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Total Results: 2,566 records

Showing results for "occurred".

261. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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 …

262. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
     January 01, 2004 - medical record reviews using a standard validation review instrument to determine if a reportable event occurred … analyzed to determine if the potential APL, as defined using the AHRQ APL definition, was an event that occurred … Several primary procedures occurred at a high frequency and were used for this analysis.

263. Observational Audits (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
     March 01, 2021 - • Not Met: Task required prompting to prevent error or error occurred. … Although no breach occurred, this would be documented as “Not Met.

264. Antibiotic-Targets-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - Several opportunities for improvement occurred in this case of a resident with an uncomplicated cystitis … We discussed several opportunities that occurred in this case when we walked through the Four Moments

265. EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION (pdf file)
     ce.effectivehealthcare.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

266. Sickle Cell Disease Measure 16: Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-scd-pain-specifications.pdf
     April 14, 2018 - Acute pain episode: Considered to have occurred if there is any documentation of a Numeric Pain Intensity

267. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
     March 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 …

268. Making the Case That Improving Antibiotic Use Is a Patient Safety Issue (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
     November 01, 2019 - For 25 percent of patients, these events occurred after hospital discharge. … Step 2 SAY: A second issue occurred when another clinician in the practice decided to treat the

269. Patient and Family Engagement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

270. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - combinations of elements that might operate to produce the same outcome—they can only describe what occurred

271. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
     April 01, 2018 - care workers learn these strategies on the job, in the setting where a serious or sentinel event has occurred

272. TeamSTEPPS 2.0 Briefing Exercise Sheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/exbriefing.pdf
     March 20, 2014 - TeamSTEPPS 2.0 Briefing Exercise Sheet TeamSTEPPS 2.0 Briefing Exercise Sheet – B-4-33 Leading Teams Briefing Exercise Sheet INSTRUCTIONS: 1. Convene in a group of 3-7 individuals. 2. As a Master Trainer, you have decided to implement briefings to improve coordination of care in your unit. Answer the…

273. Fallspximpl-Handouts (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
     November 15, 2017 - All department heads attend and we do talk about falls that occurred. Dr. … We have a falls meeting, but we don’t talk about falls risk; we talk about falls that have occurred. … use of the Monthly Contextual Factors Report to help identify patterns such as what time of day falls occurred … These are falls that occurred during the quarter. … The Falls Risk Report provides a count of all risk factors associated with the falls that have occurred

274. Briefing Exercise Sheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_briefing_exsheet.pdf
     April 24, 2017 - Briefing Exercise Sheet TeamSTEPPS 2.0 for Long-Term Care Briefing Exercise Sheet – B-4-33 Leading Teams Briefing Exercise Sheet INSTRUCTIONS: 1. Convene in a group of 3-7 individuals. 2. As a Master Trainer, you have decided to implement briefings to improve coordination of care in your unit, depa…

275. Albuquerque Police Department Uses AHRQ Resources for Crisis Intervention Team Training | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201708.html
     May 01, 2017 - Of 2,064 crisis intervention-related incidents that occurred from January through November 2016 in the

276. Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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

277. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
     January 01, 2017 - event—both staff and patients—what happened and what else was happening in the environment when the event occurred … As a group, consider all the reasons you think the failure occurred.

278. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
     September 01, 2021 - Estimated blood loss at this point was >2,000 mL. c Delays in blood transfusion occurred due to the

279. From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
     January 01, 2004 - failure to communicate), the health care providers were hesitant to acknowledge that an error had occurred … to nursing, an overwhelming majority of the respondents indicated that they believed an error had occurred … appropriate treatment: Only about two-thirds of our respondents indicated that they believe an error had occurred

280. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 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 …