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Showing results for "occurred".

61. USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
    April 01, 2021 - location within your facility where the observational audit of the employee’s hand hygiene activity occurred … Next enter the date the audit occurred using the month/day/four-digit year format in Column E. … Select the time block that aligns with the time the audit occurred for the employee observed.

62. 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/ontimefallpxreports-ig.pdf
    June 02, 2025 - The new contributing risk factor elements represent changes that occurred in a resident’s clinical … It displays the number of falls that occurred and the risk factors associated with the falls. … For each of the months (1 or 3) included in the report, any fall that occurred before the report date … For each of the months (1 or 3) included in the report, any fall that occurred before the report date … ,  Shift during which the fall occurred,  Time at which the fall occurred,  The location of

63. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
    January 01, 2024 - (1), occurred about 25% of the time (2), occurred about half of the time (3), occurred 75% of the time … (4), or always occurred during the case (5). … They also indicated that desired team-oriented behaviors occurred at least 75% of time (5 on 5-point … 82% of cases, respectively, they occurred at least 75% of the time. … Respectful behaviors occurred least frequently: in 67% of cases, they occurred at least 75% of the time

64. Boardchecklist (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
    June 02, 2025 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

65. Transformation to the Patient-Centered Medical Home in CareOregon Clinics | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/meenan.html
    October 01, 2015 - Qualitative interviews with organizational leaders revealed that implementation occurred in two distinct … At 1 year post-implementation, 5.39 fewer inpatient admissions per month occurred in the PCR clinics

66. Mod5-Disclosure-Checklist (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
    April 01, 2016 - after the CANDOR event is identified, advise the patient and/or family that an adverse event may have occurred … ■ Explain what is known about why the adverse event occurred; do not speculate.

67. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
    June 02, 2025 - The system 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

68. Table 25. Utilization of education and case management (ECM) visits among adults who had at least one visit by type of visit. All project sites. Fiscal year 2010 | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab25.html
    December 01, 2017 - ECM visit 2.6 2.8 3.7 3.4 4.5 3.0 a Diabetes education visits are visits that occurred

69. Chipra202-Materials Iiia (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
    January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

70. Chipra204-Materials Iiia (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
    January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

71. Chipra205-Materials Iiia (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
    January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

72. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - So, first look at the system and analyze why the mistake occurred. … What actions occurred? What were the team members thinking and feeling? … Say: These are the types of questions to ask to understand how a defect occurred. … Try to find out exactly how things occurred in real time. Slide 14: What Happened? … No timeouts or debriefings occurred. Note: Spend 10 to 15 minutes discussing the case.

73. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
    October 01, 2014 - You do nothing, as this is the first time it has occurred. … You do nothing, as this is the first time it has occurred.

74. Transformation to the Patient-Centered Medical Home in CareOregon Clinics (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-meenan.pdf
    April 01, 2015 - Qualitative interviews with organizational leaders revealed that implementation occurred in two distinct … At 1 year post-implementation, 5.39 fewer inpatient admissions per month occurred in the PCR clinics

75. Board Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
    July 01, 2023 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

76. 004-Cusp-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - SAY: Defects are flaws, imperfections, or problems that occurred or could occur in the clinical or operational … Even if the MRSA represents colonization and no infections have occurred, this indicates an infection … prevention lapse occurred, and the patient is at increased risk of developing a MRSA infection. … · What actions occurred? · What were people thinking and feeling? … · What else was happening at the time the defect occurred?

77. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
    December 01, 2017 - Unless there is evidence suggesting otherwise, the most logical conclusion is that a fall has occurred … distance to the next lower surface (in this case, the floor) is not a factor in determining whether a fall occurred … , an immediate intervention should be put in place by the nurse during the same shift that the fall occurred

78. On-Time Falls Prevention: Electronic Reports (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
    June 02, 2025 - within the facility’s electronic medical record, such as nurse assessments, and represent changes that occurred … facility’s electronic medical record as determined by the facility and may represent changes that occurred … Summary of Fall Risk Factors Report is a count of risk factors associated with the falls that have occurred … For each month, it displays the number of falls that occurred and the risk factors associated with … , • Shift during which the fall occurred, • Time at which the fall occurred, • The location of the

79. Appendix 8: CLABSI Investigation Nurse Letter | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/clabsi-tools/appendix-8.html
    March 01, 2018 - Because the event occurred more than 48 hours from the time of line insertion, it is clear that this

80. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - remember what patients want in our communication with them: An explicit statement that an error occurred … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … This is a cornerstone of the CANDOR process of investigating the root cause of how an error occurred, … disclosure is a process , and the first step is to: Let the patient and family know an adverse event occurred … a result of the investigation and analysis of Michelle’s case, the following patient safety changes occurred