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Total Results: 2,959 records

Showing results for "occurs".

321. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - This occurs when a patient has a primary and secondary diagnosis code for selected infections due to … This occurs when a patient has a secondary code for Selected Infections Due to Medical Care that meets

322. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - What should a pharmacy manager do when a serious medication error occurs? A panel discussion.

323. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. Department of Defense 361 Standardizing Medication Error Event Reporting in the U.S. Department of Defense Ronald A. Nosek, Jr., Judy McMeekin, Geoffrey W. Rake Abstract Soon after the 1999 Institute of Medicine report, To Err Is Human, was released, …

324. 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/factraining.html
     December 01, 2014 - It also asks which staff members are invited, who leads the meeting, and how often it occurs. … Investigate root causes when an adverse event occurs. … section on root cause analysis to understand what investigation takes place after an adverse event occurs

325. Morningbriefing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
     June 02, 2025 - Conducting a Morning Briefing Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges. What is a Morning Briefing? A morning briefing is a dialogue between two or more people using concise and relevant informati…

326. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html?page=9
     September 01, 2016 - system, a patient's record would be immediately available in an emergency, no matter where the emergency occurs

327. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
     April 04, 2008 - /her own domain (i.e., home/community) and recognizes that this is where most health care actually occurs

328. 133-Translating-Research-Into-Practice-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
     April 01, 2025 - There are also many complexities with implementation because care occurs along a continuum and there

329. 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/introduction.html
     June 01, 2020 - What is the overlap among federal agency research portfolios and the coordination that occurs between

330. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - Follow-up appointment occurs A) Patient is seen by primary care pediatrician B) Primary care pediatrician

331. 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

332. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
     September 01, 2022 - However, the greatest risk occurs with clindamycin, third-generation cephalosporins, and fluoroquinolones

333. 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

334. AHRQ Primary Care Grant Summaries: Research Profiles and Emerging Research Spotlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/reports/2024-annual-report/ncepcr-grant-summaries-table.pdf
     January 01, 2024 - for clinician burnout, which could inform practice improvement efforts to prevent burnout before it occurs

335. 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

336. Module 6: Mutual Support
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
     January 10, 2022 - assistance is actively seeking help from or offering help to team members as a way to reduce errors, and it occurs … “Feedback is where the learning occurs.” 9 Anyone on the team can provide feedback. … Informal feedback, on the other hand, occurs in real time and on an ongoing basis.

337. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
     January 10, 2022 - assistance is actively seeking help from or offering help to team members as a way to reduce errors, and it occurs … “Feedback is where the learning occurs.” Anyone on the team can provide feedback. … • Informal feedback, on the other hand, occurs in real time and on an ongoing basis.

338. Implementing the SPPC-II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
     July 01, 2023 - 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. 9 Hospital AIM Team Leads

339. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
     July 01, 2023 - 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. 9 Hospital AIM Team Leads

340. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
     December 01, 2012 - Conducting a Morning Briefing CUSP Toolkit Improve communication with nursing staff Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges. What is a Morning Briefing? A morning briefing is a dial…