergency department (ED) visits occur
  8. effectivehealthcare-admin.ahrq.gov/health-topics/genital-warts
    In women, the warts usually occur in or around the vagina, on the cervix or around the anus. … In men, genital warts are less common but might occur on the tip of the penis.
  9. effectivehealthcare-admin.ahrq.gov/health-topics/aortic-aneurysm
    There are two types of aortic aneurysm: Thoracic aortic aneurysms (TAA) - these occur in the part … of the aorta running through the chest Abdominal aortic aneurysms (AAA) - these occur in the part
  10. effectivehealthcare-admin.ahrq.gov/health-topics/tremor
    Most tremors occur in the hands. … They commonly occur in otherwise healthy people.
  11. effectivehealthcare-admin.ahrq.gov/health-topics/retinal-detachment
    It can occur at any age, but it is more common in people over age 40. … A retinal detachment is also more likely to occur in people who Are extremely nearsighted Have
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  13. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  15. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  16. www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  17. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - clinical subject matter  Understands the processes of care within workspace where changes will 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? … Write down the process steps as they currently occur and identify who is doing what, when, with what
  19. www.ahrq.gov/news/newsroom/case-studies/201712.html
    September 01, 2017 - CANDOR process emphasizes the importance of reporting unanticipated patient harm events as soon as they occur … "With increased reporting and learning from these events when they occur, we can improve our systems
  20. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
    July 01, 2023 - determined, and staff should know what resources are available should a sudden change in patient status occur … Recurrent decelerations: occur with ≥ 50% contractions in any 20-min window. … Intermittent decelerations: occur with < 50% contractions in any 20-min window. … Timing : may occur with or without contractions. … Timing : In most cases, the onset, nadir, and recovery occur after the beginning, peak, and ending of