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Showing results for "occurred".

201. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
     August 24, 2015 - components: Taking responsibility—This is not admitting guilt, but rather admitting that an adverse event occurred

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

203. TeamSTEPPS 2.0: Module 11. Implementation Workshop | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module11/igimplement.html
     March 01, 2014 - Measure before and after you implement TeamSTEPPS to see if the desired changes occurred.

204. Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
     August 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 …

205. Transforming Primary Care Practice in North Carolina (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
     April 01, 2015 - When this occurred, the work of the practice coaches, use of registries, and data collection were generally

206. Tool 2: Readmission Review Tool (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
     September 02, 2016 - The purpose of these interviews is to elicit the “story behind the chief complaint”—the events that occurred

207. Transcript: How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain Buy-In From Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
     April 01, 2022 - And that's where the conversations occurred in our CUSP team with physicians and the physician champions … It was that transition occurred in the physicians to challenge themselves from their typical habit of

208. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Technical Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
     February 05, 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

209. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

210. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
     November 01, 2018 - period, you will need to consider "denominator data" or the number of times the event could have occurred

211. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
     December 11, 2015 - TeamSTEPPS for Office-Based Care Implementation Workbook TeamSTEPPS for Office-Based Care Implementation Workbook TeamSTEPPS® for Office-Based Care TeamSTEPPS Action Planning At-A-Glance 1 2 3 4 5 6 7 8 9 10 Create a Change Team Define the Problem, Challenge, or Opportunity for Impro…

212. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - This section displays the number of ED visits that occurred in the following timeframes: • 0-7 days … This section displays the number of hospitalizations that occurred in the following timeframes: • … multiple data sources within the facility’s electronic medical record and represent changes that occurred … potential root causes (e.g., treatment unavailable at facility, treatments prior to transfer) that occurred … the visits were for potentially preventable conditions, the time of day/day of week the transfers occurred

213. References (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
     January 01, 2017 - Dysfunction of the suction lumen occurred in 19 of 40 patients, 17 of which were attributable to blockage … During ventilation, microbilogically confirmed VAP occurred in 15 patients (8.8%) of group 1 and 32 patients … Microbiologically confirmed VAP occurred in 67 patients, 25 of 169 (14.8%) in the SSD group and 42 of … Dysfunction of the suction lumen occurred in 19 of the 40 patients (48%). … Episodes of VAP occurred statistically later among patients receiving continuous suctioning ([mean ±

214. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
     March 01, 2004 - Some attrition occurred during data collection due to factors such as unavailable charts, inadequate … Only 10 percent on average failed because the codes in the class were judged to refer to events that occurred … were an accurate representation of the charts and whether they could identify patients with AEs that occurred … These classes did have a few codes specific to surgical complications, but the codes occurred very infrequently … Several of the ICD codes occurred with low frequency in our sample but are fairly frequent in the discharge

215. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - What actions occurred? What were the team members thinking and feeling? … Say: Asking these questions, and others, can help you understand how a defect occurred. … Say: Try to find out what occurred in real time.

216. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - research shows that patients and families will report diagnostic experiences when asked if an “error” has occurred … patients to attribute responsibility for a problem, the less likely they are to report that the event occurred

217. Understand the Science of Safety for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

218. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - The 6 discrepancies determined to potentially result in a severe ADE occurred in 6 individuals, while … 386 ADEs were rated as significant and 174 rated as minor occurred in 152 and 174 individual patients … Gandhi and colleagues estimated that ADEs occurred at a rate of 27.4 per 100 ambulatory patients, with

219. Equipment and Supplies | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
     July 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 …

220. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
     January 01, 2024 - Data collection occurred for 8 to 10 weeks at each site. In total, 3680 patients were recruited. … home, where the medications were being obtained, and any symptoms or adverse events that may have occurred … rate, 50% of Rxs; 95% CI, 47%-53%) and 60% of the 464 near misses (rate, 12% of Rxs; 95% CI, 11%-14%) occurred … Serious, life-threatening, or fatal events occurred at a rate of 2.49 per 100 resident-months; … Errors resulting in preventable events occurred most often at the prescribing and monitoring