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Total Results: 2,792 records

Showing results for "occurred".

2401. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
      April 01, 2025 - Improving Patient Safety in Nursing Homes: A Resource List SOPS Nursing Home 2.0 Survey Resource List 1 Improving Patient Safety in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0 I. Purpose This document provides a list of publicly available resour…

2402. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation Situation Monitoring Obstetric Hemorrhage Module 4 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation moni…

2403. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Situation Monitoring: Obstetric Hemorrhage SPPC‐II Toolkit                                                                                     Hospital AIM Team Leads SPPC II Situation Monitoring Obstetric Hemorrhage Module 4 of 8 ‐ SCRIPT Welcome to Module 4 of the Safety Program for Perinatal Ca…

2404. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization a…

2405. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
      April 28, 2008 - Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? Peter E. Rivard, PhD; Cindy L. Christiansen, PhD; Shibei Zhao, MPH; Anne Elixhauser, PhD; Amy K. Rosen, PhD Abstract Objective: W…

2406. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
      March 01, 2017 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate

2407. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
      March 01, 2017 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate

2408. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
      December 01, 2017 - high risk or had a recent change in risk, would we do things differently to intervene before the event occurred

2409. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - These claims included some cases that occurred within the operating room. … Our database was unable to differentiate those that occurred due only to emergency airway management.b

2410. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
      September 03, 2014 - In determining what defect occurred, teams reconstruct the timeline of the event by placing themselves … well as offering help to their peers.     42 Feedback Timely—give soon after the target behavior has occurred … promote a supportive climate, feedback must be:   Timely, and given soon after the target behavior has occurred … Try to view the world as they did when the event occurred.   Why did it happen? Step 1.

2411. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
      September 03, 2014 - Facility A Checklists and monthly process audits were instituted Problem identified: Breaks in process occurred … In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves … Try to view the world as they did when the event occurred. Why did it happen? Step 1.

2412. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
      May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4k Selected Best Practices and Suggestions for Improvement PSI 14: Postoperative Wound Dehiscence Why Focus on Postoperative Wound Dehiscence? • Postop…

2413. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - Although the most common step was imaging procedure (54% of reports), potential harm occurred more in

2414. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - Minimal prescreening occurred at the point of initial contact—usually telephone—to screen out teetotalers

2415. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 -  Analyze telephone logs to assess how many dropped calls or failed appointment queries occurred

2416. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - were poured from their labeled containers into sterile bowls on the surgical field when the mix-up occurred

2417. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - had not been able to attend that session, she understood that productive dialogue and discussion had occurred

2418. Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
      June 02, 2025 - Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide AHRO's Initiative To Increase Use of Cardiac Rehabilitation .. = H Agency for Healthcare Research and Quality …

2419. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the A…

2420. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Review Form found in Appendix K provides an approach to specifically identify reasons why a CAUTI occurred