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Total Results: 2,792 records

Showing results for "occurred".

221. Wrap-Around Observation Manual—Second Version | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
     March 01, 2013 - Note: If this is not alluded to, the observer may have to ask the family members if this occurred (AFTER … a staff member or an informal support indicates that contact/communication with another team member occurred … person) or written communication between two or more team members (i.e., professional/informal supports) occurred … Scoring Yes if verbal or written communication occurred between two or more team members.

222. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
     March 03, 2008 - The results showed that 62 percent of patient falls occurred between 8:00 p.m. and 8:00 a.m., which … was not surprising, since the night shift has fewer care providers; 67 percent of patient falls occurred … Discussion Since the program launch in March 2007, multiple system and process changes have either occurred … For example, three of the falls in Q2 occurred while the patient was being attended by staff who had

223. Hospital Evacuation Decision Guide (Table 6) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/hospevactab6.html
     July 01, 2018 - Have any other incidents occurred that increase the likelihood that an evacuation order will be issued

224. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
     June 02, 2025 - CALCULATION Step 1: Identify all deliveries that occurred in medical facilities, using the criteria … Step 8: Count the number of high risk deliveries that occurred in Class 1 and Class 2 facilities for

225. Learn From Defects Tool Worksheet: Central Line-Assoiated Bloodstsream Infection (CLABSI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
     April 01, 2022 - (Communication Plan) Now that you have more information about how and why this CLABSI occurred, how

226. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
     April 01, 2022 - (Communication Plan) Now that you have more information about how and why this CAUTI occurred, how will

227. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
     www.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

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

229. Implement Teamwork and Communication Alternative Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
     April 01, 2013 - Training 12% Organizational Culture 12% Slide 8 Exercise Think of a defect that has occurred … logo and penguin Slide 24 Feedback 1 Timely—given soon after the target behavior has occurred

230. Module 3: Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
     May 01, 2017 - CUS contact person determines what communication has occurred with the patient/family regarding the event … If communication has not yet occurred and is required, CUS contact person will speak with the patient

231. PDI Charts for Presentations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
     January 01, 2006 - for AHRQ Tool B.3a The observed rate is the actual rate at which events measured by the indicator occurred … for AHRQ Tool B.3a The observed rate is the actual rate at which events measured by the indicator occurred

232. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b.html
     October 01, 2015 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the

233. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
     February 01, 2017 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the

234. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - time, QSRS was used to conduct the underlying chart abstractions to determine whether specific AEs occurred … Algorithms are coded into QSRS that use the answers to these questions to identify whether an AE occurred … Based on these abstractions, the QSRS determines whether any of the specified adverse events occurred … As such, while QSRS may show that multiple, different AEs occurred during a single hospital stay (e.g … Device Stay during which one or more occurrences associated with the use of a device occurred 5.

235. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - time, QSRS was used to conduct the underlying chart abstractions to determine whether specific AEs occurred … Algorithms are coded into QSRS that use the answers to these questions to identify whether an AE occurred … Based on these abstractions, the QSRS determines whether any of the specified adverse events occurred … As such, while QSRS may show that multiple, different AEs occurred during a single hospital stay (e.g … Device Stay during which one or more occurrences associated with the use of a device occurred 5.

236. Adolescent Depression Remission/Response Measure Description (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-247-section-2.pdf
     June 02, 2025 - Patients 12 to 17 years of age with a depression-related PHQ-9 or PHQ-A score greater than 9 that occurred

237. TeamSTEPPS Situation Monitoring Module 3
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
     June 02, 2025 - Review: Confirm anticipated result has occurred or apply contingency if required.

238. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
     January 01, 2024 - people, in a laboratory setting, assign blame to hypothetical hospitals after a medical error has occurred … Second, medical ethics dictate that clinicians tell patients when a mistake has occurred.2 Physicians … The result may be legal action to get an explanation of what has occurred.9 Medical ethics direct that … meetings will result in lowest ratings of trust for disclosures made in errors when no adverse event occurred

239. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
     January 01, 2024 - whether the ‘intensity’ of medical care increases in the 30-day interval prior to the day on which death occurred … DESIGN & METHODS: We identified all deaths of patients 0 to 24 years of age that occurred in the 60 … the 31,455 deaths identified in infants, children, and young adults under the age of 25 years, 52% occurred … Subjects and Setting: All deaths of Washington State residents that occurred in Washington State hospitals

240. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
     January 01, 2024 - Dosing errors for narcotic-containing preparations occurred in 5% of all prescriptions to children 0 … In order to link a prescription to a diagnoses, we searched for diagnoses in the data that occurred within … When a disagreement occurred, the two investigators discussed the case and came to consensus. … prescriptions as dispensed rather than as written and the fact that we missed errors that might have occurred