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Showing results for "occurred".

41. Table 5.A.1. Evidence Table (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - Medical records flagged with an alert were reviewed to determine whether an ADE had occurred. … Whenever a trigger occurred, the data management system automatically sent an alert, leading reviewers … The majority of AEs occurred in the neonatal intensive care unit (13.4 AEs per 1000 patient-days; … , and if it had occurred, the event’s preventability and severity. … Chart reviews occurred in a 2-stage process.

42. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on March 11, 2021, from 10 a.m. to

43. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - Workgroup Summary: The latest Workgroup meeting occurred virtually on November 6, 2020, from 1 p.m.

44. Tool: I-PASS | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
    July 01, 2023 - to support a patient are prepared for situations they might not have considered before the handoff occurred

45. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - This format helps to utilize the information found in the investigation to understand why the event occurred

46. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
    June 01, 2021 - We’re only going to focus on those that occurred in the long-term care facility. … SAY: A second problem occurred when the daytime health care practitioner prescribed antibiotics. … Science of Safety SAY: Let’s apply the three basic principles of safe design to the problems that occurred

47. Silence A Commentary | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - There are four things patients and families want after medical harm has occurred: tell us what happened … after medical harm. 5 I believe there is a fifth desire for some patients and families after harm has occurred

48. Chapter 3. Development of the Data Infrastructure | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter3.html
    December 01, 2017 - The identified differences were minimal and were primarily due to registration updates that occurred … Admissions that occurred within 30 days of a previous inpatient discharge were identified as readmissions … Diabetes education visits are visits that occurred in diabetes education clinics and are not counted

49. Implementation Planning | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
    February 01, 2024 - Measure before and after you implement TeamSTEPPS to see whether the desired changes occurred.

50. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8a.html
    October 01, 2014 - quality of life improved significantly at 6 months, whereas at 12 months, no significant improvement occurred … symptoms were reduced significantly, but at 12 months, no significant change in asthma symptoms had occurred … Similarly, the same study found that after 2 weeks, no differences occurred in asthma planning visits … same study found that after two weeks, no differences in asthma planning visits or acute care visits occurred

51. Adverse Drug Events Occurring in U.S. Hospitals | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/data/infographics/adverse-drug-events.html
    August 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 …

52. Leading Teams (Instructor Guide) (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_ig_lead.pdf
    May 10, 2017 - When emergencies have occurred at these events in the past, many people come running and there is … include: • Accurate recounting and documentation of key events; • Analysis of why the event occurred … • Recap the situation, background, and key events that occurred. … • Accurate recounting and documentation of key events; • Analysis of why the event occurred, what worked

53. Engage Patients and Families for Perinatal Safety (pdf file)
    www.qualitymeasures.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

54. Penicillin Allergy (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
    September 01, 2022 - 4 • If the reaction occurred more than 10 years ago, the patient may no longer have an allergy because

55. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
    January 01, 2018 - has done to communicate and share survey results with staff, and an understanding of what benefits occurred

56. Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
    March 01, 2017 - facility leaders and administrators to share information with residents/families when an event has occurred

57. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
    www.qualitymeasures.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 …

58. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

59. AHRQ_Brand_NameOnly (xls file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
    March 01, 2017 - My team has a good process in place to monitor and track infections, and examine why they occurred if … able to answer The team has a process in place to monitor and track infections, and examine why they occurred … The team has a process in place to monitor and track infections, and examine why they occurred.4 The

60. Technical Specifications: High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-121-technicalspecs.pdf
    January 31, 2020 - CALCULATION Step 1: Identify all deliveries that occurred in medical facilities, using the criteria … Step 8: Count the number of high risk deliveries that occurred in Class 1 and Class 2 facilities for