Results

Total Results: 2,566 records

Showing results for "occurred".

141. Four Moments Poster (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
     November 01, 2019 - Four Moments Poster AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time initiation of antibiotic therapy is considered: Ask, “Does my patient have an infection that requires antibiotics?” occurs when the dec…

142. Penicillin Allergy (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
     September 01, 2022 - 4 • If the reaction occurred more than 10 years ago, the patient may no longer have an allergy because

143. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
     September 01, 2017 - The team identified where breakdowns, workarounds, duplication, or variation occurred at each step and … contributed to policy development, training for nurses and therapists, and monitoring of falls that occurred … Scripting was rolled out to evening and night shifts, since most falls occurred during those times. … system to announce post-fall huddles using a specific code and noting the specific unit where the fall occurred … Forty percent of the falls occurred with staff in attendance, which may have prevented falls with injury

144. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
     January 01, 2018 - has done to communicate and share survey results with staff, and an understanding of what benefits occurred

145. Data Measures Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - Mobility Intubated: Adverse Event Incidence Rate Numerator Total number of adverse events which occurred … Example In a given time period, say a unit enters the following data: • Adverse events (4) and (7) occurred … of Adverse Events Numerator Total number of adverse events in each of the 25 categories which occurred … NOT Intubated: Adverse Event Incidence Rate Numerator Total number of adverse events which occurred … Total number of patient days with Intub/Trach & Mech Vent marked “N” on which any adverse event(s) occurred

146. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
     July 01, 2022 - 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 …

147. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

148. AHRQ_Brand_NameOnly (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
     March 01, 2017 - My team has a good process in place to monitor and track infections, and examine why they occurred if … able to answer The team has a process in place to monitor and track infections, and examine why they occurred … The team has a process in place to monitor and track infections, and examine why they occurred.4 The

149. CHIPRA 123: Technical Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-technical-specifications.pdf
     October 18, 2019 - CALCULATION Step 1: Identify all deliveries that occurred in medical facilities, using the criteria …                                                                Step 8: Count the number of high risk deliveries that occurred

150. Technical Specifications: High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-121-technicalspecs.pdf
     January 31, 2020 - CALCULATION Step 1: Identify all deliveries that occurred in medical facilities, using the criteria … Step 8: Count the number of high risk deliveries that occurred in Class 1 and Class 2 facilities for

151. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

152. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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.

153. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - The area-level definition adds cases where a patient’s risk of the complication occurred in a separate … Selected Infections Due to Medical Care hospital-level PSI was developed to capture adverse events that occurred … approach Calculation of counts and rates The rate of Selected Infections Due to Medical Care that occurred … intravenous line and catheter-related infections, as measured by a secondary diagnosis of septicemia, occurred

154. Cusp Patient Family Engagement Facilitator Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
     September 13, 2013 - Generally, only findings that are reasonably certain to have occurred and unlikely to change should be … investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm occurred

155. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
     July 01, 2023 - persist for many years, elicitation techniques must inquire about the impact of adverse events that occurred … term aftermath of perceived diagnostic mishaps, one must elicit patient experiences about events that occurred … past 5 years.16 Stratifying elicited experiences based on how many years earlier the adverse event occurred … sequenced to help patients reflect on their experiences, recount events in the order in which they occurred … situations that pose the greatest challenges for patients and families to reliably assess what has occurred

156. Changing-System-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … Once the staff became aware of the rash, the appropriate evaluation occurred. 3.

157. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - the event or issue by providing teams the tools and resources needed to make sense of a failure that occurred … We then ask why this consequence occurred. … Try to view the world as they did when the event occurred. Why did it happen? Step 1.

158. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue), but it has occurred

159. Prevalence of Paid Sick Leave Among Wage Earners, 2017 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/visualizations/sick-leave-prevalence.html
     September 01, 2021 - higher percentage of workers had paid leave, and the only statistically significant regional difference occurred

160. California Hospital Reduced Infections, Improved Diabetes Care with AHRQ Safety Program | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201807.html
     November 01, 2018 - telemetry nurses and found that distractions such as phone calls and patients pressing call buttons occurred