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Total Results: 381 records

Showing results for "occurred".

21. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on November 6, 2020, from 1 p.m.

22. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 11, 2021, from 10 a.m. to

23. Tool: I-PASS | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
    July 01, 2023 - to support a patient are prepared for situations they might not have considered before the handoff occurred

24. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - This format helps to utilize the information found in the investigation to understand why the event occurred

25. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
    November 03, 2022 - Workgroup Summary: The latest workgroup meeting occurred virtually on July 25, 2022, and was attended

26. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 - Workgroup Summary: The latest workgroup meeting occurred virtually on March 17, 2020, from 10 a.m.

27. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/data/infographics/adverse-drug-events.html
    August 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

28. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - If a normal error has occurred, the provider undoubtedly feels bad and should be supported. … technology, the information, and the processes are all critical clues to the context in which the event occurred … the context is best done through observations of normal work flow in the environment where the event occurred … It is an opportunity for everyone to understand the event, why it occurred, and confirm contributing

29. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - The most visible advances occurred in the services and nursing units (a 50% reduction in general surgery

30. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Analysis of why the event occurred, what worked, and what did not work.

31. Tool: STAR | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
    June 01, 2023 - members are asked to respond to a change in a patient’s status when expected improvements have not occurred

32. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
    August 01, 2022 - Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred

33. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 23, 2020, and was attended

34. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Investigation and Analysis has been completed, which will take place within 30-45 days after the event occurred

35. How to Use the CUSP Toolkit | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/cusp/toolkit/index.html
    July 01, 2018 - the Nationwide Implementation of the Comprehensive Unit-based Safety Program (CUSP) These webinars occurred

36. Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-opioid.pdf
    February 20, 2020 - Since 2013, a sharp increase in drug overdose deaths involving synthetics other than methadone has occurred

37. TeamSTEPPS Situation Monitoring Module 3
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
    February 28, 2022 - Review: Confirm anticipated result has occurred or apply contingency if required.

38. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
    July 01, 2023 - Timely— given soon after the target behavior has occurred.

39. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - would almost always be placed by a doctor, so the nurse should not be held accountable if an infection occurred

40. Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsroom/case-studies/201801.html
    April 01, 2018 - The majority of falls occurred as patients left their beds to walk to or from the bathrooms, Myers said