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Total Results: 2,941 records

Showing results for "occurred".

561. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     June 02, 2025 - high risk or had a recent change in risk, would we do things differently to intervene before the event occurred

562. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
     May 01, 2011 - The systems should capture both objective information about what occurred and more subjective information … About 88 percent of the patient safety events occurred in a hospital setting. … One quarter of patient safety events occurred in an ambulatory setting and 10 percent in a long-term … Among the participants, about 91 percent reported that the event occurred in a hospital setting, 21 … ; who was involved (functions, not names); why it occurred (most dominant cause); and risk assessment

563. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
     May 01, 2011 - The systems should capture both objective information about what occurred and more subjective information … About 88 percent of the patient safety events occurred in a hospital setting. … One quarter of patient safety events occurred in an ambulatory setting and 10 percent in a long-term … Among the participants, about 91 percent reported that the event occurred in a hospital setting, 21 … ; who was involved (functions, not names); why it occurred (most dominant cause); and risk assessment

564. Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
     September 01, 2022 - Acute Care Asymptomatic Bacteriuria and Urinary Tract Infections Best Practices in the Management of Patients With Antibiotic Allergies Ambulatory Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(22)-0030 September 2022 Antibiotic Allergies AHRQ Safety Program for Improving Antibiotic Us…

565. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/brock.html
     August 01, 2017 - Advances in Patient Safety and Medical Liability Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming th…

566. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - Medicine has assimilated many of the key constructs from the cognitive revolution that occurred in psychology … physician to plead extenuation on the basis that mayhem prevailed in the ER at the time the adverse event occurred

567. Action-Plan-Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
     April 01, 2022 - Unit Action Plan The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…

568. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…

569. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4i Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in…

570. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…

571. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4w Selected Best Practices and Suggestions for Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children?…

572. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
     October 01, 2015 - : On average, AHRQ Estimating Costs grantees found that the transformation efforts they studied occurred

573. A Practical Guide for Estimating the Costs of Primary Care Transformation | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
     February 01, 2017 - : On average, AHRQ Estimating Costs grantees found that the transformation efforts they studied occurred

574. Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/enabling-real-time.pdf
     January 01, 2023 - Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices Enabling Real-Time Identification of Burnout Risk Among Clinicians in Primary Care Practices AHRQ Impact: Researchers have developed a prediction tool to identify primary care practices at high-risk of clinician burnout…

575. Nursing Practice Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
     March 01, 2022 - Nursing Practice Guide Section 9-5 – Decolonization of Non-ICU Patients With Devices Nursing Practice Guide Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decolonization intervention. Engagement and Collaboration CHG Bath Documentation N…

576. Nursing Practice Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
     March 01, 2022 - Nursing Practice Guide AHRQ Pub. No. 20(22)-0036 March 2022 Section 9-5 – Decolonization of Non-ICU Patients With Devices Nursing Practice Guide Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decolonization intervention. CHG = c…

577. FAQs (Staff): Safety and Side Effects: CHG and Mupirocin (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.docx
     March 01, 2022 - FAQs (Staff): Safety and Side Effects: CHG and Mupirocin Decolonization of Non-ICU Patients With Devices Section 14-6 – Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Mupirocin This hospital will be using chlorhexidine gluconate (CHG) and nasal mupirocin to reduce bacteria that c…

578. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 01, 2023 - AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century AHRQ's Making Healthcare Safer reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the health…

579. 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/science-of-safety-facguide.docx
     January 01, 2017 - reporting systems, sentinel events, and claims data are reactive—the unfortunate event has already occurred

580. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - means of reducing them, root cause analysis provides indepth insight into errors that have actually occurred—in … technique is used reactively, to probe the reason for a bad outcome or for problems that have already occurred