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Total Results: 2,792 records

Showing results for "occurring".

181. Interplay Between Cognitive Load and Diagnostic Accuracy | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
     May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Interplay Between Cognitive Load and Diagnostic Accuracy Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cogn…

182. PowerPoint Presentation: Learn From Defects for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     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

183. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
     November 01, 2017 - capture lunchtime, whereas 3 p.m. to 4:59 p.m. would provide valuable insight as to whether falls were occurring

184. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - What led to the next factor that contributed to the defect occurring?

185. USER GUIDE: Hand Hygiene Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
     April 01, 2021 - and the average number of failures (NO/Not Met) per audit, and a breakdown of where the failures are occurring

186. Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
     January 01, 2024 - We defined operative mortality as death occurring within 30 days or before discharge from the index … differences in patient illness severity and their baseline “costliness,” we also adjusted for expenditures occurring … differences in patient illness severity and their baseline “costliness,” we also adjusted for expenditures occurring

187. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - errors by detecting them before harm occurs.6 Our analysis considers both active and latent errors occurring … Active errors include, for example, those occurring at the time of hospital discharge during knowledge … We analyzed the expected and unexpected errors occurring at the hospital discharge using the process … cause analysis is an action plan that identifies the strategies to reduce the risk of similar events occurring

188. Building an Engaged CUSP Team Slides
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
     April 01, 2022 - Senior Executive in CUSP Team7,8 Identify ways to involve the senior executive in activities already occurring

189. Morningbriefing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     June 02, 2025 - Conducting a Morning Briefing Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges. What is a Morning Briefing? A morning briefing is a dialogue between two or more people using concise and relevant informati…

190. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
     April 03, 2008 - reports provided data that confirmed systems mechanisms were in place to prevent actual errors from occurring … interventions to eliminate risk for potential errors and to decrease the possibility of an actual error occurring

191. Mod03-Gap-Analysis-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
     April 01, 2016 - Advisory Council Session Preparation The purpose of the focus group sessions is to learn what is occurring … ■ Advise participants that the focus is on learning about what is occurring at the institution as

192. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
     January 01, 2024 - Computer tasks were overwhelmingly the most frequent task interrupted, with 209 of the interruptions occurring

193. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
     May 01, 2016 - was fairly high, with 91 percent of transfusions meeting the numerator criteria of a transfusion occurring

194. Measure: Behavior Therapy as First-Line Treatment for Preschool-Aged Children with ADHD (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
     October 01, 2014 - significant costs attributable to a greater need for health care, more frequent unintentional injury, co-occurring

195. Measure: PROMIS Pediatric Global Health Measure (PGH-7) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p013-ef.pdf
     February 01, 2016 - likely to be responsive to changes in health that result from health care interventions or naturally occurring

196. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - Complications of care and adverse events occurring in the inpatient hospital setting that may be related

197. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - Second, we documented the extent to which medication administration workarounds occurring in intensive … [probe to expand on impact or clarify – e.g., do they notice when problems are occurring?]

198. Leverage Patient Safety Infrastructure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
     July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Leverage Patient Safety Infrastructure Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Us…

199. Pf-Engagement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety Engage Patients and Families for Perinatal Safety SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…

200. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring