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Total Results: 2,790 records

Showing results for "occurs".

241. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
     December 01, 2023 - Practice Self-Assessment Tool for Opioid Use in Older Adults www.ahrq.gov Practice Self-Assessment Tool for Opioid Use in Older Adults Instructions: This quality improvement self-assessment tool is best completed in a group discussion with all staff involved in this work. It can also be completed by staff indi…

242. Racial and Ethnic Disparities Widened in Well-Child Visits During COVID-19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/915.html
     June 01, 2024 - Mental health conditions, including perinatal or maternal depression that occurs during pregnancy and

243. Indwelling Urinary Catheter Maintenance Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
     April 01, 2022 - This usually occurs as a result of contamination with the patient’s own endogenous flora or through the

244. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - When an adverse event occurs, too often, the focus is on an individual’s performance and is corrected … Event Occurs In-depth Review Confirmation and Consensus Meeting Solutions Meeting Follow Up ■ Activate … Develop targeted solutions ■ Evaluate and measure solutions ■ Finalize event review documents Occurs … within 72 hours after event Occurs within 30-45 business days after the event Occurs at: ■ 30 days … that the organization identify a group of individuals who can be immediately available when an event occurs

245. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - The question measures the likelihood of detecting failure or the effect of the failure before it occurs

246. 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/slides.html
     December 01, 2014 - Investigate the root cause when an adverse event occurs.

247. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
     December 01, 2014 - care plans Engage in discussions about care changes Investigate the root cause when an adverse event occurs

248. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     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

249. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - . · A rule-based failure occurs when a person does not carry out a procedure or protocol correctly or … relationship between defects and production pressures—leaving hazards unnoticed until a sentinel event occurs

250. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
     September 01, 2017 - Investigate the root cause when an adverse event occurs.

251. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
     October 01, 2017 - Investigate the root cause when an adverse event occurs.

252. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
     December 01, 2017 - Investigate the root cause when an adverse event occurs.

253. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/clabsi-tools/guide.html
     January 01, 2020 - health care providers would never tolerate harming a patient intentionally, that is, in fact, what occurs … Use the Event Report Template and Nurse Letter If a CLABSI occurs on your unit, your team should investigate

254. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix G. Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. …

255. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - However, the greatest risk occurs with clindamycin, third-generation cephalosporins, and fluoroquinolones … As a group, when a problem related to antibiotic prescribing occurs, ask— What happened?

256. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - Our preliminary results show that variation within a shift and across shifts occurs for specific risk

257. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - accidental breach in protocol will be caught by a check or team alert when the break in policy or procedure occurs

258. Manage-Resident-Rti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
     June 01, 2021 - Aspiration Pneumonia Versus Pneumonitis SAY: Let’s differentiate aspiration pneumonitis and pneumonia that occurs … Aspiration pneumonitis occurs from inhaling gastric contents into the lungs, which in turn causes inflammation

259. Module 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
     February 01, 2023 - discussion or questions from the learner: How much training around aseptic insertion practices occurs … Potential points for discussion or questions from the learner: How much nurse-physician communication occurs

260. Scisafetynotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
     June 02, 2025 - accidental breach in protocol will be caught by a check or team alert when the break in policy or procedure occurs