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Total Results: 414 records

Showing results for "occurred".

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

82. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    talkingquality.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 …

83. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
    talkingquality.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

84. Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality
    talkingquality.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.

85. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    talkingquality.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

86. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    talkingquality.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

87. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
    talkingquality.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

88. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    talkingquality.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 …

89. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    talkingquality.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 …

90. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - information to improve service processes Stop handling problems one at a time as if they have never occurred

91. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of the Comprehensive Unit…

92. Fall Prevention Toolkit (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Fall Prevention Toolkit Fall Prevention Toolkit Module 5 Tools Tool 5A: Information to Include in Incident Reports Tool 5B: Assessing Fall Prevention Care Processes Action Plan Tool to Measure Fall Rates and Fall Prevention Practices 5A: Information To Include in Incident Reports Background: The purpose of this tool…

93. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - 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. Communication-Facilitator-Guide (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Improving Teamwork and Communication Long-Term Care Slide Title and Commentary Slide Number and Slide Improving Teamwork and Communication Long-Term Care SAY: Welcome to this presentation, “Improving Teamwork and Communication.” Slide 1 Objectiv…

95. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

96. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
    February 19, 2014 - Delivering feedback several weeks after poor performance has occurred is too late for it to be effective

97. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - A second theme is that many primary care-initiated care transition programs occurred within the context … Whether or not these reviews occurred, the primary care followup visit remained highly valuable to patients

98. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
    January 01, 2013 - Regular neurologic observations for all patients where head injury has occurred or cannot be excluded … cause analysis captures information from the patient, staff, and other witnesses about how the fall occurred … Many falls are unwitnessed, and the patient may not be able to provide accurate information about what occurred

99. The 2022 National Healthcare Quality and Disparities Report: We Still Have Much Work to Do | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
    November 01, 2022 - Significant improvements have occurred for people receiving care at home.

100. Key Driver 2: Implement a Data-driven Quality Improvement Process to Integrate Evidence into Practice Procedures | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html
     November 01, 2018 - results – including team-specific results – with practice goals will confirm if planned changes have occurred