Results

Total Results: 2,566 records

Showing results for "occurred".

221. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - pre-training performance, injury severity score, postgraduate training year, and days since training occurred … It is not entirely surprising that one third to one half of trauma patient-related errors occurred in … Additionally, because data collection occurred over a 2-year period, it is possible that this learning … As noted above, leader assessment occurred in a team setting. … Negative numbers indicated that baseline events occurred prior to the intervention date.

222. Implementation (Instructor Guide) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_ig_implementation.pdf
     June 26, 2017 - Measure before and after you implement TeamSTEPPS to see if the desired changes occurred.

223. TeamSTEPPS, Module 11 (Instructor Guide) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/igimplement.pdf
     March 04, 2014 - Measure before and after you implement TeamSTEPPS to see if the desired changes occurred.

224. Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS® | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
     October 01, 2014 - The largest increases of 5 percent and 6 percent occurred in "manager actions promoting patient safety

225. Appendix 8: CLABSI Investigation Nurse Letter | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/clabsi-tools/appendix-8.html
     March 01, 2018 - Because the event occurred more than 48 hours from the time of line insertion, it is clear that this

226. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

227. Mod4-System-Focused-Event-Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - If a normal error has occurred, the provider undoubtedly feels bad and should be supported. … 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 … This format helps to utilize the information found in the investigation to understand why the event occurred … Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred

228. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - The learning that occurred as a result of the simulation reveals opportunities for organizations to

229. Module 7: Resolution | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

230. TeamSTEPPS Implementation Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide.pdf
     March 01, 2006 - test period, you will need to consider “denominator data” or the number of times the event could have occurred

231. TeamSTEPPS Implementation Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
     March 01, 2006 - test period, you will need to consider “denominator data” or the number of times the event could have occurred

232. Early-Mobility-Tool (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
     January 01, 2017 - Unknown: it is unknown regarding what activity, if any, occurred 0. … Unknown: it is unknown regarding what activity, if any, occurred Perceived barrier to achieving a higher … If multiple events occurred, you can enter up to two more events.

233. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
     December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day training provides: Overview of On-Time Instruction on the role of a Facilitator Introduction to On-Time reports an…

234. Implement Teamwork and Communication | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/implement/teamwork.html
     December 01, 2012 - Exercise Think of a defect that has occurred in your unit due to a communication breakdown. … Feedback 1 Timely—given soon after the target behavior has occurred.

235. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
     October 01, 2015 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the

236. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
     February 01, 2017 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the

237. Patient Safety Learning Pilot: Narratives from the Frontlines (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-Kellie_30.pdf
     April 21, 2008 - the antecedent activities and decisions provide significant information as to how the recovery occurred … frequent than actual events, but they rarely reported them because they felt that the recoveries that occurred … which is completed by the involved staff members at the time that the event is recognized to have occurred … Rather, they moved to understand the causes of the process failures that had occurred and made the recovery … The failure to transcribe the order occurred at the pharmacy, largely due to lack of pharmacy understanding

238. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

239. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
     March 13, 2014 - TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning TeamSTEPPS 2.0 Guide to Action Quick Reference - 1 The Quick Reference Guide to TeamSTEPPS Action Planning Step 1: Create a Change Team Objective: To create a team of leaders and staff members with the authority, expertise, credibility, …

240. Appendix V. JAMIA Draft Manuscript | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
     April 01, 2018 - Three surgeries were missed because the SSI occurred greater than 30 days post-operatively. … Both occurred in total hip arthroplasties with onset of infection greater than 30 days post-operatively … At IH, 11 of 16 false negatives occurred because the algorithm missed important information in the notes … All data necessary to make an SSI diagnosis occurred after discharge from the initial surgery.