Results

Total Results: 2,959 records

Showing results for "occurring".

141. 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

142. 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

143. 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

144. 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).

145. 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.

146. 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.

147. 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.

148. 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

149. 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

150. Pocket Cards_4 Moments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
     November 01, 2019 - Pocket Cards_4 Moments Th e Fo ur M om en ts o f A nt ib io tic D ec isi on M ak in g AHRQ Pub. No. 17(20)-0028-EF November 2019 Moment 1 occurs at the time that initiation of antibiotic therapy is being considered. Ask, “Does my patient have an infection that requires antibiotics?” Mome…

151. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
     December 01, 2023 - Practice Self-Assessment Tool for Opioid Use in Older Adults www.ahrq.gov Practice Self-Assessment Tool for Opioid Use in Older Adults Instructions: This quality improvement self-assessment tool is best completed in a group discussion with all staff involved in this work. It can also be completed by staff indi…

152. Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html
     November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction …

153. 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

154. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

155. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.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

156. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.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

157. An Overview of the CANDOR Process
     www.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

158. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.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

159. 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

160. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.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