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Total Results: 4,281 records

Showing results for "occurring".

221. 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

222. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix G. Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. …

223. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     May 01, 2017 - CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

224. Learn-From-Defects-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
     May 01, 2017 - CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

225. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
     April 01, 2025 - A factor that is not a major reason but commonly occurring may be low-hanging fruit and easier to tackle

226. 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

227. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix G. Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. …

228. 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

229. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - likely to result in harmful medication errors included use of ISMP High- Alert Medications, errors occurring … harmful errors involved significantly more administering errors (59% vs. 32%, p = 0.023), errors occurring

230. Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Medical Supplies | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-medical-supplies-hp-adult.html
     December 01, 2018 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0: Medical Supplies Population version: Adult Download these items: English (Word, 24 KB) Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or…

231. Four Moments of Antibiotic Decision Making Explained (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
     June 01, 2021 - Four Moments of Antibiotic Decision Making Explained Moment 1 occurs when a resident is assessed for a change in status and there is a concern for infection. Sometimes long-term care staff recognize that something is not quite right with the resident but aren’t clear on what is wrong. The person doing the assessmen…

232. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
     January 01, 2024 - Until recently, knowledge about the number and types of errors and adverse events occurring within the … reiteratively refined during the first month of data collection to more precisely reflect the incidents occurring

233. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     September 04, 2012 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

234. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - • CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring

235. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_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 … Pneumothoraces occurring during or immediately after a procedure are generally considered iatrogenic … PDI 05 Iatrogenic Pneumothorax X Pneumothoraces occurring during or immediately after a procedure … PSI 06 Iatrogenic Pneumothorax X Pneumothoraces occurring during or immediately after a procedure are

236. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17904-Hall-report.pdf
     September 18, 2023 - Until recently, knowledge about the number and types of errors and adverse events occurring within the … reiteratively refined during the first month of data collection to more precisely reflect the incidents occurring

237. TeamSTEPPS for Office-Based Care: Implementation Workbook | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
     December 01, 2015 - TeamSTEPPS for Office-Based Care: Implementation Workbook Contents TeamSTEPPS Action Planning At-A-Glance Step 1. Create a Change Team Step 2. Define the Problem, Challenge, or Opportunity for Improvement Step 3. Define the Aims of Your TeamSTEPPS Intervention Step 4. Design a TeamSTEPPS Intervention TeamSTEP…

238. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
     January 01, 2013 - Nursing Outcomes, and the Centers for Medicare & Medicaid Services (CMS) reporting on falls with trauma occurring … The actual rates of falls with trauma occurring within the hospital may be found on the Medicare data

239. 004-Cusp-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
     October 01, 2024 - A factor that is not a major reason but commonly occurring may be low hanging fruit and easier to tackle

240. Fall Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
     August 03, 2017 - Background: This sample protocol illustrates how to evaluate whether fall prevention care processes are occurring