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Total Results: 414 records

Showing results for "occurred".

61. CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
    talkingquality.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

62. newbref
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/m11impguide.pptx
    February 03, 2006 - newbref TeamSTEPPS Implementation Guide TEAMSTEPPS 05.2 Page ‹#› Implementation Guide 1 Page ‹#› Shift Toward a Culture of Safety TEAMSTEPPS 05.2 Page ‹#› Implementation Guide 2 Page ‹#› 10 Steps of Implementation Planning Create a Change Team Define the problem, challenge, or opportunity for improv…

63. Prioritization Worksheet (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
    June 05, 2016 - Ideally, if your data permit, you would consider only costs that occur after the adverse event occurred

64. TeamSTEPPS 2.0 Module 11: Implementation Planning
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
    November 02, 2018 - They also realized that calling a huddle when a fall occurred was an important step in their process. … baseline before implementation, and then evaluate after implementation to see if the desired changes occurred

65. Asking the Hard Questions About Telehealth | Agency for Healthcare Research and Quality
    talkingquality.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

66. No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality
    talkingquality.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

67. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    talkingquality.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

68. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    talkingquality.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

69. AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/policy/electronic/privacy/infosecurity.html
    August 01, 2018 - If you suspect an information security or privacy related incident has occurred, send an Email immediately

70. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 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 …

71. TeamSTEPPS 2.0 Module 3: Communication
    talkingquality.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

72. TeamSTEPPS Fundamentals Course: Module 7. Summary | Agency for Healthcare Research and Quality
    talkingquality.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.

73. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
    talkingquality.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

74. Monitoring Ventilator-Associated Events: Facilitator Guide | Agency for Healthcare Research and Quality
    talkingquality.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

75. TeamSTEPPS 2.0 Module 4: Leading Teams
    talkingquality.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

76. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    talkingquality.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

77. Selected Best Practices and Suggestions for Improvement (pdf file)
    talkingquality.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…

78. Well-Child Visits on the Rise, But Disturbing Gaps Remain for Underserved Populations | Agency for Healthcare Research and Quality
    talkingquality.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

79. Tips and Suggestions for Enhancing Organizational Readiness | Agency for Healthcare Research and Quality
    talkingquality.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 …

80. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
    talkingquality.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…