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Showing results for "reason".

  1. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
    December 01, 2017 - Another reason may be that health care providers may observe their peers inserting catheters and notice … Lack of importance is another reason or can be another barrier to successful insertion of ...
  2. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
    December 01, 2017 - Another reason may be that health care providers may observe their peers inserting catheters and notice … Lack of importance is another reason or can be another barrier to successful insertion of ...
  3. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
    June 02, 2025 - Operating at full capacity is not a valid reason to neglect patients with the greatest initial or ongoing … Misconception: The most important reason for care coordination is to ensure that your program has enough … For this reason, it is essential to begin by assessing the level of physician understanding and acceptance
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.docx
    March 01, 2022 - FAQs (Staff): Targeted Decolonization Decolonization of Non-ICU Patients With Devices Section 14-4 – Addressing Questions Asked by Staff: Targeted Decolonization What is targeted decolonization? Participating non-ICU units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine …
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool ICU & Non-ICU Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed. What is a defect? A defect is any clinical or o…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
    December 01, 2017 - As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … SAY: If a contributing factor is a major reason why the defect occurred, place that factor in the top … For example, the green “x” represents a contributing factor that occurs often and is a major reason why
  7. www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
    December 01, 2017 - As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … Say: If a contributing factor is a major reason why the defect occurred, place that factor in the top … For example, the green “x” represents a contributing factor that occurs often and is a major reason why
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
    January 01, 2011 - measure, there must be a clear rationale to permit an exception for a medical, patient, or system reason … consideration – Please do not cite or distribute 15 Denominator Exceptions Documentation of medical reason … . patient with multiple psychiatric conditions referred to other provider) Documentation of system reason
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
    January 01, 2011 - measure, there must be a clear rationale to permit an exception for a medical, patient, or system reason … aged 4 through 18 years with a diagnosis of ADHD Denominator Exceptions Documentation of medical reason … . patient with multiple psychiatric conditions referred to other provider) Documentation of system reason
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
    June 02, 2025 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department Reducing Unnecessary Urinary Catheter Use in the Emergency Department Margarita E. Pena, MD, FACEP Medical Director, Clinical Decision Unit St. John Hospital and Medical Center Detroit, MI Learning Objectives Explain how to establish gui…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
    December 23, 2004 - Reason presents a good review of the development of taxonomies for such applications and develops a … that failure was (such as missing the detection of a situation deviating from normal), but on the reasonReason J. Human Error. Cambridge: Cambridge University Press; 1990. 2. Norman D.
  12. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/helpsmokers.html
    October 01, 2014 - Help for Smokers and Other Tobacco Users Quit Smoking This booklet tells you about ways you can quit. en español You can quit. Quitting is hard. Many people try several times before they quit for good. But they do succeed. Good Reasons for Quitting You will feel better. You will have more energy …
  13. www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-mentalhealth-cg30-adult.html
    May 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Access to Mental Health Care Services Population version: Adult Instructions for adding these items After the last item before the "About You" section, add the following subheading, formatted to be consistent with existing subheadin…
  14. www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-mentalhealth-hp50-adult.html
    May 01, 2021 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0/5.1: Access to Mental Health Care Services Population version: Adult Instructions for adding these items After the last item before the "About You" section, add the following subheading, formatted to be consistent with existing subheadings:   …
  15. www.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - The reason is that in the U.S. some respondents do not know what patient safety culture means—they tend … In other words, the reason mistakes do not happen more often is good luck, not because procedures or
  16. www.ahrq.gov/talkingquality/plan/needs-and-testing/index.html
    May 01, 2019 - The main reason to test various aspects of your quality report is to see the information from your audience's
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
    September 01, 2009 - The reason is that in the U.S. some respondents do not know what patient safety culture means - they … In other words, the reason mistakes do not happen more often is good luck, NOT because procedures or
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
    March 01, 2017 - But these conditions aren’t necessarily harmful, and they certainly aren’t a reason to send a urine culture … It can cause the urine to become cloudy and smell bad, but it is not a reason to be alarmed—it is very
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
    September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the Diagnostic Pathway Futu…
  20. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - Disruptive Behavior Policy/Standards 20 Slide 28 Unsafe Acts Algorithm 7 Adapted from James ReasonReason, J. (1997). Managing the Risks of Organizational Accidents .

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