Results

Total Results: 2,566 records

Showing results for "occurred".

301. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
     August 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 …

302. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
     May 01, 2011 - The systems should capture both objective information about what occurred and more subjective information … About 88 percent of the patient safety events occurred in a hospital setting. … One quarter of patient safety events occurred in an ambulatory setting and 10 percent in a long-term … Among the participants, about 91 percent reported that the event occurred in a hospital setting, 21 … ; who was involved (functions, not names); why it occurred (most dominant cause); and risk assessment

303. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
     March 01, 2024 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 1, 2024, and was attended

304. FileNewTemplate
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
     March 07, 2019 - 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

305. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/baker.html
     August 01, 2017 - discussion about disclosure and what patients and families preferred clinicians to disclose when a mistake occurred

306. UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
     February 01, 2024 - institution when comparing calendar year January–July 2022 to January–July 2023, the most visible advances occurred

307. Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
     July 01, 2023 - Some of the most significant healthcare AI/ML advancements have occurred in diagnostics.

308. CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html
     November 01, 2023 - CMS implemented the HCAHPS survey in October 2006, and the first public reporting of HCAHPS results occurred

309. 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/science-of-safety-facguide.docx
     January 01, 2017 - reporting systems, sentinel events, and claims data are reactive—the unfortunate event has already occurred

310. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/m11impguide.pptx
     February 03, 2006 - newbref TeamSTEPPS Implementation Guide TEAMSTEPPS 05.2 Page ‹#› Implementation Guide 1 Page ‹#› Shift Toward a Culture of Safety TEAMSTEPPS 05.2 Page ‹#› Implementation Guide 2 Page ‹#› 10 Steps of Implementation Planning Create a Change Team Define the problem, challenge, or opportunity for improv…

311. Prioritization Worksheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
     June 05, 2016 - Ideally, if your data permit, you would consider only costs that occur after the adverse event occurred

312. Candor-Impguide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - Investigation and Analysis has been completed, which will take place within 30-45 days after the event occurred

313. TeamSTEPPS 2.0 Module 11: Implementation Planning
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
     November 02, 2018 - They also realized that calling a huddle when a fall occurred was an important step in their process. … baseline before implementation, and then evaluate after implementation to see if the desired changes occurred

314. Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
     June 01, 2023 - about medical mishaps, inducing disparities in error reporting. 10 Might erroneously presume errors occurred

315. No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grant-mgmt/nces.html
     November 01, 2020 - extension can only be considered by AHRQ if the grantee can demonstrate that unusual circumstances occurred

316. Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/hard-questions-about-telehealth.html
     June 01, 2021 - April 2020, when the pandemic was surging, nearly 1.3 million Medicare primary care visits per week occurred

317. Risk-Based Patient Safety Metrics (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-Scanlon_62.pdf
     March 25, 2008 - Additionally, an injury occurred that might be measured—i.e., the cardiac arrest.

318. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - diagnosis later turned out to be wrong (e.g., a case in which an undesirable diagnostic outcome had occurred … Missed elevated BP occurred when a provider failed to document an appropriate action for a patient with … assumed diagnosis later turned out to be wrong (i.e., in which an undesirable diagnostic outcome had occurred … or commission (doing something wrong) exists at the particular point in time at which the “error” occurred … In the articles that did include the NASEM definition (n = 52), most mentions occurred in the in- troduction

319. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     September 20, 2016 - discharges for a given 1-year period, less exclusions listed below • Numerator: all hospitalizations that occurred

320. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 3, 2022, and was attended