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Total Results: 2,566 records

Showing results for "occurred".

281. Error Producing Conditions in the Intensive Care Unit (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Root causes, which represent the fundamental reasons why the event occurred, are investigated by analyzing … how and why the event occurred. … understanding of what the event reveals about systemic problems in the health care organization in which it occurred

282. TeamSTEPPS Team Leadership Module 2
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
     February 28, 2022 - skills Designed to improve outcomes: An accurate recounting of key events Analysis of why the event occurred

283. The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
     November 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 …

284. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/slleadership.pptx
     February 02, 2006 - skills Designed to improve outcomes An accurate recounting of key events Analysis of why the event occurred

285. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
     December 15, 2023 - to identify the patients at highest risk for an adverse event (i.e., fall) before a hospital event occurred

286. Chapter 5 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
     August 01, 2022 - The event itself: the type of event; where (in the process of care) and when it occurred; who was involved … (functions, not names); why it occurred (most dominant cause); and risk assessment (including event

287. Antibiotic Audit Tool | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
     December 01, 2017 - Question 9: If the antibiotic dose was incorrect, indicate where the defect occurred in the administration … If the antibiotic dose was incorrect, indicate where the defect occurred in the administration of the

288. Pressure Ulcer Prevention Toolkit (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

289. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
     June 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

290. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
     January 01, 2004 - describing the actions of the program were recorded in text files, including any program exceptions that occurred … the NASA space shuttle Challenger accident concluded that “a disproportionate reduction may have occurred

291. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.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 …

292. Job Aid: Presenting Performance Data (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
     May 17, 2021 -  Show where particular events occurred that might have a positive or negative impact.

293. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm occurred

294. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
     March 01, 2019 - Analysis of why the event occurred, what worked, and what did not work. … Recap the situation, background, and key events that occurred.

295. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     January 30, 2020 - Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications Technical Specifications Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported Eligible Population: Newborns with a gestational age <35 weeks, are residents of the State,…

296. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 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.

297. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
     September 01, 2022 - From the time the patient presented for medical care to the time harm occurred, there were several opportunities

298. Implementation Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_impguide.pdf
     June 22, 2017 - Implementation Guide TeamSTEPPS 2.0 for Long-Term Care Implementation Guide Implementation Guide TEAMSTEPPS 05.2 Shift Toward a Culture of Safety Page 2 TEAMSTEPPS 05.2 Implementation Guide 10 Steps of Implementation Planning 1. Create a Change Team 2. Define the problem, challenge, or opportunity f…

299. AHRQ News Now | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
     April 16, 2024 - of Digital Healthcare Technologies Advance Equity April 9, 2024 Surge in Drug Shortages Occurred

300. AHRQ News Now | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 23, 2024 - of Digital Healthcare Technologies Advance Equity April 9, 2024 Surge in Drug Shortages Occurred