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Showing results for "occurred".

41. Engage Patients and Families for Perinatal Safety (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Generally, only findings that are reasonably certain to have occurred and unlikely to change should … investigate and analyze it (e.g., a root cause analysis may be conducted) to determine whether patient harm occurred

42. Data Measures Guide (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - Mobility Intubated: Adverse Event Incidence Rate Numerator Total number of adverse events which occurred … Example In a given time period, say a unit enters the following data: • Adverse events (4) and (7) occurred … of Adverse Events Numerator Total number of adverse events in each of the 25 categories which occurred … NOT Intubated: Adverse Event Incidence Rate Numerator Total number of adverse events which occurred … Total number of patient days with Intub/Trach & Mech Vent marked “N” on which any adverse event(s) occurred

43. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
    July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

44. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - If a normal error has occurred, the provider undoubtedly feels bad and should be supported. … technology, the information, and the processes are all critical clues to the context in which the event occurred … the context is best done through observations of normal work flow in the environment where the event occurred … It is an opportunity for everyone to understand the event, why it occurred, and confirm contributing

45. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Analysis of why the event occurred, what worked, and what did not work.

46. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - The most visible advances occurred in the services and nursing units (a 50% reduction in general surgery

47. NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
    December 13, 2013 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus Patent Ductus Arteriosus Characteristics ■ A persistent open connection beyond 3 months of age between the pulmonary artery and the aorta with blood flow from the aorta to the pulmonary artery. ■ An open ductus may lead to: – Congestive heart…

48. Tool: STAR | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
    June 01, 2023 - members are asked to respond to a change in a patient’s status when expected improvements have not occurred

49. Action Planning Worksheets | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
    November 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

50. Understand-Facilitator-Guide (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

51. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Generally, only findings that are reasonably certain to have occurred and unlikely to change should be … investigate and analyze it (e.g., a root cause analysis may be conducted) to determine whether patient harm occurred

52. Quality Improvement Study Framework (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
    April 13, 2017 - Include— · Frequency: How often the issue occurred in your study period · Sources: Potential reasons

53. Office-Based Teams Instructor Guide
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan-ig.pptx
    January 20, 2006 - Measure before and after you implement TeamSTEPPS to see if the desired changes occurred.  

54. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Workgroup Summary: The latest Workgroup meeting occurred virtually on July 23, 2020, and was attended

55. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan-ig.html
    September 01, 2015 - Measure before and after you implement TeamSTEPPS to see if the desired changes occurred.

56. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Investigation and Analysis has been completed, which will take place within 30-45 days after the event occurred

57. PRIMARY CARE OFFICE-BASED TEAMS Leading Teams
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
    January 20, 2006 - include any of the following: Accurate recounting and documentation of key events; Analysis of what occurred … To conduct a debrief, the team leader recaps the established plan and key events that occurred and asks

58. Module 3: Component Kit (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
    May 01, 2017 - CUS contact person determines what communication has occurred with the patient/family regarding the event … If communication has not yet occurred and is required, CUS contact person will speak with the patient

59. Board Checklist | Agency for Healthcare Research and Quality
    www.cpsi.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

60. How to Use the CUSP Toolkit | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/cusp/toolkit/index.html
    July 01, 2018 - the Nationwide Implementation of the Comprehensive Unit-based Safety Program (CUSP) These webinars occurred