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Showing results for "occurs".
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www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdfJanuary 01, 2024 - This practice is generally forbidden in most policies and procedures, but this study found that it occurs … and fails Q:0.28 Event593 Read back does not occur Q:0.2 Gate483 Read back occurs and fails Q … and fails Q:0.28 Event593 Read back does not occur Q:0.2 Gate483 Read back occurs and fails Q … This type of human error typically occurs during routine tasks. … It occurs in part because the discontinuation process does not have the controls that one sees in the
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptxJanuary 10, 2022 - teams to take steps to interrupt or correct an action or event before harm or injury to the patient occurs … error An opportunity to interrupt or correct an action or event before harm or injury to the patient occurs
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdfJanuary 10, 2022 - An opportunity to interrupt or correct an action or event before harm or injury to the patient occurs … steps to interrupt or correct an action or event before harm or injury to the patient occurs
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdfAugust 01, 2023 - • More about this item: The difference between this item and D1 is that the mistake occurs in D2 – it … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.htmlJuly 01, 2023 - Trigger #3 Large gush of blood occurs. … Trigger #3 Large gush of blood occurs.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-c.htmlOctober 01, 2020 - An exception occurs when the volume shown is greater than a specific threshold, e.g., 999 cc; in this
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.htmlJune 01, 2023 - inpatient and outpatient contexts, and written discharge summaries are often the only communication that occurs
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www.ahrq.gov/es/nursing-home/resources/search.html?page=6January 01, 2022 - respond to a case of an emerging respiratory virus such as COVID-19, how to identify a case once it occurs
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlJuly 01, 2023 - A rule-based failure occurs when a person does not carry out a procedure or protocol correctly or chooses … relationship between defects and production pressures—leaving hazards unnoticed until a sentinel event occurs
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.htmlNovember 01, 2017 - easily assemble the clinical information needed to appropriately intervene before the adverse event occurs
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.htmlOctober 01, 2017 - Cost (How much cost does your organization incur each time this issue occurs or fails to occur?)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdfJanuary 01, 2025 - Introduction Much of the change that happens in health care occurs in a reactive, piecemeal mode with … done in the background to identify patients who appear likely to decompensate before decompensation occurs … However, the ultimate litmus test for authentic patient-centeredness will be when harm occurs. … patient-centered care will be viewed as a comprehensive continuum and will not cease when a medical error occurs
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040-Mrsa-Surveillance-Notes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docxOctober 01, 2024 - people in both community settings and healthcare facilities, but most of the morbidity and mortality occurs … facilities must know the MRSA prevalence among their patient population and when and where transmission occurs -
www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdfJanuary 01, 2024 - , which includes movement prior to initiating a successful rise; the Stabilization Subphase, which occurs … The Stabilization Subphase occurs during the Stand Phase beginning with the forward momentum stopping … , this aim evaluates the Stabilization Subphase where pausing and/or reversing of forward momentum occurs … These results indicate that the greatest number of CBs occurs during the Stand Preparation Phase for
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036-Sources-Pathways-Mrsa-One-Pager (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/036-sources-pathways-mrsa-one-pager.docxOctober 01, 2024 - carriage is common in healthcare settings, affecting 7 percent of inpatients upon admission.8 · Infection occurs -
Improving-Facnotes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docxMay 01, 2017 - looking to enhance your briefing or start a briefing in your facility, remember that a good briefing occurs … One of the most difficult components of performing a debriefing is making sure that it occurs when all … A debriefing that never occurs cannot benefit subsequent patients. … tone by asking team members if they are ready instead of telling them to stop, which is what typically occurs … SAY: One of the most important steps in performing a tabletop simulation is the discussion that occurs -
www.ahrq.gov/research/findings/final-reports/stpra/stpra2.htmlApril 01, 2018 - complication or infection rates, because the treatment for these complications and infections often occurs … The two major types of gates are "AND" gates (i.e., the output event occurs if all input events connected … to the AND gate occur) and "OR" gates (i.e., the output event occurs if at least one of the input events … connected to the OR gate occurs).
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.htmlDecember 01, 2017 - For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting, … nurses and nursing assistants, that would really help me come up with an intervention before weight loss occurs
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www.ahrq.gov/sops/international/hospital/translators.htmlOctober 01, 2014 - ( More about this item: The difference between this item and D1 is that the mistake occurs in D3—it is … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.htmlDecember 01, 2017 - application Moral agency Drive to act Environmental: Context in which decision making occurs … non-maleficence Slide 35 Putting systems in place Environmental: Context in which decision making occurs
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