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Showing results for "occurs".

381. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - by asking if that contributing factor was major or minor and how frequently the contributing factor occurs

382. 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.

383. 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.

384. 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

385. 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

386. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
     November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Electronic Reports Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are: On-Time Falls High-Risk Report . Quarterly Summar…

387. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

388. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

389. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Measure Descriptions for Daily Early Mobility SAY: In this module, you will learn about the data measures you will use to evaluate early mobility process and outcome measures in your unit. Slide 1 …

390. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
     January 01, 2024 - Conceptual framework guides observation, but data parsing occurs at the time of observation, not after

391. Appendix V: Tested Measures by DRA Domain | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
     June 01, 2010 - Communication occurs between people, their support staff, and their families. … Quality Forum Residential care Death or significant injury resulting from a physical assault that occurs

392. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
     January 01, 2013 - 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

393. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
     April 01, 2025 - The purpose of learning from defects is to investigate why systems failed when a defect occurs and to

394. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - The first, Flesh and Blood decisionmaking, occurs when “the cognitive reality departs from the formalized … Good calibration of judgment occurs when the task characteristics are appropriately matched to the cognitive … In medicine, the term RACQITO has been used to describe a similar trade-off, that which occurs between

395. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Organization: Brigham and Women's Hospital Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…

396. Data Measures Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…

397. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
     June 02, 2025 - Appendix A. Recommendations for Ideal Consumer Reporting Systems Appendix A. Recommendations for Ideal Consumer Reporting Systems A 2010 report by Research Triangle Institute (RTI) and Consumers Advancing Patient Safety, Designing Consumer Reporting Systems for Patient Safety Events, outlined recommendations for…

398. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
     February 01, 2017 - include volutrauma (in which overdistention of some alveoli areas and underdistention of other areas occurs … There’s also a cyclical type of trauma that occurs, often called “atelectrauma.” … However, this occurs only when it’s used without PEEP.

399. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
     January 01, 2017 - include volutrauma (in which overdistention of some alveoli areas and underdistention of other areas occurs … There’s also a cyclical type of trauma that occurs, often called “atelectrauma.” … However, this occurs only when it’s used without PEEP.

400. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - non-routine event approach for the early detection of risks to patient safety before serious patient harm occurs