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Showing results for "occurring".

101. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
     February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization.

102. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - several studies have highlighted the significant liability claim costs associated with preventable ADEs occurring … claims analyzed, 73 percent of them were deemed preventable and were nearly evenly divided between ADEs occurring … This project highlights the need to proactively implement strategies to minimize potential ADEs occurring

103. Learn-From-Defects-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
     May 01, 2017 - CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

104. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
     August 01, 2022 - As such, consumers may be able to provide much more information on events occurring during transitions … vigilant health care professionals and systems will attempt to both prevent patient safety events from occurring

105. Action Planning Worksheets | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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 …

106. Four Moments of Antibiotic Decision Making Explained (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
     June 01, 2021 - Four Moments of Antibiotic Decision Making Explained Moment 1 occurs when a resident is assessed for a change in status and there is a concern for infection. Sometimes long-term care staff recognize that something is not quite right with the resident but aren’t clear on what is wrong. The person doing the assessmen…

107. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - • CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

108. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - and lacks the detail necessary to design systems interventions to reduce the risk of serious errors occurring … variation is included in the models because it could raise or lower the cumulative risk of an error occurring … establish the behavioral and systems context that either increases or decreases the probability of errors occurring

109. Implementation Planning | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
     February 01, 2024 - 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 …

110. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - Simulation The simulation community has witnessed tremendous growth and energy in the past 15 years, occurring … should concerns relating to variable patient acuity, complexity of operations, and less frequently occurring

111. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
     January 01, 2013 - Nursing Outcomes, and the Centers for Medicare & Medicaid Services (CMS) reporting on falls with trauma occurring … The actual rates of falls with trauma occurring within the hospital may be found on the Medicare data

112. Mutual Support (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pdf
     June 12, 2017 - Timely � Respectful � Specific � Directed toward improvement � Helps prevent the same problem from occurring

113. Mod02-Business-Case-Worksheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
     April 01, 2016 - ■ Assess what is occurring in the organization’s legal community regarding medical litigation.

114. Tool 0A: Introduction and Overview for Stakeholders | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/introduction-overview.html
     January 01, 2013 - Falls with serious injury occurring during acute care stays represent a significant threat to patient

115. Data Infographics | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/infographics/index.html
     March 01, 2024 - Employer-Sponsored Health Insurance Growing Pain of Spinal Stenosis Adverse Drug Events Occurring

116. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - incidents of harm occurred in 2011, 2012, and 2013 (compared to 2010), with most of the improvement occurring

117. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
     December 01, 2015 - 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 …

118. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Ask: What does the nurse suggest that the team do to reduce the likelihood of the defect occurring … CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

119. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - What led to the next factor that contributed to the defect occurring?

120. TeamSTEPPS® for Office-Based Care - Readiness Assessment (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/readiness.pdf
     August 01, 2005 - Identify the changes that are occurring or will occur during the timeframe within which TeamSTEPPS implementation … Identify any current safety and quality initiatives (e.g., Lean Six Sigma) that may already be occurring