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Showing results for "occurs".

301. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
     April 02, 2008 - policies and procedures might not take into account the various stages of formation and reformation that occurs

302. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
     May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …

303. 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.

304. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - adverse event, organizational factors can create the circumstances in which a failure of judgment occurs … Specifically, we focused on the handoff that occurs when a patient is admitted to the PICU following

305. 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/factraining.html
     September 01, 2017 - It also asks which staff members are invited, who leads the meeting, and how often it occurs. … plans; Discuss care changes that are needed; and Investigate root causes when an adverse event occurs

306. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this ses…

307. 111-Ss-Cusp-Lfd-Worksheet-A3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …

308. 111-Cusp-Learning-From-Defects-Worksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …

309. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     June 02, 2025 - Topic 5: Days Between Discharge and Readmission What percentage of readmissions occurs within 4 days … What percentage of readmissions occurs within 4 days of discharge? Within 10 days?

310. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - techniques, and (5) the phase of the research process at which the integration or mixing of methods occurs … the confidential form are collected during the call back within the 10-day window; if no call back occurs

311. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 6: Care for the Caregiver Module 6 includes information on the Care for the Caregiver component of the CANDOR process, which focuses on providing emotional support to caregivers following a CANDOR event. This module includes steps…

312. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - accidental breach in protocol will be caught by a check or team alert when the break in policy or procedure occurs

313. 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

314. 066-Dec-Staff-Faqs-Safety-Side-Effects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization: Staff Frequently Asked Questions Safety & Side Effects This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols. The…

315. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
     November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training Instructor Guide Slide 1: Introduction to Falls Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Introduction to Falls Reports Say: In this session we will in…

316. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/brock.html
     August 01, 2017 - Progression through Kotter’s phases (Figure 1) occurs gradually and success can unfold across years or

317. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
     January 01, 2024 - DISTANCE FROM HOME TO THE HOSPITAL WHERE DEATH OCCURS: A POPULATION-BASED STUDY OF WASHINGTON STATE … Distance from home when death occurs: a population-based study of Washington State, 1989-2002.

318. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     June 02, 2025 - Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications Technical Specifications Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported Eligible Population: Newborns with a gestational age <35 weeks, are residents of the State,…

319. 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

320. 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