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Showing results for "occurred".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptxSeptember 10, 2015 - 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
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www.ahrq.gov/patient-safety/reports/hotline/appa.htmlMay 01, 2016 - The system should capture both objective information about what occurred and more-subjective information … Information collected from consumers should include where a patient safety event occurred; what contributed
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Tool: Premortem (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docxJanuary 01, 2017 - · “Spend the next 10 minutes writing down all the reasons you believe this failure occurred. … Please spend the next 10 minutes writing down all the reasons you believe this failure occurred. -
www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.htmlJanuary 01, 2017 - "Spend the next 10 minutes writing down all the reasons you believe this failure occurred. … Please spend the next 10 minutes writing down all the reasons you believe this failure occurred.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptxNovember 01, 2019 - Treat as community-acquired pneumonia if the event occurred within 72 hours of admission to a healthcare … Treat as healthcare-associated pneumonia if the event occurred after 72 hours of admission to a healthcare … antibiotics without improvement within 48 hours: Treat as community-acquired pneumonia if the event occurred … Treat as healthcare-associated pneumonia if the event occurred after 72 hours of admission to a health
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab26.htmlDecember 01, 2017 - 33.1% 36.7% 3.8% 9.3% 100.0% 38.9% a Diabetes education visits are visits that occurred
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docxMay 01, 2017 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.htmlJuly 01, 2024 - members are asked to respond to a change in a patient's status when expected improvements have not occurred
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www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdfJanuary 01, 2024 - “Now” activations occurred in 9% of digital checklist cases. … False checks occurred for 29 of the 32 tasks and accounted for 16% of all checked items. … Of all true-checks, 15% occurred before the team started performing a task. … Sixteen percent of all true checks occurred as the corresponding tasks were being performed. … Post-check occurred when the check-off timestamp occurred after the end time of the corresponding task
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www.ahrq.gov/news/newsroom/case-studies/201516.htmlJune 01, 2015 - The training occurred at the medical and pharmacy schools at the University of California, San Diego
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www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdfJanuary 01, 2024 - Current controls almost always detect the failure. 2 Very slight effect Actual error occurred … Good likelihood that current controls will detect. 4 Minor effect Actual error occurred. … Review effectiveness of 80%. 5 Moderate effect Actual error occurred and reached the patient … Review effectiveness of 50%. 7 Major effect Actual error occurred and reached the patient. … Page 8 8 Extreme effect/major injury Actual error occurred and reached the patient.
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Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdfJanuary 01, 2004 - medical error, which is morally required of physicians when they know that a harm-causing error has occurred … ethically required to inform the patient of all the facts necessary to ensure understanding of what has occurred … Jones, an error occurred in your care that was responsible for the harm you experienced, and we apologize … An example of this occurred in Royston Moore v. … health professionals to desist from admitting liability when they know that harm-causing error has occurred -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptxDecember 01, 2017 - ASK: What if the same situation occurred on a different shift? … SAY: When a defect has already occurred, ask your frontline staff. … ASK: How do all these pieces lead to this error or the event that occurred? … If you can, simulate the defect, particularly for a defect that has occurred. … What actions occurred? What were care team members thinking and feeling?
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Dear [NURSES NAMES]-- (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap9.docJune 02, 2025 - Because the event occurred more than 48 hours from the time of line insertion, it is clear that this -
Dear [NURSES NAMES]-- (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap8.docJune 02, 2025 - Because the event occurred more than 48 hours from the time of line insertion, it is clear that this -
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-1.htmlMarch 01, 2022 - amount, content, and quality within and across professions. 10 - 12 Much learning about diagnosis has occurred
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Mod01-Grand-Rounds-Slides (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdfApril 01, 2016 - An explicit statement that an error occurred. 2. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … This is a cornerstone of the CANDOR process of investigating the root cause of how an error occurred … disclosure is a process, and the first step is to: ■ Let the patient and family know an adverse event occurred … result of the investigation and analysis of Michelle’s case, the following patient safety changes occurred -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.htmlSeptember 01, 2017 - If no ED visits occurred in the past 90 days, the field is blank. ED Discharge Diagnosis. … If no hospitalizations have occurred in the past 90 days, the field is blank. … If no hospitalization occurred in the past 90 days, the cell is blank. … This is the number of observation stays that occurred during the month. Observation Stay Rate. … This is the number of ED visits that occurred during the month. ED Visit Rate.
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www.ahrq.gov/patient-safety/about/challenge-competition.htmlFebruary 01, 2024 - The most visible advances occurred in the services and nursing units (a 50% reduction in general surgery
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3.htmlMarch 01, 2019 - Objectives Session 1 Introduction A Safe and Enjoyable Environment Knowing When a Fall Has Occurred
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