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Showing results for "occurred".

  1. monahrq.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
  2. cahps.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
  3. healthcare411.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
  4. pcmh.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
  5. pbrn.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
  6. ce.effectivehealthcare.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
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-scorecard-2014-16.pdf
    January 01, 2014 - HAC National Scorecard 2014-16 Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - period the IOM report was released), we examine potentially preventable adverse medical events that occurred … The unit of observation was any major surgery admission (identified as the “index” surgery) that occurred … The surgeries occurred at 1,725 hospitals nationwide. … potentially preventable adverse medical events only cases in which the evidence that such an event occurred … Thus, there may have been many more preventable safety events (as well as close calls) that occurred
  9. hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit5_3.jsp
    January 01, 2007 - For stays with Medicare as the primary payer, in-hospital deaths occurred in 4 percent of stays. … Three percent of uninsured discharges occurred against medical advice, compared to less than 1 percent
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44402/psn-pdf
    January 22, 2016 - communication-amc-va-end-shift This qualitative analysis found that anticipatory management conversation occurred
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35175/psn-pdf
    June 23, 2009 - overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors that occurred
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40745/psn-pdf
    September 07, 2011 - However, direct verbal communication occurred in only a small minority of cases, and several preventable
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43726/psn-pdf
    September 01, 2016 - This qualitative study found alert overrides occurred most frequently in the emergency department, and
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44015/psn-pdf
    September 09, 2015 - safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative- review This narrative review of safety in telephone triage found that the lowest error rates occurred
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37151/psn-pdf
    January 02, 2017 - dissemination of the Joint Commission's “do not use” abbreviation list, errors involving these abbreviations occurred
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39303/psn-pdf
    February 17, 2010 - Errors occurred in all three states of the test cycle.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41215/psn-pdf
    September 04, 2013 - A case of an ultimately fatal adverse event that occurred while a patient was being transported from
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42781/psn-pdf
    December 04, 2013 - simulator-based study observed trauma teams and found that proven techniques, such as closed-loop communication, occurred
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44559/psn-pdf
    April 15, 2016 - Researchers determined that diagnostic errors occurred in 35 of 100 reviewed cases, with the majority
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46717/psn-pdf
    April 16, 2018 - , the average number of opioid pills per prescription declined, but no increase in refill requests occurred