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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
   www.ahrq.gov/news/newsletters/e-newsletter/908.html
   April 01, 2024 - Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds Issue Number 908 AHRQ News … 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

2. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
   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 - , 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.

3. HAC National Scorecard 2014-16 | Agency for Healthcare Research and Quality
   www.ahrq.gov/data/infographics/hac-scorecard-2014-16.html
   November 01, 2019 - National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred

4. Adverse Drug Events occurring in U.S. Hospitals (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/adverse-drug-events.pdf
   June 02, 2025 - Adverse Drug Events occurring in U.S. Hospitals 0 10 20 30 40 50 60 70 80 Adverse Drug Events Occurring in U.S. Hospitals Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals. New data from all payers in 32 States in HCUP show characteristics of the four most frequent …

5. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
   www.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. New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/newsletters/e-newsletter/949.html
   March 01, 2025 - aureus (MRSA) decreased by nearly 11 percent between 2016 and 2021, rates of MRSA infections that occurred … therapy with 67,046 patients who received early broad-spectrum therapy, the authors found that death occurred … In contrast, after early treatment, death occurred in 9.5 percent of cases, adverse drug events in 7.2

7. Morningbriefing (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
   June 02, 2025 - : This tool provides a structured approach to help physicians and nurses identify the problems that occurred … If an adverse event occurred, you should also use the Learn From Defects Form. II.

8. Why Did It Happen? | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/videos/05h-why-did-happen/index.html
   June 01, 2018 - Apply CUSP To Find Out Why Error Occurred [34 sec.]

9. Final Progress Report: Weekend Effects and the July Phenomenon in Patient Safety (pdf file)
   www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
   January 01, 2024 - Complications related to anesthesia occurred less frequently on weekends (OR 0.86). … Then, using state discharge data, we investigated whether PSIs occurred more frequently on weekends. … hospitals and, among teaching hospitals, whether PSIs occurred more frequently in July. … the complication occurred on a weekend or a weekday. … Thus, the PSIs will be assigned to the month in which the admission occurred.

10. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
    www.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.

11. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    www.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.

12. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
    June 02, 2025 - 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

13. Chapter 3. Structure of Learning Network | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet3.html
    October 01, 2014 - Learning Sessions occurred in July and September 2006 and January 2007. … To maximize interaction among participating clinic teams, two telephone conference calls occurred to

14. Aspiration Pneumonitis/Pneumonia (pdf file)
    www.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

15. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - This tool provides a structured approach to help physicians and nurses identify the problems that occurred … If an adverse event occurred, you should also use the Learn From Defects Form.

16. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - events were categorized into two taxonomies: (1) the segment of emergency care in which the event occurred … Patient visits were eligible for inclusion if (1) the visit occurred in the adult emergency department … An additional category, transitions, was added to account for periods when an event occurred during … The nonideal care events were categorized into the segment of care in which they occurred (Figure 1) … Significant time was spent distinguishing the true process from workarounds, which occurred between

17. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
    www.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. Objective Outcomes Data Collection Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/vae/objective-outcome-tool.html
    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

19. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.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

20. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - The intervention schedule had no extended work shifts, and 96 percent of work hours occurred within … the 16 hours scheduled, in contrast to the traditional schedule, in which 58 percent of work hours occurred … Intercepted serious intern errors occurred 27.9% more frequently on the traditional schedule than on … No adverse events occurred. … A total of 61 observed sessions occurred over the 12-month period, during which 183 simulations occurred