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  1. www.ahrq.gov/cahps/surveys-guidance/item-sets/CG/pwmi/suppl-PWMIaccess-items-cgpwmi-survey30-adult.html
    February 01, 2021 - Some items cover events that occur with low frequency in the general population.
  2. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter9.html
    December 01, 2017 - for addressing distributional issues related to the outcome variables and selection bias issues that occur
  3. www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-3.html
    June 01, 2020 - While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic … While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
    June 01, 2020 - While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic … While diagnostic errors occur across the spectrum of medical practice, measurement should be strategic
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - Slide 16 SAY: Adverse events occur when a patient is harmed as a result of receiving medical care. … Rarely does an adverse event occur as a result of intent.
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/144-cusp-tip-sheet-engaging-surgeons.docx
    April 01, 2025 - Smith very sternly said, “It’s my job to decide when hair removal should occur, not yours.” · Background
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
    December 13, 2013 - – Sporadic motor movements may occur with low muscle tone between these movements.
  8. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
    July 01, 2023 - Slide 17: Engaging After Adverse Events Say: Adverse events occur when a patient is harmed as a … Rarely does an adverse event occur as a result of intent.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar4_falls_usingriskassttools.pdf
    January 01, 2013 - identified by the Morse Fall Scale 19 Types of Falls and How To Prevent Them Accidental falls • Occur … fall precautions 20 Types of Falls and How To Prevent Them Unanticipated physiological falls • Occur … not be preventable. 21 Types of Falls and How To Prevent Them Anticipated physiological falls • Occur
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
    May 20, 2016 - PE may occur in 1% to 2% of patients, and fatal PE may occur in 0.1% to 0.4%. … Education should occur upon hire, annually, and when this protocol is added to job responsibilities.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
    May 01, 2003 - feel exposed or vulnerable when reporting a medical error or event—otherwise, disclosure will rarely occur … Because adverse events usually occur as a result of multiple failures, it is imperative that medical … patients and families following unexpected outcomes, and the importance of seeking support when errors occur … care team is one of the leading causes for why errors are not caught before serious adverse events occur … Why do errors occur? Ambul Outreach 2000 (Spring):16–20. 21.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/koroukian-r21grant.pdf
    April 30, 2015 - 14--04/30/15 Grant Number: R21 HS23113-01 Description Chronic conditions often co-occur
  13. www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/tips-giving-feedback.pdf
    March 19, 2017 - Feedback should occur as soon as possible after the behavior that you are seeking to encourage or discourage
  14. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/HP/supplemental-specialist-access-hp-adult-2157-14a.docx
    December 08, 2017 - Some items cover events that occur with low frequency in the general population.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/agenda-lesson2.pdf
    November 30, 2015 - Team Meetings (Briefs)  Where and when does planning occur for your team now?
  16. www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_supplemental_topics&page=23&search_api_fulltext=&sort=desc
    Note: Some items cover events that occur with low frequency in the general population.
  17. www.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_short_title&page=23&search_api_fulltext=&sort=asc
    Note: Some items cover events that occur with low frequency in the general population.
  18. www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-provider-info-items.html
    March 01, 2017 - Please note: Some items cover events that occur with low frequency in the general population.
  19. www.ahrq.gov/innovations/will-work/guide1.html
    February 01, 2021 - When and where does the problem occur? What causes the problem? … How frequently does the problem occur? What is the severity of the problem? … For example, mismatches may occur when an organization: Encourages experimentation and ad hoc problem
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - historically on the individuals involved, rather than the systems and processes that allowed the error to occur

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