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Total Results: 2,792 records
Showing results for "occurred".
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool7.htmlMay 01, 2014 - Indication that brief counseling around diet, exercise, weight management occurred during the encounter
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/donahue.htmlAugust 01, 2018 - When this occurred, the work of the practice coaches, use of registries, and data collection were generally
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www.ahrq.gov/policy/electronic/privacy/infosecurity.htmlAugust 01, 2018 - If you suspect an information security or privacy related incident has occurred, send an Email immediately
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www.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdfMarch 08, 2019 - Workgroup Summary: The workgroup meeting occurred on March 8, 2019, and was attended by representatives
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www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.htmlMay 01, 2013 - Continued feedback of infection data that the team perceived as valid Improvements in safety culture that occurred
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Fallspximpl-Handouts (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docxJune 02, 2025 - All department heads attend and we do talk about falls that occurred. Dr. … We have a falls meeting, but we don’t talk about falls risk; we talk about falls that have occurred. … use of the Monthly Contextual Factors Report to help identify patterns such as what time of day falls occurred … These are falls that occurred during the quarter. … The Falls Risk Report provides a count of all risk factors associated with the falls that have occurred -
www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdfJanuary 01, 2024 - patient. • Empathetic Disclosure of Core Content: Patients want an explicit statement that an error occurred … content and communicative process of an error disclosure event, their beliefs about how the error occurred … Creating Case Scenarios Next, we created scenarios in which key behaviors occurred positively or negatively … After training had occurred with multiple simulations in which coding disagreements were discussed and … Discussion to disclose error but only partially disclose details of how occurred What are we going
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdfApril 01, 2022 - And that's where the conversations occurred in our CUSP team with physicians and the physician champions … It was that transition occurred in the physicians to challenge themselves from their typical habit of
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.htmlJuly 01, 2023 - Scenarios for Simulation Simulation scenarios can be designed to replay real events that have occurred … Video review is extremely helpful in allowing the participants to see exactly what communication occurred
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.htmlJune 01, 2023 - research shows that patients and families will report diagnostic experiences when asked if an “error” has occurred … patients to attribute responsibility for a problem, the less likely they are to report that the event occurred
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Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdfJune 30, 2004 - This finding suggested that we focus our qualitative analysis on determining where and how the error occurred … issues influenced diagnostic testing errors, at what point in the procedure event chain the error occurred … , how and why it occurred, and why harm did or did not occur. … Contributing and mitigating factors are necessary for the event to have occurred the way it did, whereas … The ability to draw on real examples of errors that occurred in the practices participating in ASIPS -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdfMarch 01, 2004 - Some attrition occurred during data collection due to factors such as unavailable charts, inadequate … Only 10 percent on average failed because the codes in the class were judged to refer to events that occurred … were an accurate representation of the charts and whether they could identify patients with AEs that occurred … These classes did have a few codes specific to surgical complications, but the codes occurred very infrequently … Several of the ICD codes occurred with low frequency in our sample but are fairly frequent in the discharge
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.htmlDecember 01, 2017 - readmission _X_ With a change in condition _X_ With each MDS assessment ___ When weight loss has occurred … develop nutritional interventions for residents with weight loss, but that's after the weight loss has occurred … happening at this nursing home, but their focus seems to be on reacting to adverse events that have already occurred … readmission ___ With a change in condition _X_ With each MDS assessment ___ When weight loss has occurred … to analyze the circumstances leading up to the event with the goal to identify how and why the event occurred
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References (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docxJanuary 01, 2017 - Dysfunction of the suction lumen occurred in 19 of 40 patients, 17 of which were attributable to blockage … During ventilation, microbilogically confirmed VAP occurred in 15 patients (8.8%) of group 1 and 32 patients … Microbiologically confirmed VAP occurred in 67 patients, 25 of 169 (14.8%) in the SSD group and 42 of … Dysfunction of the suction lumen occurred in 19 of the 40 patients (48%). … Episodes of VAP occurred statistically later among patients receiving continuous suctioning ([mean ± -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdfNovember 30, 2013 - 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: • … 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 … 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/patients-families/consumer-exp/reporting/chapter3.htmlAugust 01, 2022 - About 88 percent of the patient safety events occurred in a hospital setting. … One quarter of patient safety events occurred in an ambulatory setting and 10 percent in a long-term … patients, family members, and others to be able to report a patient safety event from the time the event occurred … Among the participants, about 91 percent reported that the event occurred in a hospital setting, 21 percent … recommendations did not guarantee a response from the health care setting where the patient safety event occurred
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www.ahrq.gov/data/infographics/adverse-drug-events.htmlAugust 01, 2018 - Adverse Drug Events Occurring in U.S. Hospitals Adverse Drug Events Occurring in U.S. Hospitals (PDF, 1.5 MB) Source: HCUP Statistical Brief #164: Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011
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www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.htmlJuly 01, 2022 - This analysis is the most comprehensive evaluation to date of adverse events that occurred in hospitalized
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www.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdfJuly 23, 2020 - Workgroup Summary: The latest workgroup meeting occurred virtually on March 17, 2020, from 10 a.m.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdfNovember 03, 2022 - Workgroup Summary: The latest workgroup meeting occurred virtually on July 25, 2022, and was attended
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