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Total Results: over 10,000 records

Showing results for "occur".

161. Guide Promotional Postcard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
     April 01, 2018 - admissions are related to an adverse drug event An estimated 160 million medication errors occur

162. Primers | PSNet
     psnet.ahrq.gov/primers-0
     March 15, 2025 - records in order to identify errors and adverse events, measure the frequency with which such events occur … records in order to identify errors and adverse events, measure the frequency with which such events occur … Facebook Twitter Linkedin Copy URL Patient safety events that occur … preventable, but health care systems should be able to rapidly identify and treat complications when they occur

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865598/psn-pdf
     April 17, 2024 - medication therapy for transplant patients is complex and has the potential for serious harm when errors occur

164. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/annual-summary/2012
     January 01, 2012 - AHRQ Funding Amount $100,000 Summary: Look-alike, sound-alike (LASA) medication errors occur … the drugs that the participants thought to be of high potential patient harm should a substitution occur

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837708/psn-pdf
     July 20, 2022 - psnet.ahrq.gov/issue/without-question Diagnostic errors caused by premature closure and anchoring bias occur

166. In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
     October 31, 2023 - employ large numbers of healthcare professionals, with opportunities for workplace violence events to occur … we think that certain units may have a patient population that may predispose workplace violence to occur … In recent years, in addition to workplace violence events that may occur in healthcare organizations, … challenges with reporting and making it easier for clinicians to report acts of violence when they occur … Having reporting systems in place that facilitate the reporting of events when they actually occur is

167. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
     October 31, 2023 - tagged PubMedId RIS Download Citation While violence in the workplace can occur … stalking, and sexual harassment. 5 Perpetrators of workplace violence can vary, and violence can occur … we think that certain units may have a patient population that may predispose workplace violence to occur … In recent years, in addition to workplace violence events that may occur in healthcare organizations, … Having reporting systems in place that facilitate the reporting of events when they actually occur is

168. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - • Area-level indicators identify all cases of the potentially preventable complications that occur … AHRQ developed the hospital-level PSIs to capture inpatient events that occur during a single admission … These data help estimate the volume of those adverse events that occur in the admission during which … By attributing area-level PSI cases that occur because of inpatient care to the hospital-level PSI, … Because the intent of the hospital-level indicator is to identify cases that occur after admission,

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47352/psn-pdf
     February 13, 2019 - https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate Cognitive and functional decline can occur

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867224/psn-pdf
     December 04, 2024 - safety-inpatient-care-surgical-settings-cohort-study Despite decades of safety improvement efforts, surgical complications continue to occur

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45611/psn-pdf
     May 27, 2025 - funding-announcement-projects-targeting-reduction-healthcare-associated- infections Health care–associated infections occur

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861776/psn-pdf
     January 31, 2024 - such as communication and resolution programs to encourage apologies and transparency when errors occur

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851927/psn-pdf
     August 02, 2023 - https://psnet.ahrq.gov/issue/perioperative-handoffs Handoffs occur several times during a surgical procedure

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72484/psn-pdf
     November 18, 2020 - focuses on management of, and preparation for, perioperative critical events and rescue should they occur

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844772/psn-pdf
     September 18, 2019 - psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating Diagnostic errors occur

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841199/psn-pdf
     December 07, 2022 - houses collections of materials to support constructive communication should a failure or near-miss occur

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867696/psn-pdf
     March 05, 2025 - are a core strategy to ensure safe care for hospitalized patients should unexpected deterioration occur

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865702/psn-pdf
     May 01, 2024 - psnet.ahrq.gov/issue/judgment-errors-surgical-care Knowing when judgment errors are more likely to occur

179. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
     February 01, 2015 - mistakes safely, and to learn from these mistakes while avoiding patient harms that might otherwise occur … More focused forms of feedback with the guidance of an instructor are likely to occur during a debrief … clinicians’ inquiries, they may evoke a wide range of emotional and behavioral characteristics that occur … Because of the uncertainty, complexity, and rapidly emerging conditions that occur in many health care … Given that unexpected events will occur, there are lessons to be learned regarding their anticipation

180. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - Friction may occur when moving a person up in bed. 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals … Friction may occur when moving a person up in bed. True 43. … For persons who have incontinence, skin cleaning should occur at the time of soiling and at routine intervals