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Total Results: 503 records

Showing results for "occurred".

41. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 23, 2020, and was attended

42. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Investigation and Analysis has been completed, which will take place within 30-45 days after the event occurred

43. How to Use the CUSP Toolkit | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/cusp/toolkit/index.html
    July 01, 2018 - the Nationwide Implementation of the Comprehensive Unit-based Safety Program (CUSP) These webinars occurred

44. Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-opioid.pdf
    February 20, 2020 - Since 2013, a sharp increase in drug overdose deaths involving synthetics other than methadone has occurred

45. TeamSTEPPS Situation Monitoring Module 3
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
    February 28, 2022 - Review: Confirm anticipated result has occurred or apply contingency if required.

46. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
    July 01, 2023 - Timely— given soon after the target behavior has occurred.

47. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - would almost always be placed by a doctor, so the nurse should not be held accountable if an infection occurred

48. Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS® | Agency for Healthcare Research and Quality
    healthcare411.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

49. Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/case-studies/201801.html
    April 01, 2018 - The majority of falls occurred as patients left their beds to walk to or from the bathrooms, Myers said

50. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
    healthcare411.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

51. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
    healthcare411.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

52. Module 7: Resolution | Agency for Healthcare Research and Quality
    healthcare411.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

53. TeamSTEPPS Implementation Guide (pdf file)
    healthcare411.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

54. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
    healthcare411.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, …

55. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - The learning that occurred as a result of the simulation reveals opportunities for organizations to address

56. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    healthcare411.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 …

57. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
    healthcare411.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - provided detailed information concerning the incident, the patient, and the context in which the incident occurred … events 8 were associated with no known harm; for 7.7% of reports, it was too early to tell if harm occurred … base a review of claims activity (both before and after the event) to determine if any medical error occurred … Mistakes occurred in a variety of settings. … Other errors occurred in nursing homes (10.3%), emergency departments (13.8%), and pharmacies (10.3%

58. EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION (pdf file)
    healthcare411.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

59. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
    healthcare411.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 …

60. Patient and Family Engagement | Agency for Healthcare Research and Quality
    healthcare411.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