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Total Results: 2,959 records

Showing results for "occurring".

181. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
     January 01, 2003 - A delay was an interruption occurring at a time when the nurse was not involved in a nursing process … A direct care disruption was an interruption occurring when a direct care activity (e.g., medication

182. Understand the Science of Safety for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

183. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/908.html
     April 01, 2024 - Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds Issue Number 908 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 9, 2024 AHRQ Stats: Trends in Psychological Distress During the COVID-19 Pandemic Between 2018 and 2021, the proportion …

184. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - Analysis of the data by type of occurrence (Figure 2) identified the most commonly occurring error as

185. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - What led to the next factor that contributed to the defect occurring?

186. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - What led to the next factor that contributed to the defect occurring?

187. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
     August 01, 2014 - Regularly Occurring Consultation AHRQ will take advantage of national meetings sponsored by different

188. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - Simulation The simulation community has witnessed tremendous growth and energy in the past 15 years, occurring … should concerns relating to variable patient acuity, complexity of operations, and less frequently occurring

189. Equipment and Supplies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
     July 01, 2018 - Equipment and Supplies Public Health Emergency Preparedness 1. Preplanning Description: The equipment and supplies team must lay the groundwork for procurement prior to a surge event. Key decisions include: determining whether to outsource staffing and procurement of the equipment and supplies, deciding wh…

190. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
     August 01, 2021 - Four Moments of Antibiotic Decision Making The Four Moments of Antibiotic Decision Making are the critical time periods of antibiotic decision making. Frontline staff and prescribing clinicians are encouraged to use the Four Moments framework for all residents whenever the need for antibiotics is being c…

191. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
     December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Learning From Defects through Sensemaking Slide 2: Learning Objectives Describe difference between first-order and second-order problem-solving. L…

192. 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

193. Implementation Planning | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
     February 01, 2024 - Implementation Planning If your organization decides that implementing part or all of the TeamSTEPPS curriculum would be of value, carefully think through how to implement and sustain what you intend to teach. Successful and sustainable implementation begins with effective implementation planning. Basis of Im…

194. USER GUIDE: Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ppe-covid19-audit-tracking-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

195. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/identify.html
     December 01, 2012 - CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

196. 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

197. 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

198. 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

199. 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

200. 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…