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Total Results: 418 records

Showing results for "occurred".

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

42. Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program | Agency for Healthcare Research and Quality
    preventiveservices.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

43. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day training provides: Overview of On-Time Instruction on the role of a Facilitator Introduction to On-Time reports an…

44. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
    preventiveservices.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

45. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical DocumentationComparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical Documentation (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
    January 01, 2018 - If most of a group practice’s 2018 billings at HOPDs occurred at a specific HOPD linked to a system, … If such a group practice reported that most 2018 billings at hospital-based settings occurred at specific … For example,, if 60 percent of the DOSs for a TIN occurred at a facility linked to hospital 1, and 40 … percent occurred at a facility linked to hospital 2, the file includes the CCN for hospital 1 in the … xxiii The data we used to identify whether group practices occurred in a hospital-based setting include

46. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training Overview of On-Time On-Time Preventable Hospital and ED Visits Facilitator Training 2-day training provides: Overview of On-Time. Instruction on the role of a Facilita…

47. PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Overview of On-Time On-Time Pressure Ulcer Healing Facilitator Training Two-day training provides: Overview of On-Time. Instruction on the role of a Facilitator. Introduction to On-Time reports and …

48. Understand the Science of Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves … This tool provides physicians and nurses with a structured approach to review problems that may have occurred

49. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    preventiveservices.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 …

50. Patient and Family Engagement | Agency for Healthcare Research and Quality
    preventiveservices.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

51. Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
    October 01, 2014 - By creating a flowchart of the medication reconciliation process that occurred from hospital discharge

52. TeamSTEPPS Helps Arizona Hospital Reduce Emergency Department Wait Times | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/201707.html
    May 01, 2017 - "The real achievement is the change of culture" that occurred as a result of the TeamSTEPPS training,

53. Pressure Ulcer Prevention Toolkit (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
    January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

54. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
    September 01, 2022 - From the time the patient presented for medical care to the time harm occurred, there were several opportunities

55. AHRQ News Now | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 30, 2024 - of Digital Healthcare Technologies Advance Equity April 9, 2024 Surge in Drug Shortages Occurred

56. CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html
    November 01, 2023 - CMS implemented the HCAHPS survey in October 2006, and the first public reporting of HCAHPS results occurred

57. Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/hard-questions-about-telehealth.html
    June 01, 2021 - April 2020, when the pandemic was surging, nearly 1.3 million Medicare primary care visits per week occurred

58. No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/funding/grant-mgmt/nces.html
    November 01, 2020 - extension can only be considered by AHRQ if the grantee can demonstrate that unusual circumstances occurred

59. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - diagnosis later turned out to be wrong (e.g., a case in which an undesirable diagnostic outcome had occurred … Missed elevated BP occurred when a provider failed to document an appropriate action for a patient with … assumed diagnosis later turned out to be wrong (i.e., in which an undesirable diagnostic outcome had occurred … or commission (doing something wrong) exists at the particular point in time at which the “error” occurred … In the articles that did include the NASEM definition (n = 52), most mentions occurred in the in- troduction

60. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 3, 2022, and was attended