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psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
February 07, 2024 - This study captured sleep timing, regularity, efficiency, and duration via Fitbit in more than 3,500
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psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - This study analyzed self-reported adverse events captured on a national online questionnaire to determine
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Although only 5% of reported errors were physician self-reports, there were still benefits: it captured
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psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
March 24, 2021 - medication change identified after medication reconciliation, thereby ensuring physician orders were captured
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psnet.ahrq.gov/issue/automated-search-methods-identifying-wrong-patient-order-entry-scoping-review
June 14, 2023 - This review summarizes how organizations and providers identify WPOE, what data are being captured, and
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psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
March 11, 2019 - describe the incidence, severity, and preventability of reported events along with specific examples captured
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www.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Data Elements refer to the concepts reported in the CFER-H and captured through individual questions
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www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
January 01, 2024 - and nurses would
provide the richest, most relevant data and whether these events could be feasibly captured … ensure that the phenomenon of interest (communication between physicians and nurses) was being
captured … All interactions
between physicians and nurses were captured on video, but we missed the opportunity
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
June 15, 2023 - ANSWER: I suspect they are, but they are not routinely captured in the EHR to drive CDS. … Or is the plan captured another way for review? … ANSWER: It is captured and saved as a progress note; it would be ideal to do more here.
Alex C.
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cdsic.ahrq.gov/sites/default/files/2025-03/SRF%20Standards%20for%20Patient%20Preferences.pdf
January 01, 2025 - Examples
Personal
Characteristics
Patient preferences for the
identity components typically
captured … terms and codes related to patient preferences available within LOINC, SNOMED CT, FHIR that are
not captured … under the personal characteristics domain include items related to a patient’s identity that
may be captured … prioritize for PC CDS development and implementation, we considered if the
data are routinely being captured … overtime (e.g., treatment preferences regarding aggressive therapies).108
Some concepts may be best captured
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psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
September 28, 2010 - The authors describe a paper-based reporting initiative that effectively captured adverse event and
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psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
March 01, 2011 - systems, a multidisciplinary team approach, and Lean Six Sigma methodologies to successfully identify captured
-
psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
March 13, 2015 - used routinely collected electronic data to uncover information about adverse events not easily captured
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hcup-us.ahrq.gov/reports/methods/EvaloftheSASD2001(HCUP_CD)v3Final.pdf
March 19, 2004 - Evaluation of the State Ambulatory
Surgery Databases
To better understand the types of surgeries captured … Table 3 presents the number of facilities and
ambulatory surgeries by state captured in the 2001 SASD … The third and last row for each state provides the number of facilities and
surgeries captured only … 358,874
SASD Only 38 102,857 0
AHA Only 20 0 6,625
For most states, the majority of facilities are captured … Appendix 1 offers further insight into the data captured in the 2001 SASD.
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psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
November 01, 2012 - Using data captured from USP's Medmarx program, this study discusses the errors that resulted after
-
psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - Nearly 500 individual errors were captured with results reported per 100 patient-days and per 1000
-
integrationacademy.ahrq.gov/news-and-events/news/nih-heal-initiative-seeks-input
July 08, 2024 - The RFI welcomes a wide range of perspectives with respect to: OUD and overdose research not already captured
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psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
January 04, 2017 - The report suggests that the patient safety incidents captured account for nearly $9 billion in excess
-
psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - The report suggests that the patient safety incidents captured account for more than $9 billion in excess
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - However, pharmacy dispensing errors—internal or
external—that enter the facility are captured in the … back does not occur
Q:0.2
Gate483
Read back occurs and fails
Q:0.1
Event836
Incorrect dose not captured … back does not occur
Q:0.2
Gate483
Read back occurs and fails
Q:0.1
Event836
Incorrect dose not captured … Risk trees went through multiple iterations
until the modeling groups were satisfied that they have captured