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Showing results for "occurred".

1. 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

2. 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

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. Medical Wards Adapted Quickly to COVID-19 Pandemic, With Possible Negative Effects | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/newsletters/e-newsletter/737.html
   November 01, 2020 - Nearly All Mass Shootings in 2019 Occurred Within a Mile of a Location Frequented by Children . … Nearly All Mass Shootings in 2019 Occurred Within a Mile of a Location Frequented by Children More … than 90 percent of mass shootings documented in 2019 occurred within a mile of a school or other location … They found that one in five mass shootings occurred within 0.1 miles of a school or point of interest … , and 9.6 percent occurred directly at a school or other setting where children gather.

5. 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.

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. 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

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. 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

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. Updating Systematic Reviews | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/evidence-based-reports/sysreviews.html
    April 01, 2018 - A qualitative or quantitative signal for updating occurred for 57 systematic reviews. … 95% confidence interval [CI]: 4.6-7.6), but in 23 cases (95% CI: 15% to 33%), a signal for updating occurred … in less than 2 years, and in 15 cases (95% CI: 9% to 24%) the signal occurred in less than 1 year. … In 7 cases (95% CI: 3% to 14%), a signal had already occurred at the time of publication of the original … cohort of high quality systematic reviews directly relevant to clinical practice, signals for updating occurred

12. 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

13. Dec. 20: Nominations Due for Awards on Best Research Using Healthcare Cost and Utilization Project Data | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/hcup-data-awards.html
    November 01, 2024 - Publications must have occurred between July 1, 2022, and June 30, 2024.

14. 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.

15. 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

16. 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.

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. 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

19. Morningbriefing (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
    August 07, 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. II.

20. 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