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Showing results for "occurs".

221. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
     December 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

222. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
     January 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

223. 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.docx
     May 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

224. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - The problem occurs when we recoil from cognitive tools, like checklists, because we ARE good at our jobs … ideal target for developing an intervention is a factor that is a major contributor to the defect and occurs … If there is something that occurs rarely but has a singular impact on this particular defect, consider … If the factor is a minor contributor to the defect, but occurs often, then consider intervening on this

225. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - The problem occurs when we recoil from cognitive tools, like checklists, because we ARE good at our jobs … ideal target for developing an intervention is a factor that is a major contributor to the defect and occurs … If there is something that occurs rarely but has a singular impact on this particular defect, consider … If the factor is a minor contributor to the defect, but occurs often, then consider intervening on this

226. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory Tract Conditions
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
     November 01, 2019 - Moment 1: Distinguishing Aspiration Event From Aspiration Pneumonia Aspiration pneumonia Generally occurs … If rapid improvement occurs, antibiotics can be discontinued.

227. Final Progress Report: Developing a Framework to Study and Improve Communication to Enhance Diagnostic Quality in the ED (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
     January 01, 2025 - departments (EDs) are particularly vulnerable to making diagnostic errors, because decision making occurs … using questionnaires, allowing individuals to change their opinions through a process of iteration that occurs … from patients and family members.9,10,11,12,13,14,15 They are also acontextual, as if communication occurs

228. Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html
     November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction …

229. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
     January 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

230. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
     June 18, 2024 - An organization-wide patient safety culture survey occurs at least every 2 years using a validated … An organization-wide patient safety culture survey occurs at least every 2 years using a validated … An organization-wide patient safety culture survey occurs at least every 2 years using a validated

231. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
     July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…

232. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.html
     July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…

233. Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/939.html
     November 01, 2024 - Her AHRQ-funded studies have explored the reasons nonprescription antibiotic use occurs, the prevalence

234. 004-Cusp-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
     October 01, 2024 - A contributing factor that is a major reason and occurs commonly is a good target for intervention. … A factor that falls in the category of being a minor reason for the defect and rarely occurs may not

235. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - • Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1 • The

236. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - • Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1 • The

237. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - surgery or unplanned intubation/reintubation postoperatively.1 • Postoperative respiratory failure occurs

238. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - surgery or unplanned intubation/reintubation postoperatively.1 • Postoperative respiratory failure occurs

239. Instructions for Numerator/Denominator Data Reporting for Cohort 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/reporting-instructions-sw.pdf
     March 31, 2017 - DARTNet will be automatically notified when this occurs and we will pick and erase the file. 2

240. Table 3. Evidence for Timely Bolus for Treatment of Children with Severe Sepsis of Septic Shock (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-5-table-3.pdf
     January 01, 2013 - Fluid resuscitation should be stopped or interrupted when no improvement of tissue perfusion occurs