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Total Results: 2,959 records

Showing results for "occurred".

421. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
     May 01, 2017 - 6 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

422. Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
     January 01, 2024 - Results: Overall, there were 360 safety triggers that occurred among 155 participants, which represented … Whenever a safety trigger occurred throughout the course of the intervention, protocol instructed a … adverse events among patients taking high-risk medications16 and after hospital discharge.17 Triggers occurred

423. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
     January 01, 2024 - Despite universal electronic decision support at our hospital, ART errors occurred in 30% of hospitalizations … In a recent case at Hopkins Hospital, rebound occurred after 6 days of an incomplete regimen. … In 2013, 927 (58%) of 1,609 total hospitalizations of PLWH at Hopkins Hospital occurred on the HIV/AIDS … A total of 145 ART errors occurred in 110 (29%) hospitalizations. … As above, about half of admissions of PLWH to Hopkins Hospital historically occurred on the HIV specialty

424. Examples of How States Use Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-8.html
     December 01, 2017 - Public reporting has encouraged HMOs to focus on performance improvement and sustained improvement has occurred

425. Program Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
     January 01, 2013 - The kick-off meeting occurred approximately 1-3 months after the immersion calls, the mid-course meeting

426. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
     October 01, 2014 - See if a change occurred in any of the resident's other vital signs.

427. Measure: Pediatric All-Condition Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
     October 01, 2014 - Most index hospitalizations occurred at hospitals with a readmission rate reliability of at least 0.7

428. Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
     January 01, 2015 - Most index hospitalizations occurred at hospitals whose readmission rate reliability was at least 0.7

429. Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
     May 01, 2013 - substantial variation by State and hospital.1,2 ● Overall, nearly a third of all births (32.8 percent) occurred

430. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers 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 Cover Sheet …

431. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers 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 Cover Sheet …

432. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Nephrocalcinosis Nephrocalcinosis Characteristics ■ Renal lithiasis in which calcium deposits form in the renal parenchyma and result in reduced kidney function and hematuria. ■ Seen with renal ultrasound, or occasionally on plain radiographs of the kidneys. ■ Resul…

433. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Root causes, which represent the fundamental reasons why the event occurred, are investigated by analyzing … how and why the event occurred. … understanding of what the event reveals about systemic problems in the health care organization in which it occurred

434. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

435. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
     August 01, 2014 - AHRQ Tribal Consultation Policy Consultation plan to ensure input by tribal officials in development of regulatory and other policies with substantial direct effects on one or more tribes. Each Federal department must have a process to ensure meaningful and timely input by tribal officials in development of r…

436. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     June 02, 2025 - Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications Technical Specifications Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported Eligible Population: Newborns with a gestational age <35 weeks, are residents of the State,…

437. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
     January 01, 2024 - Nurses voiced their concern about the decline in communication that has occurred as a result of the … The participants would be asked to comment on their experience of nonideal care events that occurred

438. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - risk or had a recent change in risk, would we do things differently to intervene before the event occurred … they were for potentially preventable conditions, the time of day and day of week that the transfers occurred

439. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
     September 01, 2022 - From the time the patient presented for medical care to the time harm occurred, there were several opportunities

440. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 2. ST-PRA Development Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-…