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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/learning-tools.html
February 01, 2025 - line-associated bloodstream infection (CLABSI) or catheter-associated urinary tract infection (CAUTI) occurs
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09logtxt.html
December 01, 2017 - Record the date of any fall that occurs after entry.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.pdf
March 20, 2008 - Present on Admission”
• Defined in rule as: “Present at the
time an order for inpatient admission
occurs … POA Actual Indicators
• Y = Yes – Present at the time that the order for
inpatient admission occurs … .
• N = No – Not present at the at the time that the
order for inpatient admission occurs.
• U = Unknown
-
www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
January 01, 2021 - It occurs from a defect in the GAA gene leading to the accumulation of lysosomal glycogen and, depending
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
June 02, 2025 - The overall rate is the percentage of children who met all three criteria, even if each occurs during … Overall …met all three criteria, even if each occurs during a separate visit, as
determined by medical
-
www.ahrq.gov/news/newsroom/case-studies/202104.html
October 01, 2021 - , hospitals and healthcare providers are not fully forthcoming with patients and families when harm occurs … When an unexpected event occurs, those situations are tracked by a core management team consisting of
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0652-131114.pdf
May 15, 2013 - Hemorrhage that occurs within the first 24 hours postpartum is defined as primary PPH and
hemorrhage … that occurs after the first 24 hours is defined as secondary PPH.
§ There are many possible causes … for PPH, but generally PPH occurs due to one of the “four Ts”: loss of
tone in the uterine musculature
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p13-tawfik.html
May 01, 2024 - for clinician burnout, which could inform practice improvement efforts to prevent burnout before it occurs … currently no reliable method to proactively identify high-risk clinics and intervene before burnout occurs
-
www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - structure and chain of command must be formalized so that coordination between the organizations involved occurs … Ramp-Up
Description: Once the catastrophic event occurs, facility opening efforts will be under way … Timeframe: As soon as the catastrophic event occurs, through implementation of planned arrangements … However, there should also be big-picture management team oversight to ensure that facility shutdown occurs … Review/Replanning
Description: In the unfortunate event that a terrorist incident or disaster occurs
-
psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
March 06, 2005 - The degree of complexity Perrow has in mind occurs when no single operator can immediately foresee the … Tight coupling occurs when processes are intrinsically time-dependent: once a process has been set in
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
June 02, 2025 - SAY:
Hospitals must also have strategies in place to engage patients and families if an adverse event occurs … 22
SAY:
Each hospital has policies and procedures for actions to take after an adverse event occurs … Communication is an ongoing process that occurs from initial reporting of the incident through investigation … Slide 23
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
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Event
Say:
Each hospital has policies and procedures for actions to take after an adverse event occurs … Slide 19: Adverse Event Initial Communication
Say:
Communication is an ongoing process that occurs … Event
Say:
Patients and family members experience a number of emotions when an adverse event occurs … Slide 21: Next Steps in Responding to an Adverse Event
Say:
When an incident occurs, the hospital … through employee assistance programs and medically induced trauma support services after an incident occurs
-
www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Ramp-Up
Description: Once the catastrophic event occurs, facility opening efforts will be underway … Timeframe: As soon as the catastrophic event occurs, through implementation of planned arrangements … Review/Replanning
Description: In the unfortunate event that a terrorist incident or disaster occurs … Timeframe: As soon as the catastrophic event occurs, planned arrangements for the surge facility should
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-timeline-nw.pdf
June 19, 2015 - recruitment
database
wit
hi
n
1
W
ee
k
i
Phone call
between
recruiter and
practice occurs … completing
forms if possible)
• Identify QI
champion
W
i
thi
n
2
w
ee
ks Kick-off Site visit
occurs
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - When a patient harm event occurs, rapid and timely reporting and comprehensive documentation of the details … support or inhibit disclosing information to staff, patients, and families when a patient harm event occurs … Generally speaking, about 2-4 weeks after an event occurs, a Root Cause Analysis team meets to determine … CANDOR Process for
Event Investigation and Analysis
Module 4
14
Occurs at:
30 days
60 days
90 days … Occurs within 30-45 business days after the event
Occurs within 72 hours after the event
The CANDOR
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Diagnoses and Conditions
Anemia of Prematurity
Characteristics
Occurs during the normal developmental … Anemia is more profound and occurs earlier in premature infants due to:
Blood loss from sampling. … Can persist for many weeks in very preterm infants, although resolution typically occurs by 37-43 weeks … Yearly renal ultrasounds until resolution occurs. … Followup
A high rate of spontaneous closure occurs during the first 2 years of life.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Diagnoses and Conditions
Anemia of Prematurity
Characteristics
Occurs during the normal developmental … Anemia is more profound and occurs earlier in premature infants due to:
Blood loss from sampling. … Can persist for many weeks in very preterm infants, although resolution typically occurs by 37-43 weeks … Yearly renal ultrasounds until resolution occurs. … Followup
A high rate of spontaneous closure occurs during the first 2 years of life.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Slide 17
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 … Slide 19
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
-
www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - What if an Adverse Event Occurs on the Unit?
Slide 21. Engagement Strategies
Slide 22. … What if an Adverse Event Occurs on the Unit? … Hospitals must also have strategies in place to engage patients and families if an adverse event occurs … Advise the patient and family that communication will be ongoing as follow-up investigation occurs. … Next Steps in Responding to an Adverse Event 5
Say:
When an incident occurs, the hospital will
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx
October 01, 2024 - .
· Involve the unit physicians in the Learning From Defects process when an infection occurs. … Make it personal for them.
· If an unprofessional interaction occurs, identify a peer (e.g., attending