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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/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdfMay 05, 2008 - Define,” “Measure,” and “Analyze” steps of the Six Sigma framework—communication errors frequently occurred … centered on establishing a team handoff model and modifying the environment in which the handoffs occurred … Specifically, only patient-specific conversation or urgent clinical interruptions occurred during the … overcome a time-consuming procedure.27 Furthermore, errors in the use of aviation checklists most often occurred … Conclusion We found that communication delays commonly occurred during the handoff process of patients
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www.ahrq.gov/talkingquality/translate/labels/describe.htmlJanuary 01, 2023 - would almost always be placed by a doctor, so the nurse should not be held accountable if an infection occurred
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Learning-From-Antibiotic-Adverse (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docxJune 01, 2021 - X Team Factors Example: Team discussion about need to start antibiotics occurred -
CLABSI Learning From Defects Tool (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docxApril 01, 2022 - (Communication Plan) Now that you have more information about how and why this CLABSI occurred, how will -
CAUTI Learning From Defects Tool (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docxApril 01, 2022 - (Communication Plan) Now that you have more information about how and why this CAUTI occurred, how will -
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter3.htmlDecember 01, 2017 - The identified differences were minimal and were primarily due to registration updates that occurred … Admissions that occurred within 30 days of a previous inpatient discharge were identified as readmissions … Diabetes education visits are visits that occurred in diabetes education clinics and are not counted
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/6.htmlDecember 01, 2017 - incontinence at their facility (see details in the table below): Number of shifts incontinent episodes occurred … Worsening Ulcer Wound Assessment If wound assessment occurred in last 7 days and prior to report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptxJanuary 01, 2007 - Events3 Root causes of infection-associated events (2005) 7 Exercise Think of a defect that has occurred … offered 23 As seen in TeamSTEPPS® Feedback1 Timely—given soon after the target behavior has occurred
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www.ahrq.gov/patient-safety/reports/liability/silence.htmlAugust 01, 2017 - There are four things patients and families want after medical harm has occurred: tell us what happened … after medical harm. 5 I believe there is a fifth desire for some patients and families after harm has occurred
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Injection Safety/Safe Medication Handling (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/injectionsafety.pdfJanuary 03, 2014 - These outbreaks occurred in outpatient settings such as doctor’s offices, outpatient clinics, dialysis -
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.htmlNovember 01, 2014 - study of Suntown Hospital, which included 28 interviews with staff of all levels of the organization, occurred
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdfJanuary 01, 2018 - Prevent errors and adverse events • Facilitating a more rapid response after an adverse event has occurred
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www.ahrq.gov/news/newsroom/case-studies/201718.htmlApril 01, 2018 - Responses to the CAHPS survey indicated that long wait times occurred frequently.
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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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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlJuly 01, 2023 - the event or issue by providing teams the tools and resources needed to make sense of a failure that occurred … We then ask why this consequence occurred. … Try to view the world as they did when the event occurred. Why did it happen? Step 1.
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www.ahrq.gov/patient-safety/about/uni-chicago-medicine.htmlFebruary 01, 2024 - institution when comparing calendar year January–July 2022 to January–July 2023, the most visible advances occurred
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www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdfOctober 01, 2015 - 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 … Costs included the initial hospital stay and costs of other inpatient sites of care that occurred within … 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 14
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.htmlJune 01, 2023 - term aftermath of perceived diagnostic mishaps, one must elicit patient experiences about events that occurred … involves collecting patient experiences at a single point in time, asking about diagnostic events that occurred … past 5 years. 16 Stratifying elicited experiences based on how many years earlier the adverse event occurred … sequenced to help patients reflect on their experiences, recount events in the order in which they occurred
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www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdfNovember 15, 2019 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 15, 2019, from 10 a.m
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.htmlJune 01, 2023 - about medical mishaps, inducing disparities in error reporting. 10 Might erroneously presume errors occurred
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