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Total Results: 500 records

Showing results for "incidents".

  1. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
    January 01, 2012 - Drug-related incidents occurring during the 45 day period following SNF discharge were considered relevant … Drug-related incidents occurring during the course of the SNF stay or the previous hospital stay were … All possible drug-related incidents were presented by a clinical pharmacist investigator to pairs of … Physician- reviewers independently classified incidents using structured implicit review according to
  2. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
    January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Grant Final Report Grant ID: 5R18HS017016 Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Inclusive Dates: 09/01/07 - 06/30/10 Principal Investigator: Andrew E. W…
  3. digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/annual-summary/2010
    January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010 Project Name Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Principal Investigator Williams, Andrew Organization Kaiser Foundation Researc…
  4. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/problem
    January 01, 2023 - Problem Solving Kepner-Tregoe Matrix Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and eliminating the elements tha…
  5. digital.ahrq.gov/sites/default/files/docs/activity/using_it_to_improve_the_quality_of_cardiovascular_disease__cvd__prevention___management_2010_pdf__2.pdf
    January 01, 2010 - Using Information Technology to Improve the Quality of Cardiovascular Disease Prevention and Management 1 | Using information technology to improve the QUality of cardiovascUlar disease prevention and management 2010 Grant Summary Using Information Technology to Improve the Quality of Cardiovascular Disease Prev…
  6. digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-tool-specifications.pdf
    May 23, 2013 - FALL_METRICS_F.PERSON_ID) WHERE FALL_METRICS_F.FALLS > 0 M Number of Falls (Month) The number of distinct fall incidents … SUM (FALL_METRICS_F.FALLS) N Number of Falls (Quarter) The number of distinct fall incidents … FALL_METRICS_F.PERSON_ID) Q Number of Falls Per 1000 Patient Days (Month) The number of distinct fall incidents … FALL_METRICS_F.PATIENT_DAYS))*1000 R Number of Falls Per 1000 Patient Days (Quarter) The number of distinct fall incidents
  7. digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/annual-summary/2008
    January 01, 2008 - Automated Adverse Drug Event Detection and Intervention - 2008 Project Name Automated Adverse Drug Event Detection and Intervention Principal Investigator Ferranti, Jeffrey Organization Duke University Funding Mechanism RFA: HS04-011: Transforming Health Care Qualit…
  8. digital.ahrq.gov/sites/default/files/docs/activity/automated_adverse_drug_event_detection_and_intervention_2009_update_2.pdf
    January 01, 2009 - Automated Adverse Drug Event Detection and Intervention Project Title: Automated Adverse Drug Event Detection and Intervention Principal Investigator: Ferranti, Jeffrey, M.D., M.S. Organization: D…
  9. digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives-search
    January 30, 2008 - Project Resources Archives The Project Resources Archives is a collection of resource documents that have been collected from the AHRQ Digital Healthcare Research projects. The documents include example data collection forms, logging tools, and checklists among many others. All documents may be used as examples and…
  10. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/icu-incident-reporting-systems
    January 01, 2002 - ICU incident reporting systems Authors:  Wu AW, Pronovost P, Morlock L Journal:  J Crit Care Publication Date:  2002 Volume:  17 Issue:  2 Pages:  86-94 Years of study:  Not Available Study Design:  Descriptive-quantitative
  11. digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  12. digital.ahrq.gov/principal-investigator/manojlovich-milisa
    January 01, 2023 - Manojlovich, Milisa It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals. Citation Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the c…
  13. digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
    January 01, 2023 - Surveillance for Adverse Drug Events in Ambulatory Pediatrics Project Final Report ( PDF , 941.73 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views …
  14. digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
    May 01, 2010 -  Most vendors reported that they collect, but do not share, lists of incidents related to usability … reported placing specific contractual restrictions on disclosures by system users of patient safety incidents … reported placing specific contractual restrictions on disclosures by system users of patient safety incidents … that were potentially related to the EHR products, sharing patient safety incidents with other customers … testing during design and development, vendors are opening the door to potential patient safety incidents
  15. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/anaesthesia-critical-incident
    January 01, 1997 - The anaesthesia critical incident reporting system: an experience based database Authors:  Staender S, Davies J, Helmreich B, Sexton B, Kaufmann M Journal:  Int J Med Inf Publication Date:  1997 Volume:  47 Issue:  1-2 Pages:  87-90 Years of study:  Not Available Study Design:  Descriptive-quantitative
  16. digital.ahrq.gov/ahrq-funded-projects/toward-optimal-patient-safety-information-system
    January 01, 2023 - Toward an Optimal Patient Safety Information System Project Final Report ( PDF , 127.15 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. N…
  17. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/health-care-quality-management
    March 01, 2003 - Health care quality management by means of an incident report system and an electronic patient record system Authors:  Takeda H, Matsumura Y, Nakajima K, Kuwata S, Zhenjun Y, Shanmai J, Qiyan Z, Yufen C, Kusuoka H, Inoue M Journal:  Int J Med Inf Publication Date:  2003 Mar Volume:  69 Issue:  2-3 Pages:  285…
  18. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly
    January 01, 2023 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Project Final Report ( PDF , 218.24 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are r…
  19. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
    January 01, 2008 - Figure 1 presents overall medication errors, measured as incidents divided by patient census, from January … Ja n-0 8 Ma y-0 8 In ci de nt R at e Figure 2 presents the rate of all patient care incidents … , defined as incidents divided by patient census, from January 2000 through July 2008. … It is possible that the increase in incidents observed shortly after the resignation of the CNO and
  20. digital.ahrq.gov/principal-investigator/holden-richard
    January 01, 2023 - Holden, Richard Naturalistic decision making in everyday self-care among older adults with heart failure. Citation Daley CN, Cornet VP, Toscos TR, Bolchini DP, Mirro MJ, Holden RJ. Naturalistic decision making in everyday self-care among older adults with heart failure. J Car…

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