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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?
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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?
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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.
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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
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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
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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?
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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?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
December 13, 2013 - ■ If the ductus is open at the time of hospital discharge, followup with a cardiologist should
occur … – Earlier followup should occur if poor weight gain, difficulty feeding, and tachypnea
develop. … Management
■ If spontaneous closure does not occur, closure should be performed to:
– Eliminate pulmonary
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www.psoppc.org/psoppc_web/publicpages/nursinghomeV1.0
March 14, 2025 - safety concerns for the Device category include incidents, near misses, and unsafe conditions that occur … Patient safety events for the Fall category include only incidents that occur in a nursing home.
… the Medication or Other Substance category include incidents, near misses, and unsafe conditions that occur … Patient safety events for the Pressure Injury (Pressure Ulcer) category include only incidents that occur
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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
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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
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www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
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www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
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www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
-
cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
-
healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.
-
ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - 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 3 rd and 4 th components should occur simultaneously … The following activities should occur at this time: the Core Team will schedule and complete interviews … 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.