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Total Results: 725 records

Showing results for "wrong".

441. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - major permanent loss of function, suicide, rape, hemolytic transfusion reaction, surgery/procedure on wrong

442. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
     January 01, 2024 - Nursing team not notified regarding changes in medications/prescriptions at discharge No medications; wrong … medications given to patient at discharge; wrong medications taken by patient upon discharge; delay

443. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer Summary Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…

444. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010–2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…

445. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
     October 01, 2022 - Avoid the issue of who’s right and who’s wrong. Actively avoid being perceived as judgmental.

446. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
     April 01, 2022 - In a way, this culture helps us understand what is good, bad, right, and wrong, so that we can also understand

447. Urine Culturing Stewardship in the ICU Setting Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
     April 01, 2022 - It is needed because urine cultures can be harmful if they’re ordered in the wrong situation.

448. Implementation Coaching | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
     June 01, 2023 - Without accurate assessment, coaching efforts might be spent addressing the wrong problem or a nonexistent

449. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - unexpected death after elective surgery in a healthy patient where nothing is found to have been done wrong

450. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/brock.html
     August 01, 2017 - Medical error was defined as the failure of a planned action to be completed or the use of a wrong plan

451. Practical Strategies for Gathering Feedback Directly from Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Qualitative_Methods_2012_04_11_Transcript.pdf
     January 01, 2012 - coming up with solutions that are very expensive and difficult to implement, and they're often the wrong

452. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
     January 12, 2022 - ‒ Wrong – The diagnosis is incorrect. ‒ Delayed – The diagnosis should have been made earlier. … * Wrong diagnosis: when the original diagnosis is found to be incorrect because the true cause is

453. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
     January 12, 2022 - Wrong – The diagnosis is incorrect. Delayed – The diagnosis should have been made earlier. … Wrong diagnosis: when the original diagnosis is found to be incorrect because the true cause is discovered

454. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
     July 01, 2023 - sometimes difficult to do because the culture is unsupportive of speaking up or you’re worried you’ll be wrong … patient explicit permission to participate in care discussions “If you hear us say something that sounds wrong

455. Mutual Support: Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
     July 01, 2023 - sometimes difficult to do because the culture is unsupportive of speaking up or you’re worried you’ll be wrong … explicit permission to participate in care discussions o “If you hear us say something that sounds wrong

456. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
     March 01, 2023 - • Poor decision-making structure, or the wrong people in leadership to drive the health IT project … The wrong patients are getting referred.

457. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/patfamengagement/patientandfamilyengagement_slides.pptx
     September 03, 2014 - PowerPoint Presentation Patient Engagement in Hemodialysis Facilities 1 Objectives Understand what patient and family engagement is in the context of end-stage renal disease (ESRD) Learn how to recognize and overcome obstacles to engaging patients and their families Equip your facility to engage patients in each …

458. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

459. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressu…

460. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
     March 01, 2016 - What went wrong? They found no errors in the report logic. … • Data errors: A data error may entail missing information, or wrong information entered, or it