-
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
-
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…
-
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…
-
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…
-
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…
-
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
-
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…
-
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…
-
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…
-
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
-
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…
-
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…
-
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 …
-
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
-
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
-
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…
-
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…
-
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…
-
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
-
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…