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Showing results for "occur".

41. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - and second-order problem solving List contributing factors that make defects in care more likely to occur … you identify contributing factors Use the “5 Whys” technique Why 1—Why did this contributing factor occur … Why 2—Why did “Why 1” occur? Why 3—Why did “Why 2” occur? Why 4—Why did “Why 3” occur? … Why 5—Why did “Why 4” occur? … Does it occur rarely or have a high likelihood of reoccurring?

42. Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
    September 01, 2022 - testing or evidence of hemolysis (jaundice, dark urine) or thrombocytopenia (petechiae) Most commonly occur … Serum sickness Vasculitis Palpable purpura Joint pain Urticaria Lymphadenopathy Fevers Most commonly occur … Ambulatory Care Allergy History: Timing3,12 How long after starting the antibiotic did the reaction occur … Type 1 allergies occur after the first or second dose Other types usually occur days later How long … ago did the reaction occur?

43. Failure Mode and Effects Analysis | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
    January 01, 2023 - mode and effects analysis (FMEA) is a method that attempts to identify all possible failures that can occur … For each function, IDENTIFY ALL THE WAYS FAILURE COULD OCCUR - i.e. the potential failure modes. … This is an estimate of the likelihood the failure will occur, and is rated on a scale from 1 to 10, with

44. Prevalence and Economic Burden of Medication Errors in the NHS England. | PSNet
    psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
    September 11, 2018 - Prior research has shown that medication errors occur frequently and are associated with a longer hospital … The authors estimate that 237 million medication errors occur annually and that 66 million of these errors … The majority of potentially harmful errors likely occur in the outpatient setting where most medications

45. Playbook for Preventing CLABSI and CAUTI in the ICU Setting | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/playbook.html
    February 01, 2025 - CUSP can be implemented through CLABSI and CAUTI prevention practices, policies, and procedures that occur

46. Conclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
    August 01, 2022 - Thus, it is no wonder that diagnostic errors occur.

47. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - Five subscales emerged for “reasons why MAE occur”; four subscales emerged for “reasons why MAE are … medication administration errors occur. … Reasons why medication errors occur (19 items in 1994 and 29 in subsequent surveys). 2. … In the first content area, “why MAEs occur,” five factors emerged. … Nurses’ perceptions of why medication administration errors occur.

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46827/psn-pdf
    March 14, 2018 - Prior research has shown that medication errors occur frequently and are associated with a longer hospital … The authors estimate that 237 million medication errors occur annually and that 66 million of these … The majority of potentially harmful errors likely occur in the outpatient setting where most medications

49. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
    September 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Communication: Reviews existing team meetings/huddles that occur at the facility. … 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?

50. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
    October 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?

51. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
    December 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Communication: Reviews existing team meetings/huddles that occur at the facility. … When will the meeting occur? Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

52. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
    October 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?

53. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - 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 report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

54. Wetterneck TB, Lapin JA, Krueger DJ, et al. "Development of a primary care physician task list to evaluate clinic visit workflow." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wetterneck-tb-lapin-ja
    January 01, 2023 - We developed a comprehensive list of primary care physician tasks that occur during a face-to-face patient … Objective To develop a comprehensive but generic task list of primary care physician (PCP) tasks that occur

55. Pocket Cards_4 Moments (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
    November 01, 2019 - Moment 4 should occur as soon as it is clear what infectious process is being treated and the patient … Moment 4 should occur as soon as it is clear what infectious process is being treated and the patient

56. How to Talk About Patient Safety. | PSNet
    psnet.ahrq.gov/issue/how-talk-about-patient-safety
    June 24, 2019 - They encourage continued use of the aviation metaphor to illustrate why medical errors occur and how … when done correctly, can help health care systems identify safety hazards, regain trust after they occur

57. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
    January 01, 2011 - AHRQ Funding Amount $100,000 Summary: Look-alike, sound-alike (LASA) medication errors occur … The respondents are asked: "Please score the severity of the potential harm that might occur from not … identifying drugs that the participants felt were of high potential harm to a patient should a substitution occur

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836808/psn-pdf
    March 30, 2022 - medication-safety-emergency-department-study-serious-medication-errors- reported-101-hospitals Medication errors can occur … Errors were more likely to occur on weekends and between 12:00 pm and midnight; patients were more likely

59. 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/slides.html
    December 01, 2014 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Communication: Reviews existing team meetings/huddles that occur at the facility. … When will the meeting occur? Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?

60. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - 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 report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?