-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - A Brief usually occurs at the beginning of the shift and is designed to help all team members develop … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … And remember, communication is an ongoing process that occurs from initial reporting of the incident … Advise the resident and family that communication will be ongoing as followup investigation occurs. … When an incident occurs, the facility should investigate and analyze it (for example, conduct a root
-
psnet.ahrq.gov/node/866525/psn-pdf
August 14, 2024 - stakeholder-perceptions-and-attitudes-towards-problematic-polypharmacy-
and-prescribing
An unintentional prescribing cascade occurs
-
psnet.ahrq.gov/node/865920/psn-pdf
May 22, 2024 - role-knowledge-and-reasoning-processes-predictors-resident-physicians-
susceptibility
Anchoring bias occurs
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - Engagement 9
SAY:
Each hospital has policies and procedures for
actions to take after an adverse event occurs … Slide 18
Communication is an ongoing process that
occurs from initial reporting of the incident
through … SAY:
Patients and family members experience a
number of emotions when an adverse event
occurs. … Slide 20
SAY:
When an incident occurs, the hospital will
investigate and analyze it (e.g., a root … through
employee assistance programs and medically
induced trauma support services after an
incident occurs
-
psnet.ahrq.gov/node/837512/psn-pdf
January 01, 2024 - This qualitative study
explores how team cognition occurs during care transitions and interprofessional
-
psnet.ahrq.gov/node/864854/psn-pdf
March 20, 2024 - mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
https://psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
-
psnet.ahrq.gov/node/862600/psn-pdf
February 14, 2024 - effect-computerised-decision-support-alerts-tailored-intensive-care-
administration-high-risk
Alert fatigue occurs
-
psnet.ahrq.gov/node/47289/psn-pdf
October 24, 2018 - , establishing a drug shortage team, and
communicating with patients and providers when a shortage occurs
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
December 01, 2017 - Identifies how they carry out root cause analysis when a pressure ulcer occurs. … For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting,
-
psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - patients-perspective-hematological-cancer-patients-experiences-adverse-
events-part-care
When an error or adverse event occurs
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
May 01, 2014 - Phase 2
Checklist for Identifying Nursing Home Specific
Antibiogram Modifications
Wide variation occurs
-
psnet.ahrq.gov/node/45070/psn-pdf
October 03, 2017 - report provides the insights from a panel exploring the need for transparency after a medical mistake
occurs
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/comms-usage-diagram
January 01, 2023 - The diagram also includes information about how and why the communication occurs, the specific technology
-
psnet.ahrq.gov/node/865483/psn-pdf
April 03, 2024 - In both processes, experts identified that the most critical risk of errors and harm occurs at
admission
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship3.html
August 01, 2024 - selection, performance, and interpretation. 11 , 16-19 In many healthcare organizations, a disconnect occurs
-
psnet.ahrq.gov/node/60641/psn-pdf
July 01, 2020 - Studies generally found that incivility
occurs mainly within professional disciplines rather than across
-
psnet.ahrq.gov/node/45453/psn-pdf
November 02, 2016 - within high-risk industries that have adopted processes to detect
and address failures before harm occurs
-
psnet.ahrq.gov/node/44470/psn-pdf
October 13, 2015 - patient safety skills
during clinical rotations, because most learning for postgraduate medical training occurs
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Undermining is the destruction that occurs under the skin.
31. … Shear is the force that occurs when the skin sticks to a surface and the body slides.
42. … Undermining is the destruction that occurs under the skin.
True
31. … Shear is the force that occurs when the skin sticks to a surface and the body slides.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
June 02, 2025 - Sleep States
■ Active sleep
– Respiration is uneven and primarily costal in nature; REM occurs intermittently