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Showing results for "occurs".
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.htmlNovember 01, 2014 - Communication about Lean: Ensure communication about changes resulting from project occurs.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docxOctober 01, 2024 - If condensation occurs, drain away from patient.
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Implementation-Guide-Appendix-O (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docxJune 02, 2025 - CAUTI Event Report Template When a catheter-associated urinary tract infection (CAUTI) occurs on your -
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.htmlMarch 01, 2016 - While VTE sometimes occurs despite the best available prophylaxis, there are many lost opportunities
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guidesum.htmlMarch 01, 2016 - While VTE sometimes occurs despite the best available prophylaxis, there are many lost opportunities
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035-Importance-Mrsa-Prevention-Notes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docxOctober 01, 2024 - people in both community settings and healthcare facilities, but most of the morbidity and mortality occurs … Understanding how MRSA spreads and occurs is important for purposes of MRSA prevention. … MRSA infection occurs when MRSA on or in a patient’s body begins to cause invasive disease or adverse -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdfApril 07, 2008 - Introduction Catastrophic patient injury often occurs because of an unanticipated sequence of active … root cause analysis (RCA) and sentinel event analysis, which are carried out after an adverse event occurs … failures and to fix these problems to make the system more robust before an adverse event actually occurs … Detectability Is the area of failure readily known, or is it discovered only when a bad outcome occurs … Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdfDecember 01, 2000 - Of note, the frequency with which an event occurs was considered, but was not accepted as a criterion … Patient death or serious disability associated with intravascular air embolism that occurs while being … Patient death or serious disability associated with hypoglycemia, the onset of which occurs while the … 346 Preventable describes an event that could have been anticipated and prepared against, but occurs … First, when an event occurs, it should be investigated to determine the underlying system problems and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptxJanuary 01, 2014 - CANDOR implementation process. 3 The Problem Despite major initiatives, patient harm from medical care occurs … want a health care organization, physician and/or care provider to be fully transparent when an error occurs … happened: This might be hard to answer at the time; but again, this is to stress that as the investigation occurs … necessarily be open with patients but also not to be honest with the organization when an adverse event occurs … Organizational leadership and support for the CANDOR process are key to ensure that it occurs. 31
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Mod01-Grand-Rounds-Slides (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdfApril 01, 2016 - a health care organization, physician, and/or care provider to be fully transparent when an error occurs … – This might be hard to answer at the time; but again, this is to stress that as the investigation occurs … necessarily be open with patients but also not to be honest with the organization when an adverse event occurs … Organizational leadership and support for the CANDOR process are key to ensure that it occurs. -
www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.htmlJanuary 01, 2014 - in defining problem and potential solutions Slide 10 Implementation-Focused Formative Evaluation Occurs … Slide 11 Progress-Focused Formative Evaluation Occurs during implementation of project plan.
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.htmlJuly 01, 2018 - viewpoints as possible Alternate between convergent and divergent thinking Divergent thinking occurs … brainstorming sessions, and when trying to understand what might be occurring 10 Convergent thinking occurs
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www.ahrq.gov/patient-safety/reports/liability/silence.htmlAugust 01, 2017 - This occurs when they are able to find a space and place in their heart to store the pain, try to forgive … It is important to have a designated plan after medical harm occurs, but equally, if not more important
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdfNovember 01, 2019 - However, the greatest risk occurs with clindamycin, third- and fourth- generation cephalosporins like … Moment 1 occurs at the time that initiation of antibiotic therapy is being considered. … Moment 2 occurs at the time that the decision has been made to start antibiotics. … Moment 3 occurs on every subsequent day of antibiotic therapy and addresses three main considerations
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www.ahrq.gov/patient-safety/reports/liability/preface.htmlAugust 01, 2017 - initiatives; the use of reporting systems; the harmful impact of institutional silence when patient harm occurs
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/measures.htmlAugust 01, 2018 - Randomization of practices occurs in four waves every 3 months.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.htmlNovember 01, 2024 - a co-principal investigator on a 5-year AHRQ grant to explore why nonprescription antibiotic use occurs
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037-Ss-Bed-Bathing-Chg-Cloths-Protocol (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docxApril 01, 2025 - If incontinence occurs, or if there are other secretions on the skin, remove soilage with disposable -
Puh-Impmenu (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdfJune 02, 2025 - The worksheet also includes columns to identify whether a given suggested meeting already occurs or -
Puh-Impmenu (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docxJune 02, 2025 - The worksheet also includes columns to identify whether a given suggested meeting already occurs or whether
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