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psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
January 10, 2024 - November 9, 2022
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - If incontinence occurs, or if there are other secretions on the skin, remove soilage with disposable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
June 02, 2025 - The worksheet also includes columns to identify
whether a given suggested meeting already occurs or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - The worksheet also includes columns to identify whether a given suggested meeting already occurs or whether
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - When this happens, desaturation occurs very quickly. … rule out a hypoxic gas mixture whenever they encounter very
rapid desaturation or when desaturation occurs … seen the effect of administering a hypoxic gas mixture because cross-
connection of the gas supply occurs … Have a low threshold to change to a different gas supply
Whenever desaturation occurs very rapidly,
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - When a medical error or patient harm occurs, the first priority is to attend to the patient and family … errors and adverse events, along with support that can be put in place to respond when such involvement occurs
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hcup-us.ahrq.gov/reports/infographics/adverse.jsp
August 01, 2014 - Adverse Drug Events Occurring in U.S. Hospitals
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
June 09, 2015 - This in part occurs because training in error disclosure is not a standard component of medical school
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psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle
June 29, 2009 - Institutional betrayal occurs when a patient (or other individual) experiences a harm and the (health
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - just culture ” balances organizational responsibility and individual accountability after an error occurs
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psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
February 06, 2013 - and suggests that individual awareness of uncertainty is required to respond to the condition as it occurs
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - The authors argue that sustained change occurs only when these root causes receive appropriate exploration
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psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
September 18, 2009 - , these data revealed that hospitals generally do not receive additional compensation when an error occurs
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/problem
January 01, 2023 - When these opposing forces are equal to each other, no change occurs.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process
January 01, 2023 - The diagram also includes information about how and why the communication occurs, the specific technology
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digital.ahrq.gov/ahrq-funded-projects/identifying-sepsis-phenotypes-associated-antibiotic-resistant-pathogens-using
August 01, 2024 - Patient Safety
Quality Improvement
Sepsis is a severe and life-threatening condition that occurs
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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
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development-table-1
June 01, 2007 - c This step usually occurs at a Task Force meeting, although in the case of topic updates, work plan
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - The speed with which resolution occurs is important to the success of the effort. … When harm occurs, patients often express the desire to protect others from future events.
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www.ahrq.gov/hai/cusp/modules/understand/alt-text.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 occurring10
Convergent thinking occurs