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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - of internal medicine residents who reported making
Disclosure of Medical Errors
485
mistakes described … generated
codes and themes, the views of patients, physicians, nurses, and administrators
could be described … Consistent with
professional codes, providers described a strong sense of duty and responsibility … But there were many other sources
of fear, as described by one resident: “I think there are a few kinds … One provider described an atmosphere that
was intolerant of error: “The remark – Goddamn, what were
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - review process
for physicians in rural hospitals in Texas that has alleviated many of the problems described … Each of these
innovations is described in detail below. … Graber, and colleagues14 have described the occurrence of three types of medical errors: (1) no-
fault … The results of these evaluations are described in the assessment section of this
article. … taxonomy of
physician error in patient care may result from our ongoing peer review activities as described
-
www.ahrq.gov/research/publications/pubcomguide/pcguide-avdevelopment.html
July 01, 2024 - , a separate audio description file may be required if important visual content is not announced or described … Audio description requirement: It is preferable to script the video so that all visual information is described … Nevertheless, it remains in OC's sole discretion to determine if an audio-described version of the video
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
June 02, 2025 - Prevention Menu of Implementation Strategies table below summarizes
potential uses for each report, as described
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave1.html
July 01, 2025 - While perhaps not all of the AI-enabled technologies described in the scenario may be utilized by a single
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Prologue_Keyes_Vol3.pdf
June 02, 2025 - There is a significant
learning curve to many of the techniques described here.
-
www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - depending on
the sophistication of the search strategy, may miss documented events that have been described … adverse drug event (ADE) monitoring in hospital information systems.28, 29
The original trigger tool described … areas best suited for proactive patient risk reduction activities.
8
A case-study approach, as described … Patterns of events within the prioritized clusters will be described more, including whether they are … The delay in this aim (the reason for which is described below) will allow use of more
recent AE data
-
www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - were documented with digital photography for later input into probabilistic
risk assessment software, described … decreases from .04838 to .03364 (a reduction
of .01474 (30.46%))
11
Interventions and Action Plans
As described … Additional development of this system is described in the funded
intervention project described below
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
June 01, 2017 - Each report is described in detail in the Electronic Reports section.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - The methods used to compute
this data are identical to those used to compute the 2010 baseline, as described
-
www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
January 01, 2024 - 2016
Federal Project Officer: Tamara Willis, PhD, MPH
Acknowledgment of Agency Support: The project described … To determine each beneficiary’s PCP, we used the plurality
algorithm described by Pham and colleagues … We adjusted our
models for the hospital- and HSA-level factors described above as well as for the number
-
www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
January 01, 2024 - Third, we have described barriers to implementation of
clinical practice guidelines and strategies … The
design of the application has been described in a paper that we published in the Journal of
Biomedical … Third, we have described barriers to implementation of
clinical practice guidelines and strategies
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
August 07, 2018 - Our testing occurred in Medicaid
data and is described below. … As described in Section 3.A above, the literature confirms the importance of this measure for all
women … We have described the importance of this measure in our
review above. … Rurality/Urbanicity
As described in the specification, we used the Urban Influence Codes (UIC) below … The authority of the
signatory to provide such authorization should be described in the letter.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
May 13, 2019 - Numerator Exclusions
Infants with a specified congenital anomaly as described in Table 1 (see Supporting … Denominator Exclusions
Infants with a specified congenital anomaly as described in Table 1 (see Supporting … The
adjusted results of readmissions using all of these variables are described as Adjusted Model
with … So-called “preventable” readmissions, described that way
because ostensibly some change in practice … The authority of the
signatory to provide such authorization should be described in the letter.
-
www.ahrq.gov/news/blog/ahrqviews/arm-in-arm-with-academyhealth.html
June 01, 2024 - In my most recent blog post , I described the agency’s role among the three intertwining pathways—biomedical
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
August 01, 2024 - within education. 14 Importantly, CLT did not attempt to directly measure cognitive load, but rather described
-
www.ahrq.gov/policy/foia/foiafy09.html
October 01, 2014 - Records not reasonably described: 1
f. … Records not reasonably described
f. Improper request for other reason
g.
-
www.ahrq.gov/policy/foia/foiafy08.html
October 01, 2014 - Records not reasonably described: 1
f. … Records not reasonably described
f. Improper request for other reason
g.
-
www.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - The data described above for MPSMS are unlike the NHSN and PSI data in two ways. … 2010 IQR sample did not include patients with all diagnoses, we used the 2005 and 2006 MPSMS data, as described
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Cross-references to resources already described:
• Composite Measure 1. … SOPS Ambulatory Surgery Center Survey Resource List
11
Cross-references to resources already described … Additional Measure
Communication in the Surgery/Procedure Room
Cross-references to resources already described … Raising and Responding to Concerns
Cross-references to resources already described:
Composite … Living a Culture of Patient Safety Policy and Brochure
Cross-references to resources already described