Results

Total Results: 1,352 records

Showing results for "occurring".

41. PowerPoint Presentation
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - Harms as Opportunities1 Reframe a problem or error as an opportunity to prevent the same problem from occurring

42. Fact Sheet on Patient Safety Indicators (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
    October 01, 2015 - for Healthcare Research and Quality (AHRQ) to provide information on safety-related adverse events occurring

43. Antibiotic-Targets-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - This type of problem solving generally does not help prevent future harm from occurring. … It identifies problems in the system and works to prevent them from occurring again.

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

45. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
    www.qualitymeasures.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 …

46. newbref
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/slmutualsupp.pptx
    February 03, 2006 - feedback is— Timely Respectful Specific Directed toward improvement Helps prevent the same problem from occurring

47. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
    www.qualitymeasures.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

48. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
    www.qualitymeasures.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

49. Understand-Facilitator-Guide (doc file)
    www.qualitymeasures.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

50. 10 Patient Safety Tips for Hospitals (pdf file)
    www.qualitymeasures.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

51. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - For this study, the outcome of interest was an SSI occurring in outpatient arthroscopic surgery of the … call by the outpatient surgery center to 30 days postoperative, due to the higher rate of infection occurring … Song and Coleman, both members of the TEP, were asked to estimate the probability of this risk occurring

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

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

54. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

55. Learn-From-Defects-Facilitator-Guide (doc file)
    www.qualitymeasures.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

56. Action Planning Worksheets | Agency for Healthcare Research and Quality
    www.qualitymeasures.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 …

57. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.qualitymeasures.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

58. Implementation Planning | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
    February 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 …

59. 5. How do you measure fall rates and fall prevention practices? | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

60. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
    www.qualitymeasures.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