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Showing results for "occurring".

  1. On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
    September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety SEP 16 2024 By Robert Otto Valdez, Ph.D., M.H.S.A., and Craig A. Umscheid, M.D., M.S. Robert Otto Valdez, Ph.D., M.H.S. As the healthcar…

  2. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
    January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Facility Action Plan Template The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…

  3. Introducing TeamSTEPPS Introduction

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-introduction-slides.pptx
    April 27, 2025 - Introducing TeamSTEPPS Introduction Introducing TeamSTEPPS Introduction 1 Faculty and Participant Introductions 2 Teamwork Exercise: Build the Tallest Tower Introduction Rules: Each block must be the right color, length (based on rows of knobs), and direction (N-S or E-W). Each team member should have …

  4. Module 4: Teamwork and Communication: Material Use Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.html
    March 01, 2017 - Module 4: Teamwork and Communication: Material Use Guide AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Learning Objectives: Describe effective communication and teamwork. Describe why teamwork training and improved communication optimizes resident safety. List barriers, tools, and str…

  5. Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Module 4: Teamwork and Communication Material Use Guide Learning Objectives: · Describe effective communication and teamwork · Describe why teamwork training and improved communication optimizes resident safety · List barriers, tools…

  6. Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet

    psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
    July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…

  7. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
    November 29, 2023 - Study Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. Citation Text: Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. d…

  8. Neonatal and Maternal Hospital Stays Related to Substance Use, 2006-2012 #193

    hcup-us.ahrq.gov/reports/statbriefs/sb193-Neonatal-Maternal-Hospitalizations-Substance-Use.jsp
    July 01, 2015 - 15.5 14.0 Midwest 24.0 23.7 South 39.0 37.0 West 21.5 25.3 Co-occurring … 15.2 14.2 Midwest 26.6 23.3 South 35.5 37.4 West 22.7 25.2 Co-occurring … Over one-fourth of maternal stays related to substance use included mental disorders as a co-occurring … use were substantially more likely than all other maternal stays to include mental disorders as a co-occurring … alcohols Alcohol E8609 Accidental poisoning by unspecified alcohol Alcohol Co-occurring

  9. Quality Indicators Care Coordination Measures Project - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project/annual-summary/2010
    January 01, 2010 - health care community is struggling to determine how to measure when and if this vital activity is occurring

  10. Symptom Monitoring and Reporting System for Pediatric Chronic Illness - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/symptom-monitoring-and-reporting-system-pediatric-chronic-illness/annual-summary/2012
    January 01, 2012 - computer or smartphone, or a regular telephone via interactive voice response technology to report fatigue occurring

  11. Healthcare Cost and Utilization Project (HCUP) NEDS Notes

    hcup-us.ahrq.gov/db/vars/cptn/nedsnote.jsp
    May 01, 2015 - Anticipation of or lags in response to official coding changes are permitted for discharges occurring

  12. Poor Prognosis | PSNet

    psnet.ahrq.gov/web-mm/poor-prognosis
    March 15, 2016 - High frequency of cancer in cold thyroid nodules occurring at young age. … High frequency of cancer in cold thyroid nodules occurring at young age.

  13. Diagnostic Failure: The Growing Deficit | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
    June 01, 2005 - Chang, MD, and Scott Flanders, MD Despite being underreported, diagnostic error is common ( 1 ), occurring … Poor communication is an underlying cause in 65%–70% of safety events with three types of errors occurring

  14. Pocket Syringe Swap | PSNet

    psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - The present case involved the most frequently occurring drug error in anesthesia incident report analyses … We are not informed as to other possibly distracting events occurring at the time the error occurred.

  15. DRESSed for Failure | PSNet

    psnet.ahrq.gov/web-mm/dressed-failure
    September 01, 2011 - represent important missed opportunities to prevent this potentially life-threatening DRESS reaction from occurring … Take-Home Points Implementation of new EHR systems is occurring with increasing frequency across

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - The former, breast milk jaundice, is an exaggerated physiologic response, occurring in approximately … • Referral to an IBCLC with a visit occurring within the first 24 hours.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - treatment-challenges-after-discharge Case Objectives Understand types and frequencies of adverse events occurring … As illustrated by this case, tests pending at discharge (TPADs) are common, occurring with approximately

  18. Computer Automated Developmental Surveillance and Screening (CADSS) - FInal Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r01hs017939-carroll-final-report-2013.pdf
    January 01, 2013 - These charts could be any visit not occurring in the 9, 18, and 30 months visits. … of 7.7 months (p=0.02). 6 Surveillance In order to determine if surveillance was occurring

  19. Healthcare Cost and Utilization Project (HCUP) KID Notes

    hcup-us.ahrq.gov/db/vars/ecoden/kidnote.jsp
    September 01, 2008 - Anticipation of or lags in response to official ICD-9-CM coding changes are permitted for discharges occurring

  20. Guide To The Healthy Weight Care Assistant (doc file)

    cds.ahrq.gov/sites/default/files/cds/artifact/106/Guide%20to%20the%20Healthy%20Weight%20Care%20Assistant.docx
    February 15, 2018 - offload some of the strain on the Care Assistant and decrease the likelihood of an unintended consequence occurring
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