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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - Adverse events can be identified through multiple methods , including trigger tools and voluntary reporting … In this comparison study, the Global Trigger Tool identified 79 AE in 88 oncology patients, compared … to 21 in the voluntary reporting system; only two AE were identified by both. … August 3, 2022
Monitoring preventable adverse events and near misses: number and type identified
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psnet.ahrq.gov/node/866400/psn-pdf
January 01, 2025 - This systematic review
identified 128 studies focused on medication administration in long-term geriatric … Five overarching themes were identified, including staffing and resident rights. … The
researchers identified two areas of high concern requiring additional research: classifying omissions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - Objectives: The researchers sought to assess the impact of pharmacologic
intervention on previously identified … Patients were then
matched to the 527 patients identified from the previous lipid study as
experiencing … The review identified
31.7 percent of patients on therapy at a subtherapeutic dose. (3) Medication … Patients were then matched to the 527 patients at Patrick Air
Force Base who had been identified in … Previous versus current therapies for patients previously identified as receiving
Table 2.
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hcup-us.ahrq.gov/db/state/siddist/siddist_hospital.jsp
January 01, 2025 - Number of Hospitals in 2010
State
Community Hospitals in the SID
Hospitals in the SID not Identified … Number of Hospitals in 2008
State
Community Hospitals in the SID
Hospitals in the SID not Identified … Number of Hospitals in 2007
State
Community Hospitals in the SID
Hospitals in the SID not Identified … Number of Hospitals in 2006
State
Community Hospitals in the SID
Hospitals in the SID not Identified … Number of Hospitals in 2005
State
Community Hospitals in the SID
Hospitals in the SID not Identified
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psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey
December 08, 2021 - This study asked adolescent (ages 15-19) patient portal users if they had identified errors or omissions … Approximately one-quarter of patients identified an error and 20% identified an omission.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.doc
October 01, 2016 - Diagnostic Tool Used and Whether Criteria Were Met
HAI/CAI/NHAI/Other Nosocomial*
Lab Results
(organism identified … Diagnostic Tool Used and Whether Criteria Were Met
HAI/CAI/NHAI/
Other Nosocomial*
Lab Results
(organism identified … Used and Whether Criteria Were Met
HAI/CAI/
NHAI/
Other Nosocomial*
X-ray or Lab Results
(organism identified
-
psnet.ahrq.gov/node/38797/psn-pdf
July 22, 2009 - Failure to recognize newly identified aortic dilations in a
health care system with an advanced electronic … Failure to recognize newly identified aortic dilations in a health
care system with an advanced electronic … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system- … advanced-electronic
This study discovered that more than half of newly identified aortic dilations … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/weight-gain-future_research.pdf
January 01, 2020 - We identified potential research needs based on gaps identified from a recent
systematic review, and … identified by the authors of the report during in-person discussions. … identified from the CER. … We created a list of elements based on components
identified in the CER. … identified as potentially
eligible during title review.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
January 20, 2008 - Once themes are identified,
action items are listed under the appropriate theme. … The
process includes:
• Assessing all identified action plans based on identified vulnerabilities … Background
In recent years, improving patient safety has been identified as one of the key challenges … • 50 percent: recommendations for change identified by team. … Once themes were identified, the process of
scoring began.
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas4.html
March 01, 2013 - The measures contained in the CCRM Atlas were identified during an environmental scan that was conducted … Each existing measure identified to be relevant to clinical-community relationships has a profile that … For example, there are three identified measures for the clinician experience domain to assess the … Once you have identified the relevant measures, go to the Measure Profiles in Chapter 5 to examine … Using the element(s) and/or relationship(s) you identified in step "a" and the domain(s) you identified
-
www.ahrq.gov/patient-safety/reports/engage/summary.html
March 01, 2017 - Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … They then identified articles for inclusion in the Guide based on established inclusion and exclusion … Although the team identified policy-related factors, they are beyond the scope of this project. … Gaps Identified
Several gaps in the evidence emerged from the environmental scan:
There are few … Most of the materials identified were complex or had poor usability.
-
psnet.ahrq.gov/node/42193/psn-pdf
May 08, 2013 - Priority patient safety issues identified by perioperative
nurses. … Priority patient safety issues identified by perioperative
nurses. … https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
Perioperative … nurses identified wrong-site surgery and medication errors as the most pressing patient
safety concerns … https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/39579/psn-pdf
June 11, 2014 - Outpatient adverse drug events identified by screening
electronic health records. … Outpatient adverse drug events identified by screening electronic
health records. … https://psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records … The highest yield screening algorithms were triggers that identified
patients with abnormal lab values … https://psnet.ahrq.gov/issue/outpatient-adverse-drug-events-identified-screening-electronic-health-records
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
April 01, 2018 - A topic was identified as a theme based on the mention of or agreement with an item by three or more … Topics identified as duplicative were combined into a single occurrence, and themes identified from the … The final themes identified through analysis are categorized and presented in Table 2 below. … Themes Identified in Content Analysis of Surgeon Focus Group Data
Models and Metrics … Desire was expressed for the development of new models based on specific patient factors which are identified
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/traumatic-brain-injury-rehabilitation-surveillance-160902.pdf
May 29, 2025 - This"
may"occur"when"no"new"evidence"is"identified,"or"when"some"new"evidence"is"identified"
but"it"is"clear"from"abstract"review"and"expert"assessment"that"the"new"evidence"is … $We$identified$other$
scales$during$the$screening$process. … $
(
Current(Literature(Analysis:(
•$ We$identified$no$studies$meeting$inclusion$criteria. … $No$FDA$black$box$
warnings/Class$I$recalls$as$applicable$to$the$report$were$identified. … $The$most$
We$identified$no$studies$meeting$
inclusion$criteria.
-
psnet.ahrq.gov/node/865711/psn-pdf
May 01, 2024 - Paediatric medication incident reporting: a multicentre
comparison study of medication errors identified … Paediatric medication incident reporting: a multicentre
comparison study of medication errors identified … In this study of medication errors in two children
hospitals, out of 11,302 prescribing errors identified
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - Efforts
Patient-centered medical home (PCMH) transformation was studied in 12 pediatric practices identified … Each of the 12 practices identified a team to participate in the learning collaborative and guide transformation … Practices identified the electronic health record (EHR) as both a driver and restrainer of transformation … Providers, families, and staff described care coordination as a key medical home function and identified … addition to sharing their stories and describing their goals and needs for their children, families identified
-
psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - Clinician-identified problems and solutions for delayed
diagnosis in primary care: a PRIORITIZE study … Clinician-identified problems and solutions for delayed diagnosis in
primary care: a PRIORITIZE study … https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care … Participants identified 33 discrete problems associated
with delays in diagnosis and suggested 27 solutions … https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
-
psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - The harm susceptibility model: a method to prioritise
risks identified in patient safety reporting systems … The harm susceptibility model: a method to prioritise risks
identified in patient safety reporting systems … https://psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety … reporting data to identify work areas with safety problems and rank the severity of safety problems
identified … https://psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
-
psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - Quality gaps identified through mortality review. … Quality gaps identified through mortality review. … https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
Inpatient mortality represents … This study
described the implementation of an institution-wide mortality review process, which identified … https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
https://psnet.ahrq.gov/