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www.cpsi.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
www.talkingquality.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
www.healthcare411.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
talkingquality.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
patientregistry.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
ahrqpubs.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
cahps.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
healthcare411.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
monahrq.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
-
ce.effectivehealthcare.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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 … An estimated 2.1 million fewer HACs were experienced by patients from 2010 to 2014 than would have occurred
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hcup-us.ahrq.gov/reports/statbriefs/sb147.jsp
January 01, 2013 - ED visits for influenza occurred at a rate of 161.8 per 100,000 population in 2008 compared to 417.5 … ED visits for influenza occurred at a rate of 417.5 per 100,000 population in 2009 compared to 161.8 … In 2008, peak activity occurred in February (79.9 ED visits per 100,000 population). … In 2009, peak activity occurred in October (125.2 ED visits per 100,000 population). … *The rates are based on hospitalizations that occurred September through March (influenza season).
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
January 01, 2023 - The process can be used to study a failure that actually occurred, or it could study a potential failure … Description
Root cause analysis (RCA) is a popular technique used to determine why a problem occurred
-
www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - The intervention schedule had no extended work shifts, and 96
percent of work hours occurred within … the 16 hours scheduled, in contrast to the
traditional schedule, in which 58 percent of work hours occurred … Intercepted serious intern errors
occurred 27.9% more frequently on the traditional schedule than on … No adverse events occurred. … A total of 61 observed sessions occurred over the
12-month period, during which 183 simulations occurred
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - 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 … the reduction in the rate of
HACs, we estimate that approximately 790,000 fewer incidents of harm 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
December 01, 2016 - 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 … the reduction in the rate of
HACs, we estimate that approximately 798,000 fewer incidents of harm 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
-
www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
November 19, 2015 - 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 … the reduction in the rate of
HACs, we estimate that approximately 790,000 fewer incidents of harm 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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - within the facility’s electronic medical record, such as nurse assessments, and represent changes that occurred … the facility’s electronic medical record as determined by the facility and may represent changes that occurred … Fall Risk Factors Report provides information regarding the number and percentage of falls that have occurred … For each month, it displays the number of falls that occurred and the risk factors associated with … Shift during which the fall occurred.
Time at which the fall occurred.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 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 … the reduction in the rate of
HACs, we estimate that approximately 798,000 fewer incidents of harm 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
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Disclosure
Discussing medical errors with patients is challenging
Patients want to know when errors have occurred … Disclosure respects patient autonomy
In general, patients want to learn about harmful errors that have occurred … Additional factors complicate this case:
The disclosing physicians did not make the error
The error occurred … the care provided
Examination of the possible error might involve a root cause analysis
If an error occurred … two hospitals should have had an open dialogue about the case
If they determined that a clear error occurred
-
psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
February 16, 2011 - Prior research revealed that patients wanted the physicians to apologize for the error, explain how it occurred … Approximately half of respondents declined to explain how the error occurred or discuss specific plans