Results

Total Results: 2,566 records

Showing results for "occurred".

41. Chipra202-Materials Iiia (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
    January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

42. Chipra205-Materials Iiia (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
    January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

43. Chipra204-Materials Iiia (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
    January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

44. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - The patient and/or family have a reasonable expectation to be informed when a harm event has occurred … of this initial conversation is to advise the patient and/or family that an adverse event may have occurred … During disclosure, patients and families generally want a clear, explicit statement that an event has occurred … what happened in a way that is easy to understand, explain what is known about why the adverse event occurred … If the event was preventable and occurred due to error, the communicator should: Consider using

45. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - So, first look at the system and analyze why the mistake occurred. … What actions occurred? What were the team members thinking and feeling? … SAY: These are the types of questions to ask to understand how a defect occurred. … Try to find out exactly how things occurred in real time. Slide 13 What Happened? … No timeouts or debriefings occurred. NOTE: Spend 10 to 15 minutes discussing the case.

46. HAC National Scorecard 2014-16 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/infographics/hac-scorecard-2014-16.html
    November 01, 2019 - National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred

47. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - to remember what patients want in our communication with them: An explicit statement that an error occurred … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … This is a cornerstone of the CANDOR process of investigating the root cause of how an error occurred, … disclosure is a process , and the first step is to: Let the patient and family know an adverse event occurred … a result of the investigation and analysis of Michelle’s case, the following patient safety changes occurred

48. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
    May 01, 2017 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

49. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring or has occurred … Do: Activity: List de-identified events that have occurred in your organization. … Once activated, the CANDOR Response Team will work with the caregivers where the event occurred to ensure

50. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - So, first look at the system and analyze why the mistake occurred. … What actions occurred? What were the team members thinking and feeling? … Say: These are the types of questions to ask to understand how a defect occurred. … Try to find out exactly how things occurred in real time. Slide 14: What Happened? … No timeouts or debriefings occurred. Note: Spend 10 to 15 minutes discussing the case.

51. Tool: Premortem (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
    January 01, 2017 - · “Spend the next 10 minutes writing down all the reasons you believe this failure occurred. … Please spend the next 10 minutes writing down all the reasons you believe this failure occurred.

52. Sizing Up the Culture Exercise Sheet
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_slides_lead.pptx
    February 02, 2006 - When emergencies have occurred at these events in the past, many people come running and there is general … skills Designed to improve outcomes An accurate recounting of key events Analysis of why the event occurred

53. Leading Teams (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_slides_lead.pdf
    June 12, 2017 - When emergencies have occurred at these events in the past, many people come running and there is … � Designed to improve outcomes � An accurate recounting of key events � Analysis of why the event occurred

54. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
    May 11, 2016 - The system should capture both objective information about what occurred and more-subjective information … Information collected from consumers should include where a patient safety event occurred; what contributed

55. An Overview of the CANDOR Process
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
    September 10, 2015 - information, other than event reports, that might provide information indicating that a CANDOR event has occurred … create a cohesive environment for informing the organization as to whether a CANDOR event may have occurred … implement the best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred … Risk Management can also provide ongoing support to managers on the unit(s) where the event occurred. … Also, the location where the event occurred is generally no longer intact, so information that could

56. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - ASK: What if the same situation occurred on a different shift? … SAY: When a defect has already occurred, ask your frontline staff. … ASK: How do all these pieces lead to this error or the event that occurred? … If you can, simulate the defect, particularly for a defect that has occurred. … SAY: If a contributing factor is a major reason why the defect occurred, place that factor in the top

57. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 - The new contributing risk factor elements represent changes that occurred in a resident’s clinical … It displays the number of falls that occurred and the risk factors associated with the falls. … For each of the months (1 or 3) included in the report, any fall that occurred before the report date … For each of the months (1 or 3) included in the report, any fall that occurred before the report date … ,  Shift during which the fall occurred,  Time at which the fall occurred,  The location of

58. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
    November 01, 2019 - Treat as community-acquired pneumonia if the event occurred within 72 hours of admission to a healthcare … Treat as healthcare-associated pneumonia if the event occurred after 72 hours of admission to a healthcare … antibiotics without improvement within 48 hours: Treat as community-acquired pneumonia if the event occurred … Treat as healthcare-associated pneumonia if the event occurred after 72 hours of admission to a health

59. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - Ask: What if the same situation occurred on a different shift? … Say: When a defect has already occurred, ask your frontline staff. … Ask: How do all these pieces lead to this error or the event that occurred? … If you can, simulate the defect, particularly for a defect that has occurred. … Say: If a contributing factor is a major reason why the defect occurred, place that factor in the top

60. Disclosure Checklist | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
    August 01, 2022 - after the CANDOR event is identified, advise the patient and/or family that an adverse event may have occurred … Explain what is known about why the adverse event occurred; do not speculate.