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Showing results for "occur".

201. TeamSTEPPS 2.0 Briefing Exercise Sheet (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/exbriefing.pdf
     March 20, 2014 - When will the briefing occur? iii. Where will the briefing occur? B.

202. TeamSTEPPS 2.0 Briefing Exercise Sheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/exbriefing.pdf
     March 20, 2014 - When will the briefing occur? iii. Where will the briefing occur? B.

203. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/baker.html
     August 01, 2017 - families in the care team and how to communicate with patients about the risks and mistakes that can occur … kinds of information should be disclosed regarding each event and explore how communication should occur … Second, we wanted to ascertain how patient and family and provider communication should occur to mitigate … Last, we interviewed 12 clinicians about the common failures that can occur leading to each event. … The highest level of agreement was for those failures that could occur during the Delivery phase for

204. Bar Coding for Patient Safety in Northern Michigan | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
     January 01, 2023 - These events and errors occur at several places along the medication chain, including ordering medication … Order Entry) applications, but these approaches do nothing to correct the 34 percent of errors that occur

205. Patient Safety Information for Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/safety_prov.html
     June 01, 2021 - of Patient Safety Despite the best intentions, a high rate of largely preventable adverse events occur … patients Top Reducing Health Care Associated Infections (HAIs) Health care associated infections occur

206. Briefing Exercise Sheet (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_briefing_exsheet.pdf
     April 24, 2017 - When will the briefing occur? iii. Where will the briefing occur? B.

207. Briefing Exercise Sheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_briefing_exsheet.pdf
     April 24, 2017 - When will the briefing occur? iii. Where will the briefing occur? B.

208. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
     March 13, 2014 - be achieved, who will be involved (whose behavior will change), and when and where the change will occur … Write the process steps as they currently occur, identifying who is doing what, when, with what tools … each trainee audience, including who will attend, what will be taught, when and where sessions will occur

209. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
     August 01, 2022 - indicated that the consumer perspective may be particularly important for patient safety events that occur … system features (often substantially removed from the consumer) that enabled a patient safety event to occur … attempt to both prevent patient safety events from occurring and understand the causes of events that do occur … This may particularly apply to patient safety events that occur in outpatient settings, where there is … Decisions regarding system functions/activities that occur at the "system hub" versus those that occur

210. Urine a Tough Position | PSNet
     psnet.ahrq.gov/web-mm/urine-tough-position
     January 01, 2009 - Approximately 8%-9% of adverse events occur in physicians’ offices.( 1 ) Recent studies have examined … are ordered annually in primary care practices, yet little is known about how often laboratory errors occur … Because of improvements in and automation of laboratory procedures, most laboratory errors occur during … This patient verification should occur at the time a specimen is labeled, and the label should include … key issue is that outpatient clinics and labs should have methods to capture these errors when they occur

211. 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/3.html
     December 01, 2017 - Static Week Calculation: Identify all weights that occur in the range of 170-190 days from the most … Static Week Calculation: Identify all weights that occur in the range of 85-95 days from the most … Static Week Calculation: Identify all weights that occur in the range of 25-35 days from the most … The Previous Weight does not need to occur in the week just prior to the most recent week.

212. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan-ig.html
     September 01, 2015 - Write down the process steps as they currently occur and identify who is doing what, when, and with what … intervention: what will be achieved, who will be involved, and when and where the change will occur … Outcome aims focus on changes that occur because your staff carries out the intervention. … Write down the process steps as they currently occur and identify who is doing what, when, and with … When the training sessions will occur and for how long. Where the sessions will occur.

213. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
     August 01, 2022 - For example, more than 1.5 million preventable infections occur annually among inpatients. … While these two processes occur at the same time during the CANDOR process, they have been numbered for … While an initial disclosure conversation will occur within 60 minutes after the CANDOR event occurs, … a full disclosure will typically not occur until after the Event Investigation and Analysis has been … Figure 2: CANDOR Implementation Phases Phase I: Assessments Phase I activities should occur during

214. Many Stroke Patients Discontinue Medications Prescribed to Prevent Recurrence | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/research-tools/featured-certs/stroke-patients-discontinue-medications.html
     March 01, 2017 - Nearly 200,000 recurrent strokes occur in the United States each year, accounting for more than 25% of … the overall number of strokes that occur annually.

215. Systems Approach | PSNet
     psnet.ahrq.gov/primer/systems-approach
     June 15, 2024 - The systems approach holds that efforts to catch human errors before they occur or block them from causing … Active errors almost always involve frontline personnel and occur at the point of contact between a human … In this construct, slips represent failures of schematic behaviors, or lapses in concentration, and occur … FMEA begins with identifying all the steps that must occur for a given process to occur.

216. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet
     psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
     November 18, 2020 - June 10, 2018 Tapping front-line knowledge: identifying problems as they occur helps … September 27, 2016 When errors occur.

217. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Recommended Practice: Conduct postoperative wound assessment • Documentation of the surgical wound should occur … 48 hours after surgery to establish a baseline.3-5 • Repeat assessment should occur every shift thereafter … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.4

218. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Recommended Practice: Conduct postoperative wound assessment • Documentation of the surgical wound should occur … 48 hours after surgery to establish a baseline.3-5 • Repeat assessment should occur every shift thereafter … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.4

219. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet
     psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
     September 01, 2016 - Although most mistakes occur during the prescribing and transcribing stages, errors during the administration … process occur frequently as well.

220. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2010
     January 01, 2010 - Target Population: Pediatric * Summary: Look-alike, sound-alike (LASA) medication errors occur … Delphi process to identify pairs that are of greatest concern to pediatricians should a substitution occur … The Delphi process will occur through an online survey that was in development in 2010.