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401. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
     June 01, 2023 - This step is particularly crucial for handoffs that occur electronically (e-handoffs).

402. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
     June 01, 2021 - Best outcomes are most likely to occur when the Antibiotic Stewardship Team shares common goals and … Stewardship Team leaders should be able to motivate staff when deviations from the Safety Program occur—for … Moments of antibiotic prescribing on 5–10 residents each month to understand what changes may need to occur

403. 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

404. 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

405. Grantees Focusing on Hispanic and Latino Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
     October 01, 2021 - built an automated language translation tool to allow clinical evaluations of recorded interviews to occur

406. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/labels/describe.html
     January 01, 2023 - The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex

407. Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey (pdf file)
     digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
     December 27, 2004 - The ability to avoid errors by alerting staff to potential errors before they occur. [ ] [ ] [ … The ability to avoid errors by alerting staff to potential errors before they occur. [ ] [ ] [

408. Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb164.pdf
     October 01, 2013 - Other ADEs, however, are the result of medication errors that may occur when a drug is prescribed or … In 2007, the Institute of Medicine estimated that approximately 1.5 million preventable ADEs occur … each year in the United States.1 Many preventable ADEs occur during patient hospitalizations. … 450,000 preventable ADEs each year.2 Overall, ADEs are the most common nonsurgical adverse events that occur

409. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - existing infrastructure for quality improvement (QI) by which QI and patient safety interventions usually occur

410. Resident And Family Engagement: What is my role as a leader? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
     March 01, 2017 - Healthcare-associated infections (HAIs) occur far too often in nursing homes.

411. North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
     October 01, 2014 - There was also a 13 percent improvement in their perceptions of whether problems occur during the exchange

412. Aas IH 2002 "Telemedicine and changes in the distribution of tasks between levels of care." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/aas-ih-2002
     January 01, 2002 - "The trend in the changes in the distribution of tasks between levels of care, where they occur, is for

413. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
     August 01, 2021 - Four Moments of Antibiotic Decision Making The Four Moments of Antibiotic Decision Making are the critical time periods of antibiotic decision making. Frontline staff and prescribing clinicians are encouraged to use the Four Moments framework for all residents whenever the need for antibiotics is being c…

414. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Next Page Table of Contents 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Appendix References Summary …

415. PATIENT INFORMED CONSENT ANDAUTHORIZATION FOR USE AND DISCLOSURE OF HEALTH INFORMATION Cybernet Medical (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/C4_Patient_Informed_Consent_Form.pdf
     September 30, 2008 - Photographic documentation of the wound will occur at baseline and at regular intervals, and I hereby … to maintain the confidentiality of your identity, in certain circumstances, a loss of privacy could occur

416. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - Within the first 72 hours of a CANDOR event, the following actions should occur: Schedule and complete

417. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…

418. Are We Getting Better at Measuring Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
     November 10, 2015 - Thus, these reporting systems capture only a small (and biased) fraction of safety events that occur … An advantage of this approach is that surveillance can occur retrospectively or prospectively ( 2 ); … adverse events that providers perceive as important Capture small fraction of adverse events that occur

419. Discharge Fumbles | PSNet
     psnet.ahrq.gov/web-mm/discharge-fumbles
     September 09, 2009 - Case Objectives List the types of adverse events that occur at discharge Identify the characteristics … Types of adverse events affecting patients after discharge Several types of adverse events may occur … Conclusion Safety problems frequently do occur at discharge.

420. Statistical Brief #16
     hcup-us.ahrq.gov/reports/statbriefs/sb16.jsp
     November 16, 2006 - In 2004, hospitalizations for influenza were most likely to occur in the Midwest, with 11.1 hospital … When adjusted for the population in each region, hospitalizations for influenza were most likely to occur … CDC estimates that approximately 200,000 hospitalizations for �flu complications� occur each year