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Total Results: 1,442 records

Showing results for "occurred".

381. Workflow (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
     February 01, 2005 - Workflow Workflow Ann Lefebvre MSW, CPHQ Associate Director, NC AHEC North Carolina Area Health Education Centers North Carolina Area Health Education Centers “Every system is perfectly designed to get the results that it gets.” Paul Batalden, MD North Carolina Area Health Education CentersNorth Carolina…

382. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
     November 02, 2017 - information to improve service processes • Stop handling problems one at a time as if they have never occurred

383. Discussion of Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/findings.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Discussion of Findings Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitation…

384. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
     July 01, 2018 - they reported engaging in behaviors such as detecting procedural errors (e.g., unexpected events that occurred

385. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - Although significant improvements occurred following that report, there’s still a tremendous need for

386. Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease | Agency for Healthcare Research and Quality
     www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
     January 01, 2021 - Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease Pompe disease is a rare condition that is identified in about 1 in 40,000 births. It occurs from a defect in the GAA gene leading to the accumulation of lysosomal glycogen and, depending on the form and severity, can result in c…

387. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
     April 01, 2022 - Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting Overv…

388. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: The Science of Improving Patient Safety and Identifying Defects Say: The topic of this module is the science of patient safety. The discussion will include the importance of unders…

389. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-4-statins.pdf
     October 01, 2024 - This analysis was limited to events that occurred in a hospital setting and outpatient prescription

390. Two-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
     December 01, 2023 - communication failure put a patient at risk and how effective communication caught an error before it occurred

391. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - Labor and Delivery Unit Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Labor and Delivery Unit Safety Say: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the…

392. Section 8: The Care Management Evidence Base | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
     October 01, 2014 - Although diabetes cost and utilization outcomes were limited, no utilization or cost outcomes occurred … A notable exception includes studies examining utilization measures in which no outcomes occurred as

393. State Variation in Birth Rates and Payments Among Women Ages 18-44 With Commercial Insurance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
     October 17, 2023 - This analysis was limited to deliveries that occurred in a hospital setting.

394. Puh-Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
     April 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressure Ulc…

395. Playbook for Preventing CLABSI and CAUTI in the ICU Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/playbook.html
     February 01, 2025 - Playbook for Preventing CLABSI and CAUTI in the ICU Setting The playbook helps your intensive care unit (ICU) understand how to integrate the Comprehensive Unit-based Safety Program (CUSP) and the tiered interventions introduced in the central line-associated bloodstream infection (CLABSI) and catheter-associat…

396. Appendix B. Prioritize Opportunities for Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.html
     October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix B. Prioritize Opportunities for Improvement Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart …

397. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily1.html
     July 01, 2018 - Guide to Patient and Family Engagement Introduction Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft Key Informa…

398. 030-Hand-Hygiene-Webinar-Slides-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Hand Hygiene Promotion ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Hand Hygiene Promotion SAY: Welcome to this presentation about hand hygiene promotion and how it impacts MRSA prevention. This presentation will provide information about hand hygiene indi…

399. 043-Vap-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia SAY: Welcome to this …

400. CLABSI and CAUTI Learning Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/learning-tools.html
     February 01, 2025 - CLABSI and CAUTI Learning Tools This step identifies two types of tools that can be revisited any time a central line-associated bloodstream infection (CLABSI) or catheter-associated urinary tract infection (CAUTI) occurs on your unit. They both support a thorough review of the event to identify and address the…