Results

Total Results: 2,959 records

Showing results for "occurring".

201. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - from 2011 to 2014 as a result of the reduction in HACs, with nearly $16 billion of those cost savings occurring

202. 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…

203. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
     January 01, 2024 - IOM) report “To Err Is Human” illuminated the high rate of medical errors and adverse events (AEs) occurring … information about AEs to achieve as complete an understanding as possible of both the types of events occurring … leadership necessary to implement changes, financial feasibility, and consideration of other initiatives occurring … the tool (BI-OTT3 and BI-OTT4) and to use the tool to review patient charts to collect data on AEs occurring … Analysis of the physician confirmatory reviews for visits occurring during CY2006 revealed good inter-rater

204. 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

205. 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?

206. 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

207. Applicants Sought for National Coordinating Center and National Evaluation Center for State-Based Healthcare Extension Service | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/931.html
     October 01, 2024 - division director in AHRQ’s Center for Quality Improvement and Patient Safety—assert that progress is occurring

208. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - Determine the effects of perceived CM on the incidence and severity of NREs occurring during and across … perceived CM; Aim 2, to determine the impact of perceived CM on the incidence (count) and severity of NREs occurring … Aim 2 – Determine the impact of perceived CM on the incidence and severity of NREs occurring during … these phases of care.26,90 NRE counts are reported as an integer count of the total number of NREs occurring … Aim 2 – Determine the impact of perceived CM on the incidence and severity of NREs occurring during and

209. 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

210. 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…

211. 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

212. 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

213. 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…

214. 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?]

215. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
     December 01, 2012 - Conducting a Morning Briefing CUSP Toolkit Improve communication with nursing staff 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 dial…

216. 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

217. Cusp Patient Family Engagement Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
     June 02, 2025 - SAY: The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on an important topic: Making sure patients and their family members understand what is happening during the patient’s hospital stay, are active participants in the patient’s care, and are prepared for…

218. 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

219. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - Development and Validation of the Medication Administration Error Reporting Survey 475 Development and Validation of the Medication Administration Error Reporting Survey Bonnie J. Wakefield, Tanya Uden-Holman, Douglas S. Wakefield Abstract Analysis of medication errors can lead to system improvement and reduc…

220. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - Module 5: Response and Disclosure AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. Slide 1 Say: The goal of this module is to: Define…