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Total Results: 1,442 records

Showing results for "occurred".

421. 148-Investigating-Defect-Lfd-Worksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
     April 02, 2025 - AHRQ Safety Program for MRSA Prevention Investigating A Defect Worksheet ICU & Non-ICUTop Contributing Factors Interventions To Reduce Risk Who Will Do It and By When Status Enter contributing factor Enter intervention Enter responsible staff, deadline Enter status Enter contributing factor Enter intervention Enter re…

422. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/clabsi-tools/guide.html
     January 01, 2020 - Letter If a CLABSI occurs on your unit, your team should investigate process defects that may have occurred

423. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
     July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

424. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
     July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

425. Inpatient-to-Outpatient Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
     June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Inpatient-to-Outpatient Transitions Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to A…

426. Self-Assessment Worksheet for Pressure Ulcer Healing | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
     December 01, 2017 - Self-Assessment Worksheet for Pressure Ulcer Healing AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing This self-assessment tool is an important first step in implementing the On-Time electronic reports into current workflow to help inform pressure ulcer wound interventions and improve …

427. Research Training and Education | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/index.html
     December 01, 2022 - Research Training and Education Sign up: Research Training and Education Email updates AHRQ's Research Training Opportunities The Agency for Healthcare Research and Quality (AHRQ) provides a variety of funding opportunities designed to support and enhance the education and career development of health…

428. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …

429. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
     October 01, 2022 - But severe postpartum hemorrhage occurred at higher rates among non-Hispanic Asian or Pacific Islander

430. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - University The project found that medication discrepancies in the transition from hospital to home care occurred … in a disclosure, apology, and discussion of a settlement if it is determined that a medical error occurred

431. Saworksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
     April 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention Self-Assessment Worksheet for Pressure Ulcer Healing 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Self-Assessment Worksheet for Pressure Ulcer Healing This self-assessment tool is an im…

432. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
     October 01, 2022 - while patients with a score ≥3 had a VTE event rate of 1.29. 59 The vast majority of the VTE events occurred … One half of bleeding episodes occurred in the 10 percent of patients with a high (≥7) score.

433. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
     January 01, 2025 - More than half of neonatal transports (57%) occurred under 1 day of age, leading to early separation … More than half of neonatal transports (57%) occurred under 1 day of age, leading to early separation

434. Patient-Centered Outcomes Research Trust Fund Training Program Evaluation Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tp-evaluation-report.html
     August 01, 2024 - Patient-Centered Outcomes Research Trust Fund Training Program Evaluation Report The Patient Protection and Affordable Care Act of 2010 authorized AHRQ to develop the skills of researchers to build capacity for future comparative effectiveness research (CER). With support from the Patient-Centered O…

435. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Commercially Insured Beneficiaries Ages 45-64 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/data-innovations-statbrief-statins-commercial-insurance.pdf
     October 02, 2024 - This analysis was limited to events that occurred in a hospital setting and outpatient prescription

436. State Variation in Opioid Prescription Fills After Childbirth Among Women Ages 18-44 With Commercial Insurance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
     March 01, 2024 - This analysis was limited to deliveries that occurred in a hospital setting and outpatient prescription

437. Meeting Minutes, March 27, 2015 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
     July 01, 2015 - The most significant improvements occurred in 2012 and 2013.

438. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
     January 01, 2025 - The dataset initially consisted of 535,190 anesthesia cases that occurred at five hospitals (coded as … These syringe events mainly occurred during the intraoperative phase (65%), followed by preoperative … On average, 14.5 syringe movements occurred in each case.

439. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
     March 01, 2016 - Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation March 2016 Authored by: Jeff Hummel, MD, MPH Peggy C. Evans, Ph…

440. Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
     June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measure…