Results

Total Results: 2,959 records

Showing results for "occurred".

361. 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/module4/facilitator-notes.docx
     March 01, 2017 - investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm occurred

362. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
     August 01, 2022 - The systems should capture both objective information about what occurred and more subjective information … Information collected from consumers should include where a patient safety event occurred; what contributed … submitted to relevant health care facilities (presumably facilities where events of the specified type occurred

363. Observational Audits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
     March 01, 2021 - • Not Met: Task required prompting to prevent error or error occurred. … Although no breach occurred, this would be documented as “Not Met.

364. Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
     September 01, 2022 - What systems are in place here to ensure that appropriate followup has occurred?

365. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
     November 06, 2020 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 23, 2020, and was attended

366. Tool: Formative Feedback | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/feedback.html
     June 01, 2023 - Feedback delivered several weeks after poor or excellent behaviors have occurred is too late for maximum

367. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
     December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Overview of On-Time AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time Slid…

368. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
     December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day training provides: Overview of On-Time Instruction on the role of a Facilitator Introduction to On-Time reports an…

369. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves … This tool provides physicians and nurses with a structured approach to review problems that may have occurred

370. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
     January 01, 2017 - and objective outcome measures, and correctly apply VAE diagnostic criteria to determine if a VAE has occurred … POTENTIAL VAC SAY: We will now use the VAC criteria reviewed earlier to determine whether a VAC has occurred

371. Key Driver 2: Implement a Data-driven Quality Improvement Process to Integrate Evidence into Practice Procedures | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html
     November 01, 2018 - results – including team-specific results – with practice goals will confirm if planned changes have occurred

372. Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
     October 01, 2015 - who cared for the patient just before their symptoms began improves understanding of any risks that occurred

373. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/clabsi_invest-slides/CLABSI-Investigation-Walk-the-Process-Sept-14-2010-508.ppt
     January 01, 2010 - These have occurred in one ICU or another across many of the ICUs in our hospital and in hospitals we

374. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 01, 2017 - event—both staff and patients—what happened and what else was happening in the environment when the event occurred … As a group, consider all the reasons you think the failure occurred.

375. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
     January 01, 2017 - event—both staff and patients—what happened and what else was happening in the environment when the event occurred … As a group, consider all the reasons you think the failure occurred.

376. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
     December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation AHRQ’s Safety Program for Nursing Homes Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Slide 2: On-Time Pressure Ulcer…

377. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
     October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Overview of On-Time Slide 2: On-Time Fall…

378. 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/facslides.html
     September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Facilitator Training Slide Presentation Text version of slide presentation. Slide 1: Overview of On-Time AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department V…

379. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
     June 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 … Report, the team will be able to identify patterns regarding falls such as what time of day they 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

380. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm occurred