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Total Results: 2,790 records

Showing results for "occurs".

441. Healthy Living: Infant Mortality | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
     September 01, 2015 - Chartbook on Women's Health Care Healthy Living: Infant Mortality Previous Page Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coo…

442. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/labels/describe.html
     January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure For some measures, it may be necessary to explain what the plan or provider can do to improve its performance. Providers are often concerned that they are being rated on measures over which they believe they have limited influence. When the public …

443. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
     December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety …

444. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
     January 01, 2024 - Final Progress Report: Blood Product Transfusion & Safe Practices Blood Product Transfusion & Safe Practices Final Progress Report Principal Investigator: Loreen A. Herwaldt, MD Team Members: Lee Carmen, BS Linda K. Chase, RN, MA, CNAA Comried, Lynn A., BSN, MA Susan K. Dane, BA Deborah Green Charles M. Hel…

445. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
     August 01, 2022 - Event Investigation and Analysis Guide: Appendix C Visual Model The model above is one major output from the in-depth review findings. This format helps to utilize the information found in the investigation to understand why the event occurred. The boxes represent different categories of contributing factor…

446. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - Patient death or serious disability associated with intravascular air embolism that occurs while being … Patient death or serious disability associated with hypoglycemia, the onset of which occurs while the … significant injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs … of respondents said the hospital policy addresses apologizing to patients when an error or incident occurs

447. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study John Lynch, MPH; Jonathan Rosen, MD; H. Andrew Selinger, MD; John Hickner, MD, MSc Abstract Objective: The objective of this study wa…

448. Appendix A. Recommendations for Ideal Consumer Reporting Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/appa.html
     May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Appendix A. Recommendations for Ideal Consumer Reporting Systems Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consume…

449. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error Reduction, Technologies, and Human Factors Final Report Pascale Carayon, PI, Tosha B. Wetterneck, co-PI Roger Brown Professor, UW School of Nursing Pascale Carayon Principal investigator; Professor, Department of …

450. HAC National Scorecard 2014-16 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
     January 01, 2014 - HAC National Scorecard 2014-16 8,000 Inpatient Deaths Averted HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report “National Scorecard on Rates of H…

451. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
     January 01, 2004 - Post-fielding Surveillance of a Guideline-based Decision Support System 331 Post-fielding Surveillance of a Guideline- based Decision Support System Albert S. Chan, Susana B. Martins, Robert W. Coleman, Hayden B. Bosworth, Eugene Z. Oddone, Michael G. Shlipak, Samson W. Tu, Mark A. Musen, Brian B. Hoffman, …

452. Methodological Challenges in Describing Medication Dosing Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
     January 01, 2004 - Methodological Challenges in Describing Medication Dosing Errors in Children 213 Methodological Challenges in Describing Medication Dosing Errors in Children Heather McPhillips, Christopher Stille, David Smith, John Pearson, John Stull, Julia Hecht, Susan Andrade, Marlene Miller, Robert Davis Abstract Alth…

453. Tool: OR Briefing and Debriefing Audit Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
     December 01, 2017 - Tool: OR Briefing and Debriefing Audit Tool AHRQ Safety Program for Surgery Operating Room Briefing and Debriefing Audit Tool Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers unde…

454. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - When a safety issue occurs in your facility, how does your facility address it?

455. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - · When a safety issue occurs in your facility, how does your facility address it?

456. Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
     January 01, 2024 - Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care Final Progress Report November 2019 Title Electronic Clinical Surveillance to Measure and Improve Safety in Ambulatory Care Principal Investigator and Team Members Kim N. Danforth,1 Erin E. Hahn,1 Brian S. Mi…

457. Prevehosp-Implementation-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
     June 02, 2025 - hospitalized is different from identifying changes in risk and intervening before hospitalization occurs

458. TeamSTEPPS Team Leadership Module 2
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
     June 02, 2025 - TeamSTEPPS Team Leadership Module 2 Team Leadership Module 2 1 Understanding Teams and Team Structure 2 Objectives: Team Structure Team Leadership Understand the benefits of teamwork and clear team structure. Define a “team.” Identify the roles of patients and family caregivers within the care team. Desc…

459. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
     June 02, 2025 - Prioritization Worksheet Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool C.1 i Prioritization Worksheet What is the purpose of this tool? In today’s health care world, hospitals are required to take on more responsibility than ever. With many different co…

460. Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
     June 02, 2025 - Prioritization Worksheet Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool C.1 Prioritization Worksheet What is the purpose of this tool? In today’s health care world, hospitals are required to take on more responsibility than ever. With many different competing p…