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Showing results for "occurred".

1. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/908.html
   April 01, 2024 - Home News Newsletter AHRQ News Now Surge in Drug Shortages Occurred … Newsletter AHRQ News Now Events Surge in Drug Shortages Occurred … Today's Headlines: Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds April 23 Webinar … Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds A recent AHRQ-funded study on pharmaceutical … 2024 Page originally created April 2024 Internet Citation: Surge in Drug Shortages Occurred

2. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
   January 01, 2018 - precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … An estimated 2.1 million fewer harms were experienced by patients from 2010 to 2014 than would have occurred

3. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
   March 01, 2004 - , 6 percent occurred in patients between the ages of 6 and 17 years, and 24 percent occurred in patients … , while 28 percent occurred in patients 65 years of age and older. … Of the reports in which possible patient harm may have occurred, 21 percent of the events occurred in … years, and 29 percent occurred in patients between 18 and 45 years. … occurred in patients 65 years of age and older.

4. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2013.html
   November 01, 2015 - precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … Costs included the initial hospital stay and costs of other inpatient sites of care that occurred within … in 2013 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 1.3 million fewer incidents of harm occurred in 2011, 2012, and 2013 (compared … The majority of deaths averted occurred as a result of reductions in the rates of pressure ulcers 15

5. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
   December 01, 2023 - .) … …has never or very rarely occurred. … …has occurred sporadically in the past but there have been no recent updates. … …has occurred recently but has not resulted in changes in care for older adults with chronic pain. … …has occurred recently and has prompted changes in the care provided to older adults with chronic … …has occurred but without any follow-up discussions or application to patient care.

6. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/pfp/2015-interim.html
   December 01, 2016 - over the 5 years (2011, 2012, 2013, 2014, and 2015) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2015 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and … on October 1, 2015, and also due in part to delays in contracting for MPSMS data analysis that occurred

7. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/pfp/2014-final.html
   January 01, 2018 - precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred

8. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013.html
   January 01, 2018 - hospital patients over the 3 years (2011, 2012, 2013) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … Costs included the initial hospital stay and costs of other inpatient sites of care that occurred within … in 2013 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … The majority of deaths averted occurred as a result of reductions in the rates of pressure ulcers 14

9. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
   January 01, 2004 - -G- An error occurred that may have contributed to or resulted in permanent patient harm. 109 A … medication error occurred that resulted in a near-death event (e.g., anaphylaxis, cardiac arrest). … -H- An error occurred that required an intervention necessary to sustain life. 110 A medication … error occurred that resulted in a patient death. … -I- An error occurred that may have contributed to or resulted in the patient’s death.

10. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - , as compared with shifts when no errors occurred. … Subjects were first asked the dates and times of the shift on which the error occurred and the prior … , and the last shift worked by the subject prior to the shift on which the error occurred. … assumption that no error occurred on the prior shift worked. … Subjects were also asked if a significant unplanned event or break in policy occurred.

11. Aspiration Pneumonitis/Pneumonia (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
    November 01, 2019 - regimens for community-acquired pneumonia (CAP) (e.g., ampicillin- sulbactam, ceftriaxone) if the event occurred … regimens for hospital-acquired pneumonia (HAP) (e.g., cefepime, piperacillin- tazobactam) if the event occurred

12. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - Categories E through H errors not only occurred and reached the patient but also caused harm. … In one study of nationally representative US data, extra vaccination occurred in 21% of young children … Harmful errors occurred with all cardiovascular drug classes. … However, because over half the errors occurred at the administering stage of medication processing, … Not surprisingly, a large majority of reported pediatric antidepressant medication errors occurred

13. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
    July 03, 2023 - Problems that occurred between patients and clinicians or staff 7. Exceptional people 8. … exceptional people exceptional ways to do things problems with the practice’s day-to-day … problems that occurred … ) 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 Exceptional ways to do things Exceptional people Problems that occurred

14. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
    November 19, 2015 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … the reduction in the rate of HACs, we estimate that approximately 790,000 fewer incidents of harm occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

15. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
    January 01, 2017 - Total number of episodes of mechanical ventilation How many episodes of mechanical ventilation have occurred … Total number of deaths How many deaths have occurred in the patients who have been or were mechanically

16. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - There is no evidence in these reports that any other type of patient safety concern occurred. … In several instances, the exposure occurred because staff were not following PPE protocols, such as … In other cases, the exposure occurred with an asymptomatic individual, and was later identified when … Additional near misses occurred when the wrong blood product (e.g., fresh frozen plasma versus COVID … PSOs generally provided data elements for the location in the facility where the event occurred and

17. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
    March 12, 2008 - The authors explained that these problems occurred when the pharmacy was closed and when all medications … Of the 59 instances of override, 17 (28.8 percent) occurred during a first shift (7:00 am to 3:30 pm … ); 31 (52.5 percent) occurred during a second shift (3:00 pm to 11:30 pm); and 11 (18.6 percent) occurred … Forty-five overrides (76.3 percent) occurred on weekdays. … The largest number of overrides occurred during the second shift, which was also when the majority of

18. Summary Skills Practice Exercise Sheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module7/ts2-0ltc_module7_ig_summary_exsheet.pdf
    April 24, 2017 - Identify the instances where a breakdown in teamwork has occurred as it relates to the specific teamwork … SCENARIO: A gastrointestinal outbreak has occurred within the nursing home and has affected the entire

19. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level (Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

20. HAC National Scorecard 2014-16 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
    January 01, 2014 - HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred