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Showing results for "occurs".

61. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - A Brief usually occurs at the beginning of the shift and is designed to help all team members develop … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … And remember, communication is an ongoing process that occurs from initial reporting of the incident … Advise the resident and family that communication will be ongoing as followup investigation occurs. … When an incident occurs, the facility should investigate and analyze it (for example, conduct a root

62. Engage Patients and Families for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Engagement 9 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 … 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

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/859352/psn-pdf
    December 20, 2023 - clinicians, health system leaders, and improvement experts to discuss actions after medical error occurs

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48182/psn-pdf
    August 21, 2019 - organizational learning in hospitals, including contextual factors that affect it, how such learning occurs

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - ambulatory-medication-errors-and-adverse-events-involved-medicine-related- malpractice-cases Most medication safety research occurs

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866591/psn-pdf
    August 28, 2024 - sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards- boundaries Normalization of deviance occurs

67. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - Slide 4 Say: When a CANDOR event occurs, the CANDOR process can be used to introduce a … Say: Now that we understand the definition of a CANDOR event, let’s briefly examine what occurs … After the CANDOR System Activation occurs, the 3 rd and 4 th components should occur simultaneously

68. Adverse Drug Events occurring in U.S. Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
    June 02, 2025 - Adverse Drug Events occurring in U.S. Hospitals 0 10 20 30 40 50 60 70 80 Adverse Drug Events Occurring in U.S. Hospitals Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals. New data from all payers in 32 States in HCUP show characteristics of the four most frequent …

69. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
    December 01, 2017 - Identifies how they carry out root cause analysis when a pressure ulcer occurs. … For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting,

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73245/psn-pdf
    May 12, 2021 - just-culture-foundation-staff-safety-perioperative-environment A just culture balances organizational and individual accountability when a medical error occurs

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850929/psn-pdf
    June 21, 2023 - “just culture” balances organizational responsibility and individual accountability after an error occurs

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838031/psn-pdf
    September 13, 2022 - needed to ensure that patients can trust the health care system to hold those accountable when error occurs

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865880/psn-pdf
    May 15, 2024 - ethnically marginalized patients, such as antiracism education and addressing harm promptly when it occurs

74. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
    June 02, 2025 - – Yearly renal ultrasounds until resolution occurs.

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42242/psn-pdf
    September 06, 2018 - World Sepsis Day occurs yearly on September 13th.

76. When errors occur. | PSNet
    psnet.ahrq.gov/issue/when-errors-occur
    March 12, 2011 - Newspaper/Magazine Article When errors occur. Citation Text: Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853610/psn-pdf
    September 20, 2023 - //psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern Alarm (or alert) fatigue occurs

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857457/psn-pdf
    December 06, 2023 - This article outlines how ED overcrowding occurs and provides several approaches to mitigate risks and

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74057/psn-pdf
    November 10, 2021 - article provides an overview of the literature on diagnosis-related uncertainty, where uncertainty occurs

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867592/psn-pdf
    January 22, 2025 - culture aim to balance organizational and individual accountability and responsibility when an error occurs