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Showing results for "occurs".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49589/psn-pdf
     August 01, 2009 - Background Herpes zoster (or shingles) occurs in approximately 1 million people annually in the United … Or, when HZ occurs fully or partially under the scalp, it can also lead to a missed diagnosis. … Unilateral allergic contact dermatitis, as often occurs with cases of poison ivy, is also in the differential

282. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - 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.

283. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
     January 01, 2014 - in defining problem and potential solutions Slide 10 Implementation-Focused Formative Evaluation Occurs … Slide 11 Progress-Focused Formative Evaluation Occurs during implementation of project plan.

284. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - viewpoints as possible Alternate between convergent and divergent thinking Divergent thinking occurs … brainstorming sessions, and when trying to understand what might be occurring 10 Convergent thinking occurs

285. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.html
     August 01, 2017 - This occurs when they are able to find a space and place in their heart to store the pain, try to forgive … It is important to have a designated plan after medical harm occurs, but equally, if not more important

286. Making the Case That Improving Antibiotic Use Is a Patient Safety Issue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
     November 01, 2019 - However, the greatest risk occurs with clindamycin, third- and fourth- generation cephalosporins like … Moment 1 occurs at the time that initiation of antibiotic therapy is being considered. … Moment 2 occurs at the time that the decision has been made to start antibiotics. … Moment 3 occurs on every subsequent day of antibiotic therapy and addresses three main considerations

287. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. | PSNet
     psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
     September 12, 2018 - Large system failure occurs when such interventions are not disseminated and implemented.

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846169/psn-pdf
     March 15, 2023 - anesthesia, including the postoperative period.1 It is a potentially life-threatening complication that occurs … to prevent negative pressure pulmonary edema and/or hypoxic cardiac arrest.6 Laryngospasm usually occurs … sedation and anesthesia must be vigilant and competent to rapidly diagnose and treat laryngospasm, if it occurs … Capillary rupture occurs because of excessive negative pressure created in the lung when the patient

289. Preface | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/preface.html
     August 01, 2017 - initiatives; the use of reporting systems; the harmful impact of institutional silence when patient harm occurs

290. EvidenceNOW: Evaluation Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/measures.html
     August 01, 2018 - Randomization of practices occurs in four waves every 3 months.

291. Co-Occurring Behavioral Health Conditions | The Academy
     integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/co-occurring-behavioral-health-conditions
     January 01, 2012 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

292. Data Display and Organization | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data-display
     January 01, 2023 - When these opposing forces are equal to each other, no change occurs.

293. Opening a Window to Depression | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/opening-window-depression
     January 01, 2023 - place, only about half of symptomatic patients are diagnosed, and even fewer are treated until a crisis occurs

294. Role of cognition in generating and mitigating clinical errors. | PSNet
     psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
     January 07, 2015 - approaches like virtual reality simulation to train physicians to manage cognitive error once it occurs

295. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. | PSNet
     psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors
     January 18, 2011 - organizations should avoid focusing on technical and organizational factors in isolation, as benefit occurs

296. Investigating Interventions to Reduce Unsafe Use of Antibiotics | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
     November 01, 2024 - a co-principal investigator on a 5-year AHRQ  grant to explore why nonprescription antibiotic use occurs

297. Conspicuous by its absence: diagnostic expert testing under uncertainty. | PSNet
     psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
     February 28, 2024 - June 7, 2023 Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers

298. Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. | PSNet
     psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
     March 18, 2020 - Anchoring bias occurs when a physician relies on their initial diagnostic impression despite subsequent

299. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet
     psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
     February 15, 2023 - Alert fatigue occurs when healthcare workers become desensitized to alarms over time, especially when

300. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet
     psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
     June 01, 2022 - Inattentional blindness occurs when individuals miss an unexpected event due to competing attentional