Results

Total Results: 2,566 records

Showing results for "occurred".

181. Indwelling Urinary Catheter Maintenance Facilitator Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
     April 01, 2022 - It is not uncommon to find that these breaks occurred and were not evaluated at that time.

182. Wrap-Around Observation Manual—Second Version | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
     March 01, 2013 - Note: If this is not alluded to, the observer may have to ask the family members if this occurred (AFTER … a staff member or an informal support indicates that contact/communication with another team member occurred … person) or written communication between two or more team members (i.e., professional/informal supports) occurred … Scoring Yes if verbal or written communication occurred between two or more team members.

183. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan-ig.html
     September 01, 2015 - Measure before and after you implement TeamSTEPPS to see if the desired changes occurred.

184. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - What actions occurred? What were care team members thinking and feeling?

185. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

186. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - This finding suggested that we focus our qualitative analysis on determining where and how the error occurred … issues influenced diagnostic testing errors, at what point in the procedure event chain the error occurred … , how and why it occurred, and why harm did or did not occur. … Contributing and mitigating factors are necessary for the event to have occurred the way it did, whereas … The ability to draw on real examples of errors that occurred in the practices participating in ASIPS

187. Module 3: Component Kit (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
     May 01, 2017 - CUS contact person determines what communication has occurred with the patient/family regarding the event … If communication has not yet occurred and is required, CUS contact person will speak with the patient

188. CHIPRA 120 Section 2, Technical Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-120-section-2-technical-specs.pdf
     May 30, 2018 - 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

189. PRIMARY CARE OFFICE-BASED TEAMS Leading Teams
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
     January 20, 2006 - include any of the following: Accurate recounting and documentation of key events; Analysis of what occurred … To conduct a debrief, the team leader recaps the established plan and key events that occurred and asks

190. Board Checklist | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
     July 01, 2023 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

191. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - Thirty-seven errors (67 percent) occurred in hospital, while 8 errors (14.5 percent) occurred in emergency … departments (without subsequent admission); 8 errors (14.5 percent) occurred in ambulatory practices … points” for providers and quality leaders alike, while honestly identifying individual error where it occurred

192. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
     March 03, 2008 - The results showed that 62 percent of patient falls occurred between 8:00 p.m. and 8:00 a.m., which … was not surprising, since the night shift has fewer care providers; 67 percent of patient falls occurred … Discussion Since the program launch in March 2007, multiple system and process changes have either occurred … For example, three of the falls in Q2 occurred while the patient was being attended by staff who had

193. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - Imagine the world as they did when the event occurred. 13 Changing the System 13 Why Did It Happen

194. Impact | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi6.html
     January 01, 2013 - prevented, the number of actual CLABSIs reported are compared with the number of CLABSIs that would have occurred

195. TeamSTEPPS Fundamentals Course: Module 7 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module7/exsummary.html
     March 01, 2014 - Identify the instances where a breakdown in teamwork has occurred as it relates to the specific teamwork

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

197. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
     December 01, 2015 - 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 …

198. Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone (pdf file)
     ce.effectivehealthcare.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

199. Adolescent Depression Remission/Response Measure Description (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
     December 11, 2019 - Patients 12 to 17 years of age with a depression-related PHQ-9 or PHQ-A score greater than 9 that occurred

200. TeamSTEPPS Situation Monitoring Module 3
     ce.effectivehealthcare.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.