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Showing results for "occurring".

81. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - facility level for residents at high risk for adverse events Are generated weekly Can show trends occurring

82. Module 6 Slides
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
    February 03, 2006 - feedback is— Timely Respectful Specific Directed toward improvement Helps prevent the same problem from occurring

83. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
    May 11, 2016 - The reporting system will need to be flexible regarding analysis and other activities occurring at local

84. Staff Safety Assessment
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

85. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
    May 01, 2017 - Divergent thinking occurs during brainstorming sessions and when trying to understand what might be occurring

86. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

87. newbref
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/slmutualsupp.pptx
    February 03, 2006 - feedback is— Timely Respectful Specific Directed toward improvement Helps prevent the same problem from occurring

88. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - facility level for residents at high risk for adverse events Are generated weekly Can show trends occurring

89. Understand-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

90. Four Moments Poster (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
    November 01, 2019 - Four Moments Poster AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time initiation of antibiotic therapy is considered: Ask, “Does my patient have an infection that requires antibiotics?” occurs when the dec…

91. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - dispensing and administration studies.6, 7 However, the goals of the present study were to identify errors occurring … The identification and characterization of medication errors occurring in the Medical Errors Prior … Specifically, the team was very interested in identifying errors occurring in patients greater than … The types of errors that are characterized in the ambulatory setting are often different from those occurring

92. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
    December 01, 2017 - Paused other tasks : not engaged in other tasks while the briefing was occurring.

93. 10 Patient Safety Tips for Hospitals (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
    December 01, 2009 - research and implementation projects, offers these 10 evidence-based tips to prevent adverse events from occurring

94. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - 0.004 0.012 Depression 0.002 0.006 Sample size 21,574 903 aPSI refers to a patient safety event occurring … PSI refers to a patient safety event occurring. … PSI refers to a patient safety event occurring. … PSI refers to a patient safety event occurring. Standard errors are in parentheses.

95. Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
    April 01, 2022 - training in quality improvement processes, and lack of knowledge of broader patient safety initiatives occurring

96. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - For this study, the outcome of interest was an SSI occurring in outpatient arthroscopic surgery of the … call by the outpatient surgery center to 30 days postoperative, due to the higher rate of infection occurring … Song and Coleman, both members of the TEP, were asked to estimate the probability of this risk occurring

97. An Overview of the CANDOR Process
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
    September 10, 2015 - best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred or is occurring

98. Do Transient Working Conditions Trigger 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/Grayson.pdf
    January 01, 2003 - and reported increased distractions and feelings of fatigue during the 30 minutes prior to the error occurring

99. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - best practice of creating a hotline for staff to call when they feel a CANDOR event has occurred or is occurring

100. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
     November 01, 2019 - solving one particular instance of the problem, and it generally does not help prevent future harm from occurring … It identifies issues in the system and aims to prevent them from occurring again.