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Showing results for "occurs".

301. How Will You Pay for a Health Care Quality Report? | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/plan/pay.html
     November 01, 2018 - One prominent example of this kind of cost sharing occurs in California, where medical groups, health

302. 035-Importance-Mrsa-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
     October 01, 2024 - people in both community settings and healthcare facilities, but most of the morbidity and mortality occurs … Understanding how MRSA spreads and occurs is important for purposes of MRSA prevention. … MRSA infection occurs when MRSA on or in a patient’s body begins to cause invasive disease or adverse

303. 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

304. 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.

305. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - CANDOR implementation process. 3 The Problem Despite major initiatives, patient harm from medical care occurs … want a health care organization, physician and/or care provider to be fully transparent when an error occurs … happened: 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. 31

306. Serious Reportable Adverse Events in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Of note, the frequency with which an event occurs was considered, but was not accepted as a criterion … 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 … 346 Preventable describes an event that could have been anticipated and prepared against, but occurs … First, when an event occurs, it should be investigated to determine the underlying system problems and

307. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - Introduction Catastrophic patient injury often occurs because of an unanticipated sequence of active … root cause analysis (RCA) and sentinel event analysis, which are carried out after an adverse event occurs … failures and to fix these problems to make the system more robust before an adverse event actually occurs … Detectability Is the area of failure readily known, or is it discovered only when a bad outcome occurs … Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic

308. 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

309. Appendix J. Long-Term Care CAUTI Surveillance Worksheet | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
     March 01, 2017 - Definitions: Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in

310. Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
     March 01, 2017 - Definitions: · Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in

311. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201709.html
     June 01, 2017 - Because patient safety culture occurs mainly at the hospital unit level, St.

312. Utilizing pharmacy students in transitions-of-care services. | PSNet
     psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
     October 19, 2022 - October 19, 2022 Type 1 diabetes defined by severe insulin deficiency occurs after 30

313. Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Maryland and Arkansas | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-stage-3-meaningful-use-objectives-analysis-md-and-ar
     January 01, 2023 - provider, or care coordinator, with the patient’s consent if required, within 2 hours of when the event occurs

314. Project Planning and Management | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
     January 01, 2023 - The diagram also includes information about how and why the communication occurs, the specific technology

315. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet
     psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
     August 28, 2019 - March 29, 2023 Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers

316. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet
     psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
     October 19, 2022 - April 24, 2018 Type 1 diabetes defined by severe insulin deficiency occurs after 30 years

317. Why do hundreds of US women die annually in childbirth? | PSNet
     psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
     June 14, 2019 - Resources From the Same Author(s) Type 1 diabetes defined by severe insulin deficiency occurs

318. What's that sound? Managing alarm fatigue. | PSNet
     psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
     April 26, 2023 - July 5, 2017 Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers

319. One-Pager-Cellulitis (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
     June 01, 2021 - improvement (e.g., reduction of pain, erythema, and local inflammation and resolution of fevers) generally occurs

320. Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet
     psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
     April 19, 2017 - Misdiagnosis or delayed diagnosis of common conditions, such as acute myocardial infarction (AMI), occurs