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Showing results for "occurred".

3841. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/guide.html
      January 01, 2020 - Letter If a CLABSI occurs on your unit, your team should investigate process defects that may have occurred

3842. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
      April 01, 2016 - calculated in two ways: Point-to-Point is calculated using two data points, to determine if weight loss occurred

3843. Making Just Culture a Reality: One Organization's Approach | PSNet
      psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
      October 01, 2007 - In 2001, an accident occurred in our interventional MRI room when a piece of equipment flew across the … Even before the event occurred, they contributed through the quality of the choices that they made.

3844. Noise: a distraction, interruption, and safety hazard. | PSNet
      psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
      February 01, 2014 - Commentary Noise: a distraction, interruption, and safety hazard. Citation Text: Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

3845. Distractions, interruptions, and patient safety. | PSNet
      psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
      February 01, 2014 - Commentary Distractions, interruptions, and patient safety. Citation Text: Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3846. Administering just the diluent or one of two vaccine components leaves patients unprotected. | PSNet
      psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
      May 07, 2018 - Newspaper/Magazine Article Administering just the diluent or one of two vaccine components leaves patients unprotected. Citation Text: Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…

3847. Resident And Family Engagement: What is my role as a leader? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
      March 01, 2017 - Resident And Family Engagement: What is my role as a leader? AHRQ Safety Program for Long-Term Care: HAIs/CAUTI What is resident and family engagement? Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…

3848. CAHPS (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh_items_cg-cahps-child-survey_2358-2a.docx
      June 02, 2025 - CAHPS CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Patient-Centered Medical Home Population Version: Child Supplemental Patient-Centered Medical Home Items for the CAHPS® Clinician & Group Survey 3.0 Population Version: Child Language: English Read about the Patient-Centered Medical Home Item Set. …

3849. 4 Tk1 T3-Not All Infections Need Antibiotics- Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
      May 01, 2014 - How to enter Data Manually Into an Antibiogram Template Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality Not All “Infections” Need Antibiotics! What is the UTI SBAR form? What does it include? • The Suspected Urinary Tract Infection (UTI) Situation, Background, Ass…

3850. Teaching Pre-Implementation Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
      May 01, 2023 - Teaching Pre-Implementation Measurement Present Slide 12, “Measurement.” Use this slide to introduce the topic of measurement and note that it is key to all organizational improvement initiatives. In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to stress t…

3851. Supplemental-Sdm-Hp-Child-2158-5A (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-sdm-hp-child-2158-5a.docx
      June 02, 2025 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Shared Decisionmaking Population Version: Child Supplemental Items for the CAHPS® Health Plan Survey 5.0 Topic: Shared Decisionmaking Population Version: Child Language: English Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in …

3852. Exhibit 3.2. Grand Hospital Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.2. Grand Hospital Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

3853. Location Release Form for Video Shoots (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Location-Release-fillable-form.pdf
      April 01, 2024 - Location Release Form for Video Shoots Location Release Form for Video Shoots Instructions This Location Release Form must be completed by the location’s Administrator to verify permission to conduct video recording(s) at a particular location. It does not apply to recordings on government property, which may re…

3854. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Protocol Overview Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale Referenc…

3855. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
      July 01, 2023 - Tool: Check-Back (or Repeat-Back) A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was rece…

3856. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
      June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action What Can Leaders Achieve by Prioritizing Diagnostic Safety? Previous Page Next Page Table of Contents Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagno…

3857. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Error in the Testing Process Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the …

3858. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - The second error occurred during the patient transfer, when only the records, but not the imaging, accompanied … The third error occurred as the patient was posted for the surgical suite without preoperative imaging … These three errors occurred before the patient was rolled into the surgical suite. … The fourth error occurred once in the operating room—implementation of the Universal Protocol could have

3859. Statistical Brief #4
      hcup-us.ahrq.gov/reports/statbriefs/sb4.jsp
      May 01, 2006 - In 2003, nearly three out of four hospital stays for alcohol abuse occurred in men, making it one of … almost half of all hospitalizations for alcohol abuse, while another 42 percent of these hospital stays occurred … Less than 8 percent of alcohol-related stays occurred among patients 65 and older. … More than 90 percent of hospitalizations for alcohol abuse occurred among adult patients under 64, with

3860. HCUP Statistical Brief #4: Hospitalizations for Alcohol Abuse Disorders, 2003 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb4.pdf
      May 01, 2006 - More than 90 percent of lizations for alcohol occurred among adult ts under 64, with patients … arh24-1/05-11.pdf http://pubs.niaaa.nih.gov/publications/arh24-1/05-11.pdf stays for alcohol abuse occurred … almost half of all hospitalizations for alcohol abuse, while another 42 percent of these hospital stays occurred … Less than 8 percent of alcohol-related stays occurred among patients 65 and older.