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Total Results: 2,959 records

Showing results for "occurs".

261. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - your department of health Surveyor visit following report N Never (%) Only when a minor event occurs … (%) Only when a major event occurs (%) Always, regardless of outcome (%) N Never (% … ) Only when a minor event occurs (%) Only when a major event occurs (%) Always, regardless

262. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
     October 01, 2024 - Rural aging occurs in different places for very different reasons. December 2018.  … https://www.usda.gov/media/blog/2018/12/20/rural-aging-occurs-different-places-very-different-reasons

263. Talking Points for Patients: Chlorhexidine Bathing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/071-dec-patient-talking-points-bathing.docx
     October 01, 2024 - NOTE: The sticky feeling only occurs if your hospital has purchased ready-made CHG cloths.

264. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
     July 01, 2023 - other types of defect investigations Ask frontline staff Identify the process in which the challenge occurs … Identifying the process during which the problem, challenge, or opportunity occurs by stating what the … process is, who is involved, and when and where it occurs. 6 Specific Situations Facility (and unit

265. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
     July 01, 2023 - other types of defect investigations Ask frontline staff Identify the process in which the challenge occurs … Identifying the process during which the problem, challenge, or opportunity occurs by stating what the … process is, who is involved, and when and where it occurs. 6 Specific Situations Facility (and unit

266. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - events. 3 Kotter’s 8 Steps of Change Model2 Module 8 4 As seen in TeamSTEPPS® Sustainability occurs … Formal Programs to Prepare People To Learn and Apply New Skills Module 8 5 Sustainability occurs

267. Clinical Topic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdescription.pdf
     January 01, 2012 - ) Definition: The group of patients in the denominator for whom a process or outcome of care occurs

268. Section 4. Identifying Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
     July 01, 2018 - Bottom-up selection often occurs at hospitals that use performance improvement methodologies, such as

269. 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

270. Using Data To Drive Change and Improve Patient Safety Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
     April 01, 2022 - · Top three strengths and weaknesses identified by unit – this is where the bulk of the discussion occurs … see, so make sure your CUSP team is actively involved in making these decisions and ensuring sharing occurs

271. TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
     February 01, 2022 - For each question, select a number that best describes how often the behavior occurs in your setting

272. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - of Failure As a starting point in its analysis, the team should estimate how reliably each step occurs

273. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
     February 01, 2016 - of Failure As a starting point in its analysis, the team should estimate how reliably each step occurs

274. 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

275. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - After the event is identified as a CANDOR event, CANDOR System Activation occurs and triggers the start … While an initial disclosure conversation will occur within 60 minutes after the CANDOR event occurs, … CANDOR Implementation Phases CANDOR process implementation occurs in three phases, and the toolkit provides

276. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - medical devices so it could become more proactive in addressing device issues before a death or injury occurs … This typically occurs in organizations that have a “blaming” culture when errors occur. … of the interaction the reporters have with the MedSun contractor during the initial follow-up that occurs

277. 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…

278. 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 …

279. 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

280. 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.