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Total Results: 381 records

Showing results for "occurred".

41. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
    October 01, 2014 - responsibility for completing medication reconciliation to the ICU charge nurse to eliminate the confusion that occurred

42. Module 7: Resolution | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - components: Taking responsibility—This is not admitting guilt, but rather admitting that an adverse event occurred

43. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
    August 01, 2021 - 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 …

44. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - provided detailed information concerning the incident, the patient, and the context in which the incident occurred … events 8 were associated with no known harm; for 7.7% of reports, it was too early to tell if harm occurred … base a review of claims activity (both before and after the event) to determine if any medical error occurred … Mistakes occurred in a variety of settings. … Other errors occurred in nursing homes (10.3%), emergency departments (13.8%), and pharmacies (10.3%

45. EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
    June 05, 2016 - The observed rate is the actual rate at which events measured by the indicator occurred in your hospital

46. Patient and Family Engagement | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm occurred

47. Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
    October 01, 2014 - By creating a flowchart of the medication reconciliation process that occurred from hospital discharge

48. Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/research/publications/search.html?page=10
    September 01, 2015 - experienced by hospital patients in 2011, 2012, and 2013 relative to the number of HACs that would have occurred

49. Pressure Ulcer Prevention Toolkit (doc file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
    January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

50. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm occurred

51. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
    March 01, 2019 - Analysis of why the event occurred, what worked, and what did not work. … Recap the situation, background, and key events that occurred.

52. AHRQ News Now | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
    April 23, 2024 - of Digital Healthcare Technologies Advance Equity April 9, 2024 Surge in Drug Shortages Occurred

53. AHRQ News Now | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 2024 - of Digital Healthcare Technologies Advance Equity April 9, 2024 Surge in Drug Shortages Occurred

54. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
    August 01, 2014 - 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 …

55. CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html
    November 01, 2023 - CMS implemented the HCAHPS survey in October 2006, and the first public reporting of HCAHPS results occurred

56. Prioritization Worksheet (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - Ideally, if your data permit, you would consider only costs that occur after the adverse event occurred

57. TeamSTEPPS 2.0 Module 11: Implementation Planning
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
    November 02, 2018 - They also realized that calling a huddle when a fall occurred was an important step in their process. … baseline before implementation, and then evaluate after implementation to see if the desired changes occurred

58. Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/hard-questions-about-telehealth.html
    June 01, 2021 - April 2020, when the pandemic was surging, nearly 1.3 million Medicare primary care visits per week occurred

59. No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grant-mgmt/nces.html
    November 01, 2020 - extension can only be considered by AHRQ if the grantee can demonstrate that unusual circumstances occurred

60. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - diagnosis later turned out to be wrong (e.g., a case in which an undesirable diagnostic outcome had occurred … Missed elevated BP occurred when a provider failed to document an appropriate action for a patient with … assumed diagnosis later turned out to be wrong (i.e., in which an undesirable diagnostic outcome had occurred … or commission (doing something wrong) exists at the particular point in time at which the “error” occurred … In the articles that did include the NASEM definition (n = 52), most mentions occurred in the in- troduction