Results

Total Results: over 10,000 records

Showing results for "occurred".

121. MMS: Error
     digital.ahrq.gov/sites/default/files/docs/library/NEJMsa1102519_0.html
     June 16, 2021 - An error occurred while setting your user cookie.

122. MMS: Error
     digital.ahrq.gov/sites/default/files/docs/library/NEJMsb1103659.html
     June 16, 2021 - An error occurred while setting your user cookie.

123. MMS: Error
     digital.ahrq.gov/sites/default/files/docs/library/NEJMsa1102519.html
     June 16, 2021 - An error occurred while setting your user cookie.

124. Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
     January 01, 2019 - This allowed the team to standardize their approach in coding if an error occurred and what the evidence … , if a pause in workflow occurred and other elements. … After some investigation and changes within the EHR, the corrupted video files occurred infrequently … The team investigated evidence of diagnostic imaging studies that occurred on one side of the body … The remaining errors occurred during the modification of either order sets or the use of favorites

125. Boardchecklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
     June 02, 2025 - Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that

126. Transformation to the Patient-Centered Medical Home in CareOregon Clinics | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/meenan.html
     October 01, 2015 - Qualitative interviews with organizational leaders revealed that implementation occurred in two distinct … At 1 year post-implementation, 5.39 fewer inpatient admissions per month occurred in the PCR clinics

127. Mod5-Disclosure-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
     April 01, 2016 - 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.

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44760/psn-pdf
     July 10, 2024 - strategy to improve respectful and effective discussions with patients and families after harm has occurred

129. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
     June 02, 2025 - The system should capture both objective information about what occurred and more-subjective information … Information collected from consumers should include where a patient safety event occurred; what contributed

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72713/psn-pdf
     February 03, 2021 - information to individuals that contact the organization for help when they feel an error may have occurred

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838632/psn-pdf
     October 19, 2022 - This systematic review including 13 studies found that nursing workarounds most often occurred due to

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49624/psn-pdf
     May 01, 2011 - This case highlights two important issues, namely how to talk with a patient or family when the error occurred … cases, this case has numerous dimensions of uncertainty, making it difficult to know whether an error occurred … Therefore, in cases where a potential error occurred under other providers, the critical first step is … In addition, if it was determined that an error occurred, a collaborative approach to disclosure, in … If they determined that a clear error occurred, providers should have found a way to disclose the error

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49425/psn-pdf
     November 01, 2003 - 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

134. Chipra202-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
     January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

135. Chipra204-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
     January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

136. Chipra205-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
     January 01, 2014 - the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … the medical record must include a note indicating a visit with a PCP, the date the well-child visit occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred … Measure of whether standardized development and behavioral screening using parent-completed tools occurred

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865598/psn-pdf
     April 17, 2024 - on an analysis of 520 transplant medication-related errors to summarize the types of mistakes that occurred

138. Table 25. Utilization of education and case management (ECM) visits among adults who had at least one visit by type of visit. All project sites. Fiscal year 2010 | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab25.html
     December 01, 2017 - ECM visit 2.6 2.8 3.7 3.4 4.5 3.0 a Diabetes education visits are visits that occurred

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851195/psn-pdf
     July 05, 2023 - This study of 7,452 pediatric patients with appendicitis found that delayed diagnosis occurred in 1.4%

140. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - So, first look at the system and analyze why the mistake occurred. … What actions occurred? What were the team members thinking and feeling? … Say: These are the types of questions to ask to understand how a defect occurred. … Try to find out exactly how things occurred in real time. Slide 14: What Happened? … No timeouts or debriefings occurred. Note: Spend 10 to 15 minutes discussing the case.