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Showing results for "occurred".

81. TeamSTEPPS 2.0 Module 3: Communication
    monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule3.pptx
    December 01, 2005 - Miscommunication occurred in the scenario when the night shift failed to properly flag the patient's … resident's care, treatment and services, current condition, and any recent or anticipated changes that have occurred

82. TeamSTEPPS Fundamentals Course: Module 7. Summary | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module7/igsummary.html
    March 01, 2014 - Identify the instances where a breakdown in teamwork has occurred as it relates to the specific teamwork … A better handoff would have occurred.

83. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
    November 01, 2022 - Xiao identified frequent errors that occurred during the placement of central lines or central venous

84. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps/instructor/essentials/implguide.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 …

85. Monitoring Ventilator-Associated Events: Facilitator Guide | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
    February 01, 2017 - and objective outcome measures, and correctly apply VAE diagnostic criteria to determine if a VAE has occurred … Patients Say: We will now use the VAC criteria reviewed earlier to determine whether a VAC has occurred

86. TeamSTEPPS 2.0 Module 4: Leading Teams
    monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule4.pptx
    March 10, 2006 - skills Designed to improve outcomes An accurate recounting of key events Analysis of why the event occurred … When doing a debrief, what you really want to be able to do is accurately go through the events that occurred … and document them, analyze why an event occurred if that was a problem-- regardless, you want to know … by asking questions related to team performance Recap the situation, background, and key events that occurred

87. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - reductions seen in 2015, 2016, and 2017 compared with 2014, AHRQ estimates a total of 910,000 fewer HACs occurred … That means approximately 1.8 million fewer HACs would occur compared with the number that would have occurred … for 2018, and 2019 as the data become available. 12 Due to the transition from ICD-9 to ICD-10 that occurred … the number of events (HACs) for the full year of 2015. 13 Due to the ICD-9 to ICD-10 transition that occurred … discharges, i.e., the number of HACs shown in 2015–2017 is based on the number of HACs that would have occurred

88. Selected Best Practices and Suggestions for Improvement (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…

89. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsletters/e-newsletter/828.html
    August 01, 2022 - Source of Mental Disorder Spending In 2019, 41.5 percent of medical spending for mental disorders occurred

90. Tips and Suggestions for Enhancing Organizational Readiness | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps/readiness/abouttips.html
    April 01, 2016 - 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 …

91. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 2. Talking With Residents’ Family Members—short checklist version  What are antibiotics? • Antibiotics are medicines that fight infections caused by bacteria. Antibiot…

92. Selected Best Practices and Suggestions for Improvement (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count Why Focus on Retained Fore…

93. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 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 …

94. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
    May 01, 2017 - It also helps everyone understand why the event occurred and how it could be prevented in the future. … rapid response · Nature of assistance provided during response · Whether a debriefing with primary team occurred

95. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - This analysis is the most comprehensive evaluation to date of adverse events that occurred in hospitalized

96. Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
    July 01, 2021 - The PROMIS Learning Lab is studying the disruptions in primary care that occurred due to COVID-19.

97. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - patients’ goals and priorities with an emphasis on their understanding of what contributed to and occurred

98. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
    March 01, 2019 - Delivering feedback several weeks after poor performance has occurred is too late for it to be effective

99. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
    March 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 …

100. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
     October 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 …