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Total Results: 418 records

Showing results for "occurred".

21. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    preventiveservices.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

22. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    preventiveservices.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.

23. Tool: I-PASS | Agency for Healthcare Research and Quality
    preventiveservices.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

24. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    preventiveservices.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

25. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    preventiveservices.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.

26. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
    preventiveservices.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 …

27. Board Checklist | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

28. AHRQ_Brand_NameOnly (xls file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
    March 01, 2017 - My team has a good process in place to monitor and track infections, and examine why they occurred if … able to answer The team has a process in place to monitor and track infections, and examine why they occurred … The team has a process in place to monitor and track infections, and examine why they occurred.4 The

29. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    preventiveservices.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.

30. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - persist for many years, elicitation techniques must inquire about the impact of adverse events that occurred … term aftermath of perceived diagnostic mishaps, one must elicit patient experiences about events that occurred … past 5 years.16 Stratifying elicited experiences based on how many years earlier the adverse event occurred … sequenced to help patients reflect on their experiences, recount events in the order in which they occurred … situations that pose the greatest challenges for patients and families to reliably assess what has occurred

31. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - the event or issue by providing teams the tools and resources needed to make sense of a failure that occurred … We then ask why this consequence occurred. … Try to view the world as they did when the event occurred. Why did it happen? Step 1.

32. Dashboard Information | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/npsd/data/dashboard/info.html
    June 01, 2019 - incorrect medication to take and the patient recognizes it as such and refuses to take it, an incident has occurred

33. Tool: STAR | Agency for Healthcare Research and Quality
    preventiveservices.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

34. Quality Improvement Study Framework (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
    April 13, 2017 - Include— · Frequency: How often the issue occurred in your study period · Sources: Potential reasons

35. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    preventiveservices.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

36. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    preventiveservices.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

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

38. Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone (pdf file)
    preventiveservices.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

39. Transforming Primary Care Practice in North Carolina (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
    April 01, 2015 - When this occurred, the work of the practice coaches, use of registries, and data collection were generally

40. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
    November 30, 2013 - This section displays the number of ED visits that occurred in the following timeframes: • 0-7 days … This section displays the number of hospitalizations that occurred in the following timeframes: • … multiple data sources within the facility’s electronic medical record and represent changes that occurred … potential root causes (e.g., treatment unavailable at facility, treatments prior to transfer) that occurred … the visits were for potentially preventable conditions, the time of day/day of week the transfers occurred