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Showing results for "occurring".

21. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - clinicians understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring

22. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
    February 01, 2017 - following ICU discharge. 45 percent of observed patients experienced an early death, defined as death occurring … In addition, when a functional decline was already occurring prior to admission, the patient had a higher

23. TeamSTEPPS Mutual Support Module 4
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    February 28, 2022 - Directed toward improvement: Helps prevent the same problem from occurring in the future.

24. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - National Academy of Medicine report that elevated awareness of longstanding risks and patient harms occurring … inaugural report consisted of 50 patient safety practices in eight categories encompassing commonly occurring

25. Appendix, Medication Reconciliation | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
    July 01, 2022 - have internal and external data to support that medication errors, and in many cases patient harm, are occurring

26. Tool 7: Portfolio Presentation (ppt file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool7_portfolio_pres.ppt
    August 30, 2016 - readmissions % of all discharges with a behavioral health diagnosis % of all readmissions occurring

27. AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - Some signs suggest that progress is occurring.

28. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsletters/e-newsletter/908.html
    April 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

29. Module 6 Slides
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
    February 03, 2006 - feedback is— Timely Respectful Specific Directed toward improvement Helps prevent the same problem from occurring

30. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
    May 01, 2017 - Divergent thinking occurs during brainstorming sessions and when trying to understand what might be occurring

31. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

32. Understand-Facilitator-Guide (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring

33. 10 Patient Safety Tips for Hospitals (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
    December 01, 2009 - research and implementation projects, offers these 10 evidence-based tips to prevent adverse events from occurring

34. NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
    December 13, 2013 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus Patent Ductus Arteriosus Characteristics ■ A persistent open connection beyond 3 months of age between the pulmonary artery and the aorta with blood flow from the aorta to the pulmonary artery. ■ An open ductus may lead to: – Congestive heart…

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

36. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
    February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization.

37. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - several studies have highlighted the significant liability claim costs associated with preventable ADEs occurring … claims analyzed, 73 percent of them were deemed preventable and were nearly evenly divided between ADEs occurring … This project highlights the need to proactively implement strategies to minimize potential ADEs occurring

38. Learn-From-Defects-Facilitator-Guide (doc file)
    www.cpsi.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

39. Action Planning Worksheets | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
    November 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

40. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.cpsi.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