Results

Total Results: 2,792 records

Showing results for "occurred".

421. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - Examples of this frequently occurred when nurses worked around the process by “borrowing” another patient

422. Tool 1: Readmission Data Analysis and Interpretation (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
     June 02, 2025 - discharges for a given 1-year period, less exclusions listed below • Numerator: all hospitalizations that occurred

423. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
     July 01, 2023 - It also helps everyone understand why the event occurred and how it could be prevented in the future. … Whether a debriefing with primary team occurred. Action items from debriefings.

424. Meeting Minutes, May 2022 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
     August 01, 2022 - AHRQ has been working with healthcare systems throughout the nation, where consolidation has occurred … AHRQ could seek to determine lessons learned from the COVID era with respect to policy changes that occurred

425. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Nephrocalcinosis Nephrocalcinosis Characteristics ■ Renal lithiasis in which calcium deposits form in the renal parenchyma and result in reduced kidney function and hematuria. ■ Seen with renal ultrasound, or occasionally on plain radiographs of the kidneys. ■ Resul…

426. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 2. ST-PRA Development Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-…

427. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
     June 02, 2025 - Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications Technical Specifications Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported Eligible Population: Newborns with a gestational age <35 weeks, are residents of the State,…

428. Making It Work Tip Sheet: Overcoming the Just in Case Mindset (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
     April 01, 2022 - appropriateness was a people- dependent process and broke down as soon as a stressor in the environment occurred

429. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
     August 01, 2022 - University The project found that medication discrepancies in the transition from hospital to home care occurred

430. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
     March 01, 2023 - Workgroup Summary: The latest workgroup meeting occurred virtually on November 3, 2022, and was attended

431. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-facguide.docx
     January 01, 2017 - physical or occupational therapist, and finally, whether any adverse events associated with mobilization occurred … and, if not, what types of events occurred.

432. Measure Descriptions for Daily Care Processes: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
     January 01, 2017 - physical or occupational therapist, and finally, whether any adverse events associated with mobilization occurred … and, if not, what types of events occurred.

433. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - It also helps everyone understand why the event occurred and how it could be prevented in the future. … rapid response · Nature of assistance provided during response · Whether a debriefing with primary team occurred

434. Impact of Staff-Led Safety Walk Rounds (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
     March 05, 2008 - Results Safety walk rounds have occurred seven times between January and August 2007. … • Are you aware of any “near misses” – events that almost caused patient harm but didn’t – that occurred

435. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Outside of Inpatient care areas, incidents mostly occurred in Special care areas (13.1%; 166,412 / … Near misses and Unsafe conditions were similarly distributed, however a larger share of Near misses occurred … Over one half of Falls occurred in Inpatient care areas (51.5%; 92,861 / 180,345). … Almost 40% (39.3%; 130,606 / 332,652) of Medication or other substance events and unsafe conditions occurred … Note that this is neither the date the patient safety concern occurred nor the date the concern was reported

436. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - Investigation and Analysis has been completed, which will take place within 30-45 days after the event occurred

437. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
     March 01, 2021 - AHRQ Quality and Safety Review System (QSRS) Mission AHRQ has developed and tested an improved patient safety surveillance system to replace the Medicare Patient Safety Monitoring System (MPSMS). The new system is known as the Quality and Safety Review System (QSRS). The QSRS relies on clinical information re…

438. Toolkit 2: Monitor and Sustain Stewardship | Agency for Healthcare Research and Quality
     www.ahrq.gov/nhguide/toolkits/implement-monitor-sustain-program/toolkit2-monitor-sustain-program.html
     October 01, 2016 - whether or not appropriate follow-up communication with residents and/or prescribing clinicians has occurred

439. Section 4. Identifying Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
     July 01, 2018 - of LWBS patients were triaged as Emergency Severity Index (ESI) Level 3, and the highest LWBS rates occurred

440. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - Additionally, an injury occurred that might be measured—i.e., the cardiac arrest.