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Showing results for "occurred".

61. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
    November 01, 2018 - period, you will need to consider "denominator data" or the number of times the event could have occurred

62. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - TeamSTEPPS for Office-Based Care Implementation Workbook TeamSTEPPS for Office-Based Care Implementation Workbook TeamSTEPPS® for Office-Based Care TeamSTEPPS Action Planning At-A-Glance 1 2 3 4 5 6 7 8 9 10 Create a Change Team Define the Problem, Challenge, or Opportunity for Impro…

63. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - The 6 discrepancies determined to potentially result in a severe ADE occurred in 6 individuals, while … 386 ADEs were rated as significant and 174 rated as minor occurred in 152 and 174 individual patients … Gandhi and colleagues estimated that ADEs occurred at a rate of 27.4 per 100 ambulatory patients, with

64. Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/news/newsroom/case-studies/201801.html
    April 01, 2018 - The majority of falls occurred as patients left their beds to walk to or from the bathrooms, Myers said

65. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
    February 01, 2015 - The learning that occurred as a result of the simulation reveals opportunities for organizations to

66. Module 7: Resolution | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - components: Taking responsibility—This is not admitting guilt, but rather admitting that an adverse event occurred

67. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
    February 01, 2017 - How accurately did it reflect what actually occurred with the project? … If budget modifications occurred when project was implemented: Who determines modifications to the

68. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - In determining the defect that occurred, teams reconstruct the timeline of the event by placing themselves

69. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
    March 13, 2014 - TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning TeamSTEPPS 2.0 Guide to Action Quick Reference - 1 The Quick Reference Guide to TeamSTEPPS Action Planning Step 1: Create a Change Team Objective: To create a team of leaders and staff members with the authority, expertise, credibility, …

70. Module 3: Script and Slides (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
    May 01, 2017 - [1: ] Often, it is appropriate to apply type 2 problem solving to understand why the problem occurred

71. TeamSTEPPS for Office-Based Care: Leading Teams | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
    September 01, 2015 - Analysis of what occurred, what worked, and what did not. … To conduct a debrief, the team leader recaps the established plan and key events that occurred and asks

72. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
    August 01, 2018 - The learning that occurred as a result of the simulation reveals opportunities for organizations to address

73. FileNewTemplate
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module11.pptx
    March 07, 2019 - for that measure, and measure before and after you implement TeamSTEPPS to see if the desired changes occurred

74. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical DocumentationComparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Group Practice Linkage File, Technical Documentation (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
    January 01, 2018 - If most of a group practice’s 2018 billings at HOPDs occurred at a specific HOPD linked to a system, … If such a group practice reported that most 2018 billings at hospital-based settings occurred at specific … For example,, if 60 percent of the DOSs for a TIN occurred at a facility linked to hospital 1, and 40 … percent occurred at a facility linked to hospital 2, the file includes the CCN for hospital 1 in the … xxiii The data we used to identify whether group practices occurred in a hospital-based setting include

75. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
    August 01, 2021 - 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 …

76. Observational Audits (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
    March 01, 2021 - • Not Met: Task required prompting to prevent error or error occurred. … Although no breach occurred, this would be documented as “Not Met.

77. Sickle Cell Disease Measure 16: Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-scd-pain-specifications.pdf
    April 14, 2018 - Acute pain episode: Considered to have occurred if there is any documentation of a Numeric Pain Intensity

78. EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
    June 05, 2016 - The observed rate is the actual rate at which events measured by the indicator occurred in your hospital

79. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
    March 01, 2014 - 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 …

80. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm occurred