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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - pain on palpation, patients
may have a palpable mass indicating inflammation or
abscess; the latter occurs … Slide 11
The Four Moments of Antibiotic Decision
Making
SAY:
Moment 3 occurs after a day … It is
important to distinguish acute cholecystitis from
episodes of biliary colic, which occurs when … It
usually occurs in critically ill patients. … Commentary Slide Number and Slide
The Four Moments of Antibiotic Decision
Making
SAY:
Moment 3 occurs
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www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
November 01, 2024 - a co-principal investigator on a 5-year AHRQ grant to explore why nonprescription antibiotic use occurs
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 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/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 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/patient-safety/reports/liability/silence.html
August 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/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - If incontinence occurs, or if there are other secretions on the skin, remove soilage with disposable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - The worksheet also includes columns to identify whether a given suggested meeting already occurs or whether
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - The worksheet also includes columns to identify
whether a given suggested meeting already occurs or
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www.ahrq.gov/talkingquality/plan/pay.html
November 01, 2018 - One prominent example of this kind of cost sharing occurs in California, where medical groups, health
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 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/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 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/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 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/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
March 01, 2017 - Definitions:
Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
March 01, 2017 - Definitions:
· Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in
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www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - Because patient safety culture occurs mainly at the hospital unit level, St.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - improvement (e.g., reduction of pain, erythema, and local inflammation and resolution of fevers) generally occurs
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/components.html
December 01, 2013 - Collaboration occurs in four areas.