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Showing results for "happened".

  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
    January 01, 2013 - Return on Investment Estimation Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool F.1 Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders …
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Final Report This page is intentionally blank. Potentially Preventable Readmissions: Conceptual Framewo…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
    January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
    January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - News Media and Health Care Providers at the Crossroads of Medical Adverse Events News Media and Health Care Providers at the Crossroads of Medical Adverse Events Pamela Whitten, PhD; Mohan J. Dutta, PhD; Serena Carpenter, PhD; Graham D. Bodie Abstract In 2005, Indiana Governor Mitch Daniels issued an executi…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
    April 02, 2008 - The Nature, Characteristics and Patterns of Perinatal Critical Events Teams The Nature, Characteristics and Patterns of Perinatal Critical Events Teams William Riley, PhD; Helen Hansen, PhD, RN; Ayse P. Gürses, PhD; Stanley Davis, MD; Kristi Miller, RN, MS; Reinhard Priester, JD Abstract The Institute …
  10. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy-executive.pdf
    December 01, 2009 - Layout 1 Background Breast cancer is the second most common malignancy of women, with over 180,000 new cases diagnosed each year in the United States. Survival rates depend on the stage of disease at diagnosis. Women diagnosed with early stages of breast cancer have a 5-year survival rate near 100 percent. However, …
  11. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
    January 01, 2010 - together, these results indicate that the two sites where vulnerable populations were targeted also happened
  12. www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
    January 01, 2024 - and in temporal trends as well as sudden improvement in control units at the time the intervention happened
  13. www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
    January 01, 2024 - this clinic, we have defined protocols about reporting and discussing medication mistakes that almost happened
  14. digital.ahrq.gov/sites/default/files/docs/citation/r18hs025618-solberg-final-report-2023.pdf
    January 01, 2023 - in 2013 based on the extent to which PROMs incorporate the patient’s perspective, but that has not happened
  15. psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
    April 10, 2024 - Given that this happened in April and May 2020 when staff lacked the knowledge about asymptomatic spread
  16. www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
    January 01, 2024 - Given most of these asthma -related events happened on average 5 to 6 months before the index analgesic
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
    April 01, 2016 - Well, one of the things I learned after this happened with us is that in talking with other systems about
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - underlying assumption in the discharge planning process that the patient’s providers knew what had happened
  19. effectivehealthcare.ahrq.gov/sites/default/files/pdf/single-group-studies_white-paper.pdf
    January 01, 2013 - change across the time periods compared if patient status at baseline is to represent what would have happened
  20. www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity Community Connections Linking Primary Care Patients to Local Resources for Better Management of Obesity Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health…