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Total Results: 1,442 records

Showing results for "occurred".

341. Improving-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Improving Communication and Teamwork in the Surgical Environment Module Facilitator Notes SAY: The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…

342. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue Brief 8 Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department PATIENT SAFETY e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…

343. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
     www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
     March 09, 2008 - as part of the IDT; the other facility chose to perform the RCA during the shift in which the fall occurred

344. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers (continued) Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet …

345. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
     October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Epidemiology of Invasive Devices and Complications Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devic…

346. Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/overview.html
     August 01, 2021 - was attributed to a health system if 90 percent, 75 percent, or 51 percent of the child’s encounters occurred

347. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - improving team performance Feedback should be: • Timely – given soon after the target behavior has occurred

348. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
     April 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care Introduction Pre-Intervention Assessment Purpose The purpose for this self-assessment is to: -Highlight current efforts to promote safe transitions of care and engage patients; -Identify gaps or opportunities for…

349. Module 6: Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
     March 01, 2017 - sustainability occurs when processes or improved outcomes last within an organization after implementation has occurred

350. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Improving Communication Four planni…

351. Sample Scenario for Umbilical Cord Prolapse In Situ Simulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
     July 01, 2023 - Sample Scenario for Umbilical Cord Prolapse In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Umbilical Cord Prolapse In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in…

352. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
     April 02, 2025 - Do you investigate why the fall occurred? Yes  No  9.

353. Training-Tools-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
     May 01, 2017 - when processes or improved outcomes continue to last within an organization after implementation has occurred

354. Sustainability Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
     October 01, 2020 - when processes or improved outcomes continue to last within an organization after implementation has occurred

355. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
     August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…

356. Section 6. Facilitating Change and Anticipating Challenges | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
     July 01, 2018 - The implementation of the open-bed policy occurred gradually.

357. Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
     January 01, 2013 - prevented, the number of actual CLABSIs reported was compared with the number of CLABSIs that would have occurred

358. Fundamental Concepts for Understanding Cognitive Load | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
     August 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Fundamental Concepts for Understanding Cognitive Load Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cogniti…

359. Prevehosp-Implementation-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
     April 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training Implementation of the Preventable Hospital and ED Visits Reports Note: This part of the traini…

360. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
     November 01, 2023 - Validate and deploy an innovative technological approach that automatically detects when falls have occurred