Results

Total Results: 2,792 records

Showing results for "occurring".

121. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
     June 02, 2025 - clinicians understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring

122. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - The baseline rates were generally very low, with most CSAE improvements occurring in favoring intervention … For births occurring from 2001-2012, the project reported a 19% reduction in frequency of obstetric claims

123. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.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

124. Tennessee Population Health Consortium: Proposed Bylaws (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/97-tenn-pop-health-consortium-bylaws.pdf
     September 20, 2022 - emergent circumstances or unforeseen circumstance prevent appointment of new Representatives from occurring

125. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - severity index scale based on patient outcomes allows users to break down actual and potential errors occurring … All data are voluntary and self-reported and may not be an accurate reflection of what is occurring … In fact, the reported data most likely represent a small percentage of the events that are occurring

126. Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
     January 01, 2025 - For example, there is evidence suggesting that prescription medication errors presumably occurring among … Clients at this clinic have numerous problems associated with chemical dependency and co-occurring mental … charts, heavy workloads and limited time for charting may enhance the likelihood of such an error occurring … Classes of patients (e.g., co-occurring disorders, DUI, self-referred, gamblers, Byrne grant).

127. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.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

128. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - 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

129. Using Data To Drive Change and Improve Patient Safety Slides
     www.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

130. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
     September 01, 2017 - Can show trends occurring over time. Can provide treatment history.

131. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
     October 01, 2017 - Can show trends occurring over time. Can provide treatment history.

132. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
     December 01, 2017 - Can show trends occurring over time. Can provide treatment history.

133. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
     October 01, 2017 - facility level for residents at high risk for adverse events Are generated weekly Can show trends occurring

134. PowerPoint Presentation
     www.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

135. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.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

136. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_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 … Measure Includes Only Elective Admissions PDI 05 Iatrogenic Pneumothorax X Pneumothoraces occurring

137. Chapter 7. Discussion of Project Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter7.html
     December 01, 2017 - The AI/AN rate is nearly 2.5 times that for Whites, with 36.0 percent of deaths from heart disease occurring

138. Part 1: An Introduction to Care Management Entities (CMEs) | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt1.html
     September 01, 2014 - the highest-need, highest-cost youth with complex behavioral health concerns, such as severe or co-occurring

139. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - thinking occurs on rounds, during brainstorming sessions, and when trying to understand what might be occurring

140. Project Report - Lean Sigma
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
     January 01, 2007 - list three or four ways in which communication could be improved to reduce the risk of similar defects occurring