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Total Results: 666 records

Showing results for "occurred".

1. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/news/newsletters/e-newsletter/908.html
   April 01, 2024 - Home News Newsletter AHRQ News Now Surge in Drug Shortages Occurred … Newsletter AHRQ News Now Events Surge in Drug Shortages Occurred … Today's Headlines: Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds April 23 Webinar … Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds A recent AHRQ-funded study on pharmaceutical … 2024 Page originally created April 2024 Internet Citation: Surge in Drug Shortages Occurred

2. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/hai/pfp/2015-interim.html
   December 01, 2016 - over the 5 years (2011, 2012, 2013, 2014, and 2015) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2015 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and … on October 1, 2015, and also due in part to delays in contracting for MPSMS data analysis that occurred

3. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/hai/pfp/2014-final.html
   January 01, 2018 - precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred

4. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/hai/pfp/hacrate2013.html
   January 01, 2018 - hospital patients over the 3 years (2011, 2012, 2013) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … Costs included the initial hospital stay and costs of other inpatient sites of care that occurred within … in 2013 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … The majority of deaths averted occurred as a result of reductions in the rates of pressure ulcers 14

5. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
   www.monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
   November 01, 2021 - There is no evidence in these reports that any other type of patient safety concern occurred. … In several instances, the exposure occurred because staff were not following PPE protocols, such as … In other cases, the exposure occurred with an asymptomatic individual, and was later identified when … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID … PSOs generally provided data elements for the location in the facility where the event occurred and

6. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
   www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
   December 01, 2016 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

7. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
   www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
   August 01, 2022 - information, other than event reports, that might provide information indicating that a CANDOR event has occurred … create a cohesive environment for informing the organization as to whether a CANDOR event may have occurred … implement the best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred … Risk Management can also provide ongoing support to managers on the unit(s) where the event occurred. … Also, the location where the event occurred is generally no longer intact, so information that could

8. Mod5-Disclosure-Checklist (pdf file)
   www.monahrq.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.

9. USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
   www.monahrq.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.

10. Transformation to the Patient-Centered Medical Home in CareOregon Clinics (pdf file)
    www.monahrq.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

11. Chipra202-Materials Iiia (pdf file)
    www.monahrq.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

12. Chipra204-Materials Iiia (pdf file)
    www.monahrq.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

13. Chipra205-Materials Iiia (pdf file)
    www.monahrq.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

14. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
    May 01, 2017 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

15. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring or has occurred … Do: Activity: List de-identified events that have occurred in your organization. … Once activated, the CANDOR Response Team will work with the caregivers where the event occurred to ensure

16. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 - 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

17. Transformation to the Patient-Centered Medical Home in CareOregon Clinics | Agency for Healthcare Research and Quality
    www.monahrq.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

18. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
    November 15, 2019 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 15, 2019, from 10 a.m

19. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/news/newsroom/case-studies/criteria.html
    December 01, 2019 - Impact or results must have already occurred.

20. Appendix B: Bringing It To Life - Case Study | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
    September 01, 2020 - This case highlights a situation that could have occurred in any hospital around the country. … The next level of missed opportunity occurred at the level of the triage nurse.