Results

Total Results: 2,941 records

Showing results for "occurred".

2541. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - Although the most common step was imaging procedure (54% of reports), potential harm occurred more in

2542. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - Minimal prescreening occurred at the point of initial contact—usually telephone—to screen out teetotalers

2543. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - had not been able to attend that session, she understood that productive dialogue and discussion had occurred

2544. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - were poured from their labeled containers into sterile bowls on the surgical field when the mix-up occurred

2545. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 -  Analyze telephone logs to assess how many dropped calls or failed appointment queries occurred

2546. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
      March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the A…

2547. Screening for Thyroid Disease: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/thyrser.pdf
      January 01, 2004 - Screening for Thyroid Disease: Systematic Evidence Review This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ o…

2548. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
      July 01, 2018 - Hospital Survey on Patient Safety Culture: User's Guide HOSPITAL SURVEY ON PATIENT SAFETY CULTURE PATIENT SAFETY USER’S GUIDE AHRQ Hospital Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Ro…

2549. Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
      December 01, 2007 - Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 Evidence Synthesis Number 50 Screening For Asymptomatic Carotid Artery Stenosis Prepared for: Agency for Healthcare Research and Quality 540 Gaither Road Rockville, Maryland 20850 Investigators Tracy Wolff MD…

2550. Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
      June 02, 2025 - Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide AHRO's Initiative To Increase Use of Cardiac Rehabilitation .. = H Agency for Healthcare Research and Quality …

2551. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2018 User Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the A…

2552. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
      December 01, 2017 - years ago, there are websites, we have organizations with family members telling stories of harm that occurred

2553. Patient-Family-Centered-Care-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
      April 09, 2013 - years ago, there are websites, we have organizations with family members telling stories of harm that occurred

2554. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Review Form found in Appendix K provides an approach to specifically identify reasons why a CAUTI occurred

2555. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
      January 01, 2024 - This occurred in part because poor weather and travel conditions forced some persons to leave unexpectedly

2556. Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
      January 01, 2020 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Final Contract Report Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Prepared for: Agency for Healthcare Research and …

2557. Qi-Strategies-Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
      March 01, 2015 - Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Engaging Primary Care Practices in Quality Improvement Strategies for Practice Facilitators W H IT E P A P E R National Center for Excellence I N P R I M A R Y C A R E R E S E A R C H National Center for Ex…

2558. AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
      January 01, 2021 - AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide USER’S GUIDE MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE PATIENT SAFETY AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human …

2559. Continuity of Insurance: Duration of First Observed Enrollment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
      June 01, 2018 - Continuity of Insurance: Duration of First Observed Enrollment 1 Continuity of Insurance: Duration of First Observed Enrollment Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Duration of First Observed Enrollment 1.B. Measure Number 0156 1.C. Measure Description Please …

2560. Continuity of Insurance: Informed Participation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
      May 23, 2018 - Continuity of Insurance: Informed Participation 1 Continuity of Insurance: Informed Participation Section 1. Basic Measure Information 1.A. Measure Name Continuity of Insurance: Informed Participation 1.B. Measure Number 0153 1.C. Measure Description Please provide a non-technical description of the me…