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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Although there are no data to confirm that fewer errors occur on hospitalist services, two studies at … Errors never occur in a vacuum: usually, system-based issues are contributing factors. … In these sessions, we discuss cases where errors or potential errors were thought to occur due to systems-related
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
August 01, 2022 - not an isolated event, since there are many different points at which disclosure conversations can occur
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/3yeJ6L7nXxuVtnaU75gecT
January 01, 2011 - Evidence on how often screening
should occur in these persons is lacking.
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hcup-us.ahrq.gov/reports/methods/2016-06.pdf
January 01, 2016 - This decision depends on whether the event can occur
multiple times. … Yes, by definition the event must occur during a hospital stay. … Yes, by definition the event must occur during a hospital stay. … Nearly all births result in inpatient hospitalization in community
hospitals, except those that occur … Nearly all births result in inpatient hospitalization in
community hospitals, except those that occur
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - Diagnostic Safety and Quality
April 26, 2023
Do falls and other safety issues occur
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psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
June 10, 2018 - and Critical Limb Ischemia
January 1, 2019
Fatal 1,000-fold overdoses can occur
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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
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hcup-us.ahrq.gov/reports/statbriefs/sb193-Neonatal-Maternal-Hospitalizations-Substance-Use.pdf
November 01, 2014 - When newborns have been
exposed to drugs in the womb, symptoms of withdrawal often
occur within hours … ■ In 2012, neonatal stays related to substance use were more likely than other neonatal stays to
occur … among patients from communities with a lower median household income and less
likely to occur in large … ■ Low birth weight, seizures, respiratory distress, and difficulty feeding were more likely to
occur … among patients in communities with a lower median household income and less likely
to occur in large
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - diagnostic evaluation and treatment while substantial uncertainty exists. 2
How does diagnostic reasoning occur … Biased judgements occur when a decision is affected by an individual's personal feelings or experiences … However these discussions occur, it is key to ensure that everyone involved has a chance to learn.
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - The types of patient safety events that can occur on the inpatient psychiatric unit are analogous to … the wrong time) are similar in psychiatry as in other settings, as are adverse drug events, which can occur … and is more likely when the patient has a mental health history.( 10,11 ) Errors in misdiagnosis can occur … patients are particularly at risk to have overlooked delirium ( 10,11 ), which can either mimic or occur
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hcup-us.ahrq.gov/reports/statbriefs/sb136.pdf
March 01, 2012 - visits for injury involving a firearm
ED visits for firearm injuries were 3 times more likely to occur … Overall, ED visits for firearm-related injuries were more likely to occur among patients residing in … ED visits for unintentional and self-inflicted injuries involving a firearm were more likely to occur … Visits related to
assault involving a firearm were more likely to occur in an urban area than in any
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesCrandall2010.pdf
December 01, 2009 - FEWER POST-ELECTIVE-SURGERY
URINARY TRACT INFECTIONS OCCUR AFTER WORK-
FLOW REDESIGN TO USE ELECTRONIC
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psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
September 08, 2010 - Cancer
July 31, 2023
Review of medication errors that are new or likely to occur
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - Slide 1
Say:
When adverse patient events occur, the patient and their family are looking
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - accurate surgical site prior to the procedure and taking a pause before surgery to ensure no errors occur … Surveys for reaccreditation are usually unannounced and occur approximately every three years.
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - Recognition of the safety hazards posed by indiscriminate opioid prescribing began to occur in the early … captured a fraction of the scope of the epidemic, since most opioid-related adverse events and deaths occur
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_2.pdf
January 01, 2009 - 5.2A
HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 65
EXHIBIT 5.2 Common Conditions During Hospital Stays for Females
5.3
6.4
1.1
1.21.4
1.91.5
1.91.9
2.13.1
2.7
2.2
2.1
4.6
0
5
10
15
20
25
Male Stays
16.4 Million Stays
(42% of All Stays)
Female Stays
22.…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
January 01, 2023 - completed for a project to be finished, and when in the project timeline the phases or tasks need to occur
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-4-evidence-review-development
April 09, 2025 - to cause large divergences between the study's results and what would be reasonably anticipated to occur … over- or under-estimate of the benefits and harms of the intervention as they would be expected to occur … Ecological fallacy is the bias or inference error that may occur because an association observed between … Similar methodological issues may occur as a result of adjudication committees.
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www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer
Summary
Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…