-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
January 01, 2010 - signals that
can alert providers to review the record to determine whether a patient safety event occurred … visit followed by 1 or more unscheduled primary care visits, an
urgent care visit, or an ER visit that occurred … Some complaints not
listed occurred at low frequencies. … However, a significant number of errors occurred in patients without any documented chief
complaints … Finally, we may have missed errors that
occurred beyond 14 days as well as those not detected by our
-
digital.ahrq.gov/sample-questions-answers-1
January 01, 2023 - Method : Electronic data extracted from a set of networked microcomputers on which inpatient ordering occurred
-
digital.ahrq.gov/sites/default/files/docs/activity/r01hs021236-zhang-annual-summary-2012.pdf
January 01, 2012 - working to update the WDO created from previous data collection by
incorporating changes that have occurred
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
September 30, 2009 - Level
occurred
13.
Error
intercepted
14.
-
digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdf
September 01, 2009 - Reporting Format: the reporters simply mark the appropriate
location/s where the event’s occurred
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017031-selby-final-report-2010.pdf
January 01, 2010 - Methods: The study’s six-month intervention, which occurred between July 1, 2008 and January
8, 2009 … The study’s six-month intervention, which occurred between July 1, 2008 and
January 8, 2009, incorporated
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ornstein-s-et-al-1995
January 01, 1995 - In an 18-month period, "improvements occurred in all counseling services, for screening services such
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Next, a number of focus groups were facilitated to determine what medication issues
occurred across … Post-test data occurred after the new hospital opened and after
implementation of select Epic packages … Medication administration and other patient care issues that occurred as
patients flowed within this … What medication-related issues occurred due to lack of information integration between
system partners … What issues (medication and otherwise) that occurred between system partners were due
to limited access
-
digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project
January 01, 2023 - Finally, still other team leaders reported that the changes would have occurred with or without the participation
-
digital.ahrq.gov/ahrq-funded-projects/learning-primary-care-ehr-exemplars-about-health-it-safety
January 01, 2023 - Participants cited numerous examples of safety issues that had occurred prior to their use of EHRs or
-
digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - reviewed to determine whether medication reconciliation was conducted or if any adverse drug events had occurred
-
digital.ahrq.gov/sites/default/files/docs/page/Sonnenber_CDSC_TEP_2012-05-29.pdf
January 01, 2012 - commitment of resources
Vendor embracing this new paradigm for
decision support has not (yet) occurred
-
digital.ahrq.gov/sites/default/files/docs/activity/patient_safety_metadata_2010_pdf__2.pdf
January 01, 2010 - (Ongoing)
2010 Activities: The official release of the Common Formats USHIK portal occurred in April
-
digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
January 01, 2010 - agencies. ( Ongoing )
2010 Activities: The official release of the Common Formats USHIK portal occurred
-
digital.ahrq.gov/sites/default/files/docs/citation/ddi-non-interruptive-alerts-poster-2013.pdf
January 01, 2013 - ACE Inhibitors + NSAIDs occurred second
most often (22.3%, n=525) with an 87.4%
override rate (n=459
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/kepner-tregoe-matrix
January 01, 2023 - Kepner-Tregoe Matrix
Also Known As
Is-Is Not Matrix
Kepner and Tregoe Method
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…
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs018214-olson-final-report-2012.pdf
January 01, 2012 - While delivery of text
messages to educate, remind and motivate patients has occurred in research settings … Utilizing email to text conversion software an automated delivery of text message
to cell phones occurred … based on date of the first survey completion occurred. … primary care practices, being unable to reach both adolescent and parent, after repeated
phone calls occurred
-
digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers/annual-summary/2010
January 01, 2010 - Initially, some participant attrition occurred as a result of the computer literacy skills required for
-
digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2011
January 01, 2011 - patient's family, since calls were conveniently scheduled and additional transportation or treatment costs occurred
-
digital.ahrq.gov/ahrq-funded-projects/shared-medical-records-and-chronic-illness-care
January 01, 2023 - associated with better glycemic control; however, fewer conversations about diabetes risk factor control occurred