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Showing results for "occurred".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptxDecember 01, 2017 - So, first look at the system and analyze why the mistake occurred. … What actions occurred? What were the team members thinking and feeling? … SAY: These are the types of questions to ask to understand how a defect occurred. … Try to find out exactly how things occurred in real time. 13 What Happened? … What actions occurred? What were care team members thinking and feeling?
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www.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.htmlJuly 01, 2023 - Timely— given soon after the target behavior has occurred.
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www.ahrq.gov/news/newsroom/case-studies/201611.htmlAugust 01, 2016 - In addition, no adverse events occurred during that time.
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www.ahrq.gov/news/newsroom/case-studies/201801.htmlApril 01, 2018 - The majority of falls occurred as patients left their beds to walk to or from the bathrooms, Myers said
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www.ahrq.gov/news/newsletters/e-newsletter/804.htmlMarch 01, 2022 - Stats: ED Visits for Dental Conditions Nearly 460 emergency department visits for dental conditions occurred … and Utilization Project and found that during the study period, COVID-19-related hospitalizations occurred
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.htmlJuly 01, 2023 - Scenarios for Simulation Say: In situ simulations can be designed to replay real events that have occurred … Team members share their perspectives on what occurred during the scenario and reach common ground. … Video review is extremely helpful in allowing the participants to see exactly what communication occurred … simulation also participate in the debriefing to provide a patient/caregiver perspective on the events that occurred
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi5.htmlJanuary 01, 2013 - baseline, a neonatal central line-associated bloodstream infection (NCLABSI) rate reduction of 46 percent occurred
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdfJanuary 01, 2024 - The patient was affected in 78% of NRE (36% of all cases), and patient injury occurred in 19% of NRE … A popular method is to examine adverse events that have occurred and “trace back” to attempt to pinpoint … More than one NRE occurred in 23% (32/139) of the NRE-containing cases, to yield a total of 187 NRE; … 5% occurred preoperatively, 34% of NRE occurred during induction, 45% were during maintenance, 13% … were during emergence, and 3% occurred postoperatively.
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdfOctober 27, 2014 - hospital patients over the 3 years (2011, 2012, 2013) 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 … whether any of 21 types of adverse events—such as adverse drug events, falls, and pressure ulcers—occurred … in 2013 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … The majority of deaths averted occurred as a result of reductions in the rates of pressure ulcers 15
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www.ahrq.gov/news/newsroom/case-studies/201807.htmlNovember 01, 2018 - telemetry nurses and found that distractions such as phone calls and patients pressing call buttons occurred
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Best Practices in the Management of Patients With Antibiotic Allergies – Facilitator Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docxSeptember 01, 2022 - specific symptoms that led to the diagnosis of the penicillin allergy, particularly when the reaction occurred … SAY: If the patient reports an allergy, ask how long after they started the antibiotic the reaction occurred … Also, ask how long ago the reaction occurred. … Ask her to describe what the rash looked like, how often after the first dose of antibiotics it occurred -
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdfNovember 01, 2019 - Treat as community-acquired pneumonia if the event occurred within 72 hours of admission to a healthcare … healthcare-associated pneumonia with agents like cefepime or piperacillin/tazobactam if the event occurred … antibiotics without improvement within 48 hours: Treat as community- acquired pneumonia if the event occurred … Treat as healthcare-associated pneumonia if the event occurred 72 hours or more after admission to a
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www.ahrq.gov/data/visualizations/sick-leave-prevalence.htmlSeptember 01, 2021 - higher percentage of workers had paid leave, and the only statistically significant regional difference occurred
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdfJanuary 01, 2024 - Structured data included the date the incident occurred, the number of involved patients, the patient … Enrollment was tracked, and follow-up with hospital CEOs occurred through direct email communication … These huddles were initiated early in the project and occurred consistently throughout. … Ninety-seven percent of respondents believe the hospital where the incident occurred should be the source … Reviewers had to confirm that the patient’s medical chart reflected that an AE occurred.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.htmlSeptember 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docxJune 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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.htmlSeptember 01, 2017 - This section displays the number of ED visits that occurred in the following timeframes: 0-7 days … This section displays the number of hospitalizations that occurred in the following timeframes: 0 … from multiple data sources within the facility’s electronic medical record and represent changes that occurred … potential root causes (e.g., treatment unavailable at facility, treatments prior to transfer) that occurred … if the visits were for potentially preventable conditions, the time of day/day of week the transfers occurred
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www.ahrq.gov/patient-safety/resources/resdesign-tool/kit1.htmlAugust 01, 2016 - In general, the steps are listed and discussed in the temporal sequence in which they occurred.
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www.ahrq.gov/chain/research-tools/featured-certs/psychotropic-medications-for-autism-in-children.htmlMarch 01, 2017 - Most visits occurred in physician offices with nearly 75% provided by office-based psychiatrists or neurologists
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.htmlFebruary 01, 2017 - : Who was involved, what actions occurred, what were care team members thinking and feeling, what were … represents how often the defect occurs and the Y axis represents the significance of the reason the defect occurred
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