Results

Total Results: 2,566 records

Showing results for "occurring".

121. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - incidents of harm occurred in 2011, 2012, and 2013 (compared to 2010), with most of the improvement occurring

122. Using Data To Drive Change and Improve Patient Safety Slides
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
     April 01, 2022 - from it Assessment of current status Determination if progress is being made or not If progress is occurring

123. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

124. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - What led to the next factor that contributed to the defect occurring?

125. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - Ask them why these problems are occurring and where the problems reside. … Consider its impact on causing the defect, and whether the factor occurs rarely or has a likelihood of occurring

126. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - Analysis of the data by type of occurrence (Figure 2) identified the most commonly occurring error as

127. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
     January 01, 2003 - A delay was an interruption occurring at a time when the nurse was not involved in a nursing process … A direct care disruption was an interruption occurring when a direct care activity (e.g., medication

128. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
     August 01, 2018 - 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

129. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
     December 01, 2017 - 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 …

130. Understand the Science of Safety for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

131. Findings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - determined to involve a potential transition of care event, defined by a multidisciplinary team as occurring … collected and reviewed the hospital’s clinical and administrative documents to identify potential failures occurring

132. TeamSTEPPS for Office-Based Care Implementation Workbook (pdf file)
     ce.effectivehealthcare.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…

133. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - develop codes particular to the analysis of specific kinds of reported events and to transform commonly occurring … in this fashion suggested potential intervention strategies for reducing the likelihood of an error occurring … or of an occurring error cascading into patient harm.

134. Equipment and Supplies | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
     July 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 …

135. 6. Conclusions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen6.html
     April 01, 2018 - It is also key to avoid having other competing population-based initiatives occurring in the service

136. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

137. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - studies have examined medication-related errors associated with medication management transactions occurring … The nurse reviewer did not abstract any information about transactions leading up to or occurring after … When the study detected mitigation transactions, the measures reflected processes occurring when the

138. Readiness Assessment | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/handouts/readiness.html
     December 01, 2015 - A practical strategy for this aspect of readiness is to: Identify the changes that are occurring or … Identify any current safety and quality initiatives (e.g., Lean Six Sigma) that may already be occurring

139. Healthcare Research and Quality Act of 1999 (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/hrqa99b.html
     October 01, 2014 - on health care; (B) provide information on the quality of care and patient outcomes for frequently occurring … concerning— (A) the nature and characteristics of primary care practice; (B) the management of commonly occurring

140. Documentation and Coding for Patient Safety Indicators (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - Pneumothoraces occurring during or immediately after a procedure are generally considered iatrogenic … Pneumothoraces occurring during or immediately after a procedure are generally considered iatrogenic … Pneumothoraces occurring during or immediately after a procedure are generally considered iatrogenic … PDI 05 Iatrogenic Pneumothorax X Pneumothoraces occurring during or immediately after a procedure … PSI 06 Iatrogenic Pneumothorax X Pneumothoraces occurring during or immediately after a procedure are