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Showing results for "occurred".

21. Aspiration Pneumonitis/Pneumonia (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
    November 01, 2019 - regimens for community-acquired pneumonia (CAP) (e.g., ampicillin- sulbactam, ceftriaxone) if the event occurred … regimens for hospital-acquired pneumonia (HAP) (e.g., cefepime, piperacillin- tazobactam) if the event occurred

22. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - This tool provides a structured approach to help physicians and nurses identify the problems that occurred … If an adverse event occurred, you should also use the Learn From Defects Form.

23. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
    July 03, 2023 - Problems that occurred between patients and clinicians or staff 7. Exceptional people 8. … exceptional people exceptional ways to do things problems with the practice’s day-to-day … problems that occurred … ) 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 Exceptional ways to do things Exceptional people Problems that occurred

24. Table 4. Near-term Measure Opportunities | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab4.html
    July 01, 2018 - information on hospitalization (e.g., discharge summary) or specialist visits (e.g., clinical summary) that occurred … Numerator and denominator: EHR audit files Use claims data to confirm follow-up care occurred within

25. Objective Outcomes Data Collection Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/vae/objective-outcome-tool.html
    January 01, 2017 - Total number of episodes of mechanical ventilation How many episodes of mechanical ventilation have occurred … Total number of deaths How many deaths have occurred in the patients who have been or were mechanically

26. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
    January 01, 2017 - Total number of episodes of mechanical ventilation How many episodes of mechanical ventilation have occurred … Total number of deaths How many deaths have occurred in the patients who have been or were mechanically

27. Hospital Evacuation Decision Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/hospevac4.html
    July 01, 2018 - Post-Event Evacuation Decision Guide Post-event evacuations have occurred either following Advanced … Sequence in a Post-Event Evacuation If the decision is made to begin an evacuation after the event has occurred … filled with water from the nearby Haw Creek and power was lost. 53 The full evacuation of 157 patients occurred

28. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - events were categorized into two taxonomies: (1) the segment of emergency care in which the event occurred … Patient visits were eligible for inclusion if (1) the visit occurred in the adult emergency department … An additional category, transitions, was added to account for periods when an event occurred during … The nonideal care events were categorized into the segment of care in which they occurred (Figure 1) … Significant time was spent distinguishing the true process from workarounds, which occurred between

29. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
    March 12, 2008 - The authors explained that these problems occurred when the pharmacy was closed and when all medications … Of the 59 instances of override, 17 (28.8 percent) occurred during a first shift (7:00 am to 3:30 pm … ); 31 (52.5 percent) occurred during a second shift (3:00 pm to 11:30 pm); and 11 (18.6 percent) occurred … Forty-five overrides (76.3 percent) occurred on weekdays. … The largest number of overrides occurred during the second shift, which was also when the majority of

30. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - There is no evidence in these reports that any other type of patient safety concern occurred. … In several instances, the exposure occurred because staff were not following PPE protocols, such as … In other cases, the exposure occurred with an asymptomatic individual, and was later identified when … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID … PSOs generally provided data elements for the location in the facility where the event occurred and

31. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    www.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

32. Summary Skills Practice Exercise Sheet (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module7/ts2-0ltc_module7_ig_summary_exsheet.pdf
    April 24, 2017 - Identify the instances where a breakdown in teamwork has occurred as it relates to the specific teamwork … SCENARIO: A gastrointestinal outbreak has occurred within the nursing home and has affected the entire

33. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
    August 01, 2022 - Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred

34. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
    September 01, 2013 - difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue), but it has occurred

35. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - The intervention schedule had no extended work shifts, and 96 percent of work hours occurred within … the 16 hours scheduled, in contrast to the traditional schedule, in which 58 percent of work hours occurred … Intercepted serious intern errors occurred 27.9% more frequently on the traditional schedule than on … No adverse events occurred. … A total of 61 observed sessions occurred over the 12-month period, during which 183 simulations occurred

36. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
    November 19, 2015 - 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 790,000 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

37. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.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

38. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
    November 19, 2015 - 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 790,000 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

39. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
    November 01, 2017 - within the facility’s electronic medical record, such as nurse assessments, and represent changes that occurred … the facility’s electronic medical record as determined by the facility and may represent changes that occurred … Fall Risk Factors Report provides information regarding the number and percentage of falls that have occurred … For each month, it displays the number of falls that occurred and the risk factors   associated with … Shift during which the fall occurred. Time at which the fall occurred.

40. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.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