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Showing results for "occurred".

21. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 11, 2022, from 11 a.m.

22. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Workgroup Summary: The latest Workgroup meeting occurred virtually on November 19, 2021, from 1 p.m.

23. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    monahrq.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - hospital patients over the 3 years (2011, 2012, 2013) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … Costs included the initial hospital stay and costs of other inpatient sites of care that occurred within … in 2013 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … The majority of deaths averted occurred as a result of reductions in the rates of pressure ulcers 14

24. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
    September 01, 2017 - When the fall occurred. What the degree of injury was, if any. … First, count the number of falls that occurred during the month from your incident reporting system. … Try to understand why the fall occurred and how such an incident might be prevented in the future. … individual data points are plotted and then connected (as shown by the blue line) to show that they occurred … However, it also shows a breakdown of the fall rate by the different types of falls that occurred—anticipated

25. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
    November 19, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 22, 2021, from 10 a.m. to

26. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - Workgroup Summary: The workgroup meeting occurred on March 8, 2019, and was attended by representatives

27. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps/instructor/scenarios/dental.html
    March 01, 2014 - In this scenario, either of two actions should have occurred. … Had a brief or check-back occurred, they would have shared their individual situation awareness with

28. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on November 6, 2020, from 1 p.m.

29. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 11, 2021, from 10 a.m. to

30. Tool: I-PASS | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
    July 01, 2023 - to support a patient are prepared for situations they might not have considered before the handoff occurred

31. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - This format helps to utilize the information found in the investigation to understand why the event occurred

32. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
    November 03, 2022 - Workgroup Summary: The latest workgroup meeting occurred virtually on July 25, 2022, and was attended

33. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 - Workgroup Summary: The latest workgroup meeting occurred virtually on March 17, 2020, from 10 a.m.

34. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/data/infographics/adverse-drug-events.html
    August 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 …

35. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - If a normal error has occurred, the provider undoubtedly feels bad and should be supported. … technology, the information, and the processes are all critical clues to the context in which the event occurred … the context is best done through observations of normal work flow in the environment where the event occurred … It is an opportunity for everyone to understand the event, why it occurred, and confirm contributing

36. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - The most visible advances occurred in the services and nursing units (a 50% reduction in general surgery

37. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Analysis of why the event occurred, what worked, and what did not work.

38. Tool: STAR | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
    June 01, 2023 - members are asked to respond to a change in a patient’s status when expected improvements have not occurred

39. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
    August 01, 2022 - Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred

40. Action Planning Worksheets | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps/instructor/essentials/implguide2.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 …