Results

Total Results: 2,959 records

Showing results for "occurred".

221. Data Measures Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - Mobility Intubated: Adverse Event Incidence Rate Numerator Total number of adverse events which occurred … Example In a given time period, say a unit enters the following data: • Adverse events (4) and (7) occurred … of Adverse Events Numerator Total number of adverse events in each of the 25 categories which occurred … NOT Intubated: Adverse Event Incidence Rate Numerator Total number of adverse events which occurred … Total number of patient days with Intub/Trach & Mech Vent marked “N” on which any adverse event(s) occurred

222. Pf-Engagement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     May 01, 2017 - Generally, only findings that are reasonably certain to have occurred and unlikely to change should be … investigate and analyze it (e.g., a root cause analysis may be conducted) to determine whether patient harm occurred

223. Final Progress Report: Improving Safety of Transitions to Skilled Nursing Care Using Video Conferencing (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
     January 01, 2024 - Two physicians independently reviewed each TCE to determine if a medical error had occurred. … A total of 1432 discussions occurred for 1326 patients.

224. AHRQ_Brand_NameOnly (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
     March 01, 2017 - My team has a good process in place to monitor and track infections, and examine why they occurred if … able to answer The team has a process in place to monitor and track infections, and examine why they occurred … The team has a process in place to monitor and track infections, and examine why they occurred.4 The

225. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - First, by definition, recognition that an error has occurred means that the error happened some time … Because of this, recognition that an error has occurred is very difficult.20 Second, even if an error … activities leading to patients receiving medication, they are often “blamed” for errors that may have occurred … When errors occur, they are likely to be viewed as failures of character (i.e., the error occurred … • Nurses do not recognize an error occurred. • Medication error is not clearly defined.

226. Penicillin Allergy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
     September 01, 2022 - 4 • If the reaction occurred more than 10 years ago, the patient may no longer have an allergy because

227. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - Workgroup Summary: The workgroup meeting occurred on March 8, 2019, and was attended by representatives

228. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
     November 19, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 22, 2021, from 10 a.m. to

229. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.html
     July 01, 2022 - including tips for using medications wisely and suggestions on what to do if you think an error has occurred

230. Appendix, MATCH Resources for Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.html
     July 01, 2022 - including tips for using medications wisely and suggestions on what to do if you think an error has occurred

231. Implement Teamwork and Communication | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
     December 01, 2012 - Exercise Think of a defect that has occurred in your unit due to a communication breakdown. … Feedback 1 Timely—given soon after the target behavior has occurred.

232. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
     June 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

233. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
     June 01, 2017 - residents who have had a recent preventable hospital visit to help staff evaluate why these transfers occurred

234. Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
     March 01, 2017 - facility leaders and administrators to share information with residents/families when an event has occurred

235. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
     January 01, 2018 - has done to communicate and share survey results with staff, and an understanding of what benefits occurred

236. Appendix K. Quality Improvement Study Framework - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
     May 01, 2017 - Include— Frequency: How often the issue occurred in your study period Sources: Potential reasons

237. Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
     January 01, 2025 - If communication delays occurred, the electronic health record (EHR) triggered a message to nurses to

238. Tool 2: Readmission Review Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
     June 02, 2025 - The purpose of these interviews is to elicit the “story behind the chief complaint”—the events that occurred

239. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - cases, it was the phone or fax that was responsible for mitigating the error but not how the error occurred … For new chronic medications, errors occurred in 74.2 percent of encounters; for renewal of existing … processes occurring when the error was discovered rather than the circumstances at the time that the error occurred … mitigation event is identified, a retrospective review should track back to the encounter where the error occurred … Many of these errors might not have occurred with electronic prescribing embedded in an electronic medical

240. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
     January 01, 2004 - other differences in work patterns among the various hospitals, very different sorts of handovers occurred … Some occurred in the workplace, while other handovers took place what might be referred to as a “backstage … In our observations, however, only three of the eight potential combinations occurred with any frequency … nature pertained to joint handovers (i.e., involving both physicians and nurses), which almost never occurred … In the two settings that did use nurse-physician teams, however, handovers still occurred separately