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Showing results for "occurred".

1. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/news/newsletters/e-newsletter/908.html
   April 01, 2024 - Home News Newsletter AHRQ News Now Surge in Drug Shortages Occurred … Newsletter AHRQ News Now Events Surge in Drug Shortages Occurred … Today's Headlines: Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds April 23 Webinar … Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds A recent AHRQ-funded study on pharmaceutical … 2024 Page originally created April 2024 Internet Citation: Surge in Drug Shortages Occurred

2. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/hai/pfp/2015-interim.html
   December 01, 2016 - over the 5 years (2011, 2012, 2013, 2014, and 2015) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2015 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and … on October 1, 2015, and also due in part to delays in contracting for MPSMS data analysis that occurred

3. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/hai/pfp/2014-final.html
   January 01, 2018 - precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred

4. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
   December 01, 2016 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

5. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
   August 01, 2022 - information, other than event reports, that might provide information indicating that a CANDOR event has occurred … create a cohesive environment for informing the organization as to whether a CANDOR event may have occurred … implement the best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred … Risk Management can also provide ongoing support to managers on the unit(s) where the event occurred. … Also, the location where the event occurred is generally no longer intact, so information that could

6. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
   August 01, 2022 - , but they feared that an error may have occurred. … This stage is characterized by either the second-victim realizing that an event has occurred, or the … organization recognizing that an event has occurred. … The second-victim might not be able provide care in the room where the event occurred and might appear … The event might produce feelings of internal inadequacy, either because the event occurred or because

7. Mod5-Disclosure-Checklist (pdf file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
   April 01, 2016 - after the CANDOR event is identified, advise the patient and/or family that an adverse event may have occurred … ■ Explain what is known about why the adverse event occurred; do not speculate.

8. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
   August 01, 2022 - understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring or has occurred … Do: Activity: List de-identified events that have occurred in your organization. … Once activated, the CANDOR Response Team will work with the caregivers where the event occurred to ensure

9. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
   June 30, 2017 - When the fall occurred. What the degree of injury was, if any. … First, count the number of falls that occurred during the month from your incident reporting system. … Try to understand why the fall occurred and how such an incident might be prevented in the future. … individual data points are plotted and then connected (as shown by the blue line) to show that they occurred … However, it also shows a breakdown of the fall rate by the different types of falls that occurred—anticipated

10. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
    November 15, 2019 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 15, 2019, from 10 a.m

11. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/case-studies/criteria.html
    December 01, 2019 - Impact or results must have already occurred.

12. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Workgroup Summary: The latest Workgroup meeting occurred virtually on November 19, 2021, from 1 p.m.

13. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 11, 2022, from 11 a.m.

14. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
    September 01, 2017 - When the fall occurred. What the degree of injury was, if any. … First, count the number of falls that occurred during the month from your incident reporting system. … Try to understand why the fall occurred and how such an incident might be prevented in the future. … individual data points are plotted and then connected (as shown by the blue line) to show that they occurred … However, it also shows a breakdown of the fall rate by the different types of falls that occurred—anticipated

15. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
    November 19, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 22, 2021, from 10 a.m. to

16. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - Workgroup Summary: The workgroup meeting occurred on March 8, 2019, and was attended by representatives

17. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    teamstepps.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

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

19. Tool: I-PASS | Agency for Healthcare Research and Quality
    teamstepps.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

20. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - This format helps to utilize the information found in the investigation to understand why the event occurred