Results

Total Results: over 10,000 records

Showing results for "occurred".

101. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
     January 01, 2024 - tasks physicians were engaged in on a second-by-second basis and to document the when interruptions occurred … • The location of where the interruption occurred was recorded as being at the workstation, in the … Consequently, we could not observe any interruptions that occurred in patient rooms. … Rejecting interruptions occurred only 1.3% of the time (n = 6 occurrences). … source of the interruptions and the primary tasks that were being performed when the interruptions occurred

102. AHRQ Mastectomy SB Infographic v15 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/double-mastectomy.pdf
     February 01, 2016 - The rise in mastectomies occurred despite breast cancer rates remaining constant. 2005 2013 Sharp

103. Mitchell E et al. 2001 "A descriptive feast but an evaluative famine: systematic review of published articles on primary care computing during 1980-97." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mitchell-e-et-al-2001
     January 01, 2001 - Again the largest increase occurred with an electronic protocol, and consultation length increased by … The greatest increases occurred when physicians were prompted as part of the consultation." … The greatest improvement in disease management "occurred when physicians used an electronic protocol,

104. Disclosure Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
     August 01, 2022 - after the CANDOR event is identified, advise the patient and/or family that an adverse event may have occurred … Explain what is known about why the adverse event occurred; do not speculate.  

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49395/psn-pdf
     April 01, 2003 - references additional 5% experience a potential ADE (ie, the error reached the patient, but no harm occurred … reported similar rates of ADEs, though rates of potential ADEs were even higher.(5) Most potential ADEs occurred … (Figure 1, Figure 2) The error in this case occurred independent of prescription legibility. … confusion between ‘dose’ and ‘day,’ due to ambiguous use of the abbreviation “d” in “mg/kg/d,” could have occurred … ensures that orders are complete and in a standard format, eliminating ambiguous dosing orders as occurred

106. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
     April 01, 2025 - Even if the MRSA detection represents colonization and no infections have occurred, this indicates an … infection prevention lapse occurred, and the patient is at increased risk of developing a MRSA infection … · What actions occurred? · What were people thinking and feeling? … · What else was happening at the time the defect occurred? … The CUSP team found that after implementing the interventions, no MRSA SSI infections occurred in the

107. A Comparison of All-Cause 7-Day and 30-Day Readmissions, 2014 #230
     hcup-us.ahrq.gov/reports/statbriefs/sb230-7-Day-Versus-30-Day-Readmissions.jsp
     October 01, 2017 - More than one-third of these readmissions occurred within 7 days, reflecting a 7-day readmission rate … Timing of readmissions, 2014 Figure 1 displays the percentage of 30-day readmissions that occurred … Over one-third of 30-day readmissions occurred within the first 7 days following discharge. … Overall, 36.1 percent of all 30-day readmissions occurred within 7 days. … Across each expected payer, slightly more than one-third of 30-day readmissions occurred within 7 days

108. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet
     psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
     October 26, 2010 - Diagnostic errors resulting in patient harm occurred in 181 cases, chiefly consisting of missed or delayed … As with prior studies  using chart review, reviewer's agreement on whether an error occurred was only

109. Statistical Brief #83: Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb83.pdf
     December 01, 2009 - Overall, potentially preventable diabetes-related hospitalizations occurred 2.6 times more often among … In contrast, short-term diabetes complications occurred twice as often among younger adults than among … Hospital stays for chronic cardiac conditions which may have been prevented occurred over 10 times more … Potentially preventable hospital stays for acute conditions occurred almost 10 times as frequently among … For older adults, the majority of the decrease in the rates of diabetes-related hospitalizations occurred

110. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
     June 01, 2004 - dopt=Abstract&list_uids=12477944 Disclosure: What Patients Want Jargon-free statement that error occurred … discussing such issues Physician may choose words carefully to avoid explicitly stating that an error occurred … malpractice claims Others argue that the reason few injured patients sue is because they are unaware error occurred … should be disclosed to patients Error disclosure should include an explicit statement that an error occurred

111. Abt Single-Sided Body Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
     June 02, 2025 - within the facility’s electronic medical record, such as nurse assessments, and represent changes that occurred … Summary of Fall Risk Factors Report is a count of risk factors associated with the falls that have occurred … For each month, it displays the number of falls that occurred and the risk factors associated with … each fall with fall date prior to and within 30 days of report date: Day of week on which the fall occurred … , Shift during which the fall occurred, Time at which the fall occurred, The location of the fall, and

112. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - , but they feared that an error may have occurred. … This stage is characterized by either the second-victim realizing that an event has occurred, or the … organization recognizing that an event has occurred. … The second-victim might not be able provide care in the room where the event occurred and might appear … The event might produce feelings of internal inadequacy, either because the event occurred or because

113. 111-Ss-Cusp-Lfd-Worksheet-A3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
     April 01, 2025 - Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred

114. 111-Cusp-Learning-From-Defects-Worksheet (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
     April 01, 2025 - Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred

115. Sb113 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb113.pdf
     January 01, 2020 - for the following types of hospital stays for:  complicated pregnancy during which no delivery occurred … ■ Among non-delivery maternal stays, the following conditions occurred at a rate of 100 or more … ■ Among maternal stays with delivery, the following conditions occurred at a rate of 50 99 for … stays As shown in table 2, among non-delivery maternal stays, the following complicating conditions occurred … Delivery stays Among maternal stays with delivery, the following common complicating conditions occurred

116. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - , but they feared that an error may have occurred. … /organization recognizing event occurred. … This stage is characterized by either the second-victim realizing that an event has occurred, or the … organization recognizing that an event has occurred. … The event might produce feelings of internal inadequacy, either because the event occurred or because

117. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - The patient and/or family have a reasonable expectation to be informed when a harm event has occurred … of this initial conversation is to advise the patient and/or family that an adverse event may have occurred … Investigation and Analysis, the disclosure should include – An explicit statement that an event has occurred … During disclosure, patients and families generally want a clear, explicit statement that an event has occurred … If the event was preventable and occurred due to error, the communicator should: Consider using the word

118. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - On face value, it is almost impossible to imagine how this could have occurred. … In addition to exploring why the error occurred at the level of individuals at the "sharp end," such … effectively, but involves interviewing staff involved to identify care management problems and why each occurred … Although physicians disclosed the adverse event, they often avoided stating that an error had occurred

119. AHRQ Impact Case Studies Criteria | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/criteria.html
     December 01, 2019 - Impact or results must have already occurred.

120. 68. For the Patient Willing To Quit (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
     October 01, 2014 - If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence.