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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. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/pfp/interimhacrate2014.html
   January 01, 2018 - 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 … 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

3. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
   www.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

4. 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.

5. 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
   www.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

6. 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

7. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/pfp/2014-final.html
   January 01, 2018 - 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 … 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

8. 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.

9. Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
   April 01, 2025 - the National Academy of Medicine) published To Err Is Human , estimating that up to 98,000 deaths occurred … Human abstractors answer questions to identify whether an adverse event occurred during a particular

10. 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.]

11. 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.

12. 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

13. 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.

14. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/interimhacrate2013.html
    November 01, 2015 - experienced by hospital patients in 2011, 2012, and 2013 relative to the number of HACs that would have occurred … 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 … 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 15

15. 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.

16. 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 …

17. 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.

18. 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

19. 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

20. 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