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Showing results for "occurs".

401. Chapter 9. Potential Future Uses of the Data Infrastructure | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter9.html
     December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Chapter 9. Potential Future Uses of the Data Infrastructure Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health Car…

402. Learning-From-Antibiotic-Adverse (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use Learning From Antibiotic-Associated Adverse Events An antibiotic-associated adverse event is any event or situation that you would not want to happen again because it either caused your patient harm or had the potential to cause harm. The purpose of this tool is to provi…

403. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 4. Conclusions and Next Steps Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapte…

404. Recommendations and Areas for Future Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
     August 01, 2022 - While overlap in patient interactions still occurs, the physician and nurse make a deliberate effort

405. Sustainability Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
     October 01, 2020 - Most summarize that sustainability occurs when processes or improved outcomes continue to last within … There may be facilities in which this link is more linear and those where it occurs interchangeably. … should encourage all staff to speak up when a potential break in patient safety protocol may or actually occurs

406. 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/factraining.html
     November 01, 2017 - It also asks which staff members are invited, who leads the meeting, and how often it occurs.

407. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
     January 01, 2024 - A medication error is a preventable event that occurs in the process of ordering, processing, or administering

408. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
     June 02, 2025 - care plans, and • Carry out investigations, including root cause analysis, when an injurious fall occurs … For every meeting that occurs at your facility, indicate the type of meeting, the meeting leader, staff

409. THE MEDICAL HOME INDEX: (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
     June 02, 2025 - #1.2 Communication/ Access1 Communication between the family and the primary care provider (PCP) occurs … Family feedback to the practice occurs through external mechanisms such as satisfaction surveys issued

410. Preventablehospitalandedvisits-Implmatl (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
     June 03, 2025 - For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting,

411. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Principal Investigator: David G. Bundy, MD, MPH Team Members: Marlene R. Miller, MD, MSc Michael L. Rinke, M…

412. Six Building Blocks How-To-Implement Toolkit: Self-Assessment Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
     June 02, 2025 - …are identified, and a discussion or chart review to prepare for the visit sometimes occurs.

413. Training-Tools-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
     May 01, 2017 - Most summarize that sustainability occurs when processes or improved outcomes continue to last within … There may be facilities in which this link is more linear and those where it occurs interchangeably. … should encourage all staff to speak up when a potential break in patient safety protocol may or actually occurs

414. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
     August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 6. Discussion and Policy Implications Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Desi…

415. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
     January 01, 2004 - The framework addresses four important attributes of a handover: (1) the type of process in which it occurs

416. 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

417. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
     March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…

418. Mod5-Disclosure-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations. How to use this tool: Use Part I of the checklist to pre…

419. Disclosure Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - Disclosure Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills. Who should use this tool? Disclosure Lead and any staff who will be engaged in …

420. 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