Results

Total Results: 2,959 records

Showing results for "occurring".

101. Staff Safety Assessment
     www.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

102. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
     www.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

103. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
     www.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

104. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
     October 01, 2014 - Many of the trends occurring in care management, such as population-based approaches and managing comorbid

105. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
     January 01, 2024 - Through this strategy, we hoped to see different kinds of errors and near misses occurring within the … In the emergency medicine setting, we observed shift work activities occurring during the day that involved … In interviews with surgical residents, a link was implied between the high percentages of mistakes occurring … The fact that none of the mistakes and near misses occurring in isolation was associated with an adverse

106. Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
     January 01, 2024 - common care gaps underscored the importance of improving systems and processes to prevent errors from occurring … study results suggested that there are opportunities to improve efforts to prevent care gaps from occurring

107. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - Using this process, they found that harmful DEs were common, occurring in about 7% of hospitalized patients

108. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
     January 01, 2024 - To implement an automated surveillance system for measuring the incidence of ADEs occurring in the outpatient … To utilize the automated surveillance system for measuring the incidence of ADEs occurring in these patient … Laboratory monitoring of medications and physiologic function, though frequently occurring on a near-daily … setting (including the emergency department) that require emergency care or hospital admission and occurring … Adverse drug events occurring following hospital discharge. J Gen Intern Med 2005; 20(4):317-323.

109. Findings | Agency for Healthcare Research and Quality
     www.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

110. Antibiotic-Targets-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - This type of problem solving generally does not help prevent future harm from occurring. … It identifies problems in the system and works to prevent them from occurring again.

111. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
     www.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.

112. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

113. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
     July 01, 2023 - Divergent thinking occurs during brainstorming sessions and when trying to understand what might be occurring

114. Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
     September 01, 2022 - What problems or gaps do we have at our institution to prevent diagnostic errors like this from occurring

115. Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI (pdf file)
     www.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

116. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
     August 01, 2022 - clinicians understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring

117. Rachel Hogg Graham - Sample Grant Application (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/rachel-hogg-graham-application.pdf
     May 19, 2021 - clinical care and not the cross-sector collaboration with other public and private organizations occurring … a social network analysis tool, to gather more granular data on the type of collaboration that is occurring … Variables: The primary independent variables will examine the quality and quantity of relationships occurring … The goal in this aim is to gain an understanding of clinical-community collaborations occurring in the … in Aims 1 and 2 to generate a robust and unique picture of the hospital-community collaborations occurring

118. Healthcare Research and Quality Act of 1999 (continued) | Agency for Healthcare Research and Quality
     www.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

119. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
     www.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.

120. 10 Patient Safety Tips for Hospitals (pdf file)
     www.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