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Showing results for "occurs".

221. The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet
     psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
     October 18, 2023 - Alert fatigue occurs when clinical decision support systems (CDSS) produce numerous low-relevance alerts

222. 131-What-Are-The-4-Es-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
     May 24, 2024 - Engagement occurs on multiple fronts, including team members, senior leaders, and frontline staff.

223. Just culture: the foundation of staff safety in the perioperative environment. | PSNet
     psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
     June 09, 2021 - A just culture balances organizational and individual accountability when a medical error occurs

224. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. | PSNet
     psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
     April 15, 2020 - The RIM consists of two elements—whether the intervention occurs before or after the event and whether

225. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. | PSNet
     psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
     December 01, 2019 - When an error or adverse event occurs, patients and families want to be informed.

226. The threat within: mitigating the risk of medical error. | PSNet
     psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
     July 15, 2020 - Despite efforts to protect patients, harm still occurs during the course of medical care.

227. Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-and-healthcare-expenditures-us-community-dwelling
     April 08, 2020 - cohort of noninstitutionalized elderly and found that inappropriate medication use in this population occurs

228. Early diagnosis of cancer: systems approach to support clinicians in primary care. | PSNet
     psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care
     December 14, 2022 - This commentary examines how cancer diagnosis delay in primary care occurs.

229. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. | PSNet
     psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
     November 20, 2024 - Some institutions have implemented disclosure-and-resolution programs whenever an error occurs, in which

230. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. | PSNet
     psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
     July 24, 2024 - This narrative review characterized how, why, and under what circumstances unprofessional behavior occurs

231. Blind Spot | PSNet
     psnet.ahrq.gov/web-mm/blind-spot
     July 30, 2020 - Specific ophthalmologic findings determine the diagnosis.( 5 ) AION occurs at the optic nerve head as … PION occurs anywhere posterior to the optic nerve head to the optic nerve chiasm. … Figure 2 ) with their eyes free from external pressure.( 6 ) These data clearly demonstrate that ION occurs … Cortical blindness is usually associated with embolic events or profound hypotension and most commonly occurs

232. Best Practices in the Diagnosis and Treatment of Diverticulitis and Biliary Tract Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
     November 01, 2019 - pain on palpation, patients may have a palpable mass indicating inflammation or abscess; the latter occurs … Slide 11 The Four Moments of Antibiotic Decision Making SAY: Moment 3 occurs after a day … It is important to distinguish acute cholecystitis from episodes of biliary colic, which occurs when … It usually occurs in critically ill patients. … Commentary Slide Number and Slide The Four Moments of Antibiotic Decision Making SAY: Moment 3 occurs

233. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - want a health care organization, physician, and/or care provider to be fully transparent when an error occurs … This might be hard to answer at the time; but again, this is to stress that as the investigation occurs … necessarily be open with patients but also not to be honest with the organization when an adverse event occurs … Organizational leadership and support for the CANDOR process are key to ensure that it occurs.

234. Methods Guide for Medical Test Reviews (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-bias_methods.pdf
     July 01, 2012 - Treatment paradox Occurs when treatment is started on the basis of the knowledge of the results of the … Disease progression bias Occurs when the index test is performed an unusually long time before the … Diagnostic review bias occurs when the results of the index test are known when the reference standard … In two or more observations of the same diagnostic study, intraobserver variability occurs when the … same person obtains different results, and interobserver variability occurs when two or more people

235. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - 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

236. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - timely communication with patients and/or families during their care, particularly when an adverse event occurs … The first disclosure communication occurs within 60 minutes after a CANDOR event has been identified, … The first followup communication usually occurs after the completion of the Event Investigation and Analysis

237. Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
     November 01, 2019 - VAP Slide Title and Commentary Slide Number and Slide Moment 1: Diagnosing VAP SAY: VAP occurs … It is important to remember that VAP occurs after 48 hours or more of intubation. … Commentary Slide Number and Slide The Four Moments of Antibiotic Decision Making SAY: Moment three occurs

238. Appendix E. Category Definitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appe.html
     March 01, 2017 - engagement in patient care (patient engagement is a given) Definition: Family engagement in patient care occurs

239. Enhanced Functionality for the Distributed Research Network Pilot (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-expansion_research.pdf
     April 01, 2012 - New Results Results Manager Occurs when query results are returned. … Results Manager New Results Occurs when query results are returned. … Generation of notifications occurs during background processing. … Delivery of notifications occurs through multiple channels. … New Query The New Query event occurs when a new query is created.

240. Process Mapping | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-0
     January 01, 2023 - The diagram is comprised of a map (such as a floor plan) of the area where the process occurs and uses