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Total Results: over 10,000 records

Showing results for "occurred".

3901. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - undetected pharmacy dispensing committed by pharmacy technicians and not intercepted by hospital pharmacists occurred

3902. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
      October 01, 2022 - But severe postpartum hemorrhage occurred at higher rates among non-Hispanic Asian or Pacific Islander

3903. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
      January 01, 2024 - found these meetings and determined what specific shared learning regarding patient safety issues occurred

3904. Meeting Minutes, March 27, 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
      July 01, 2015 - The most significant improvements occurred in 2012 and 2013.

3905. In Conversation with…Sanjay Saint, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
      November 01, 2008 - Physicians may, in fact, be unaware that a patient under their care has an indwelling catheter—this occurred

3906. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
      January 29, 2021 - The importance of blood pressure is confirmed by cases of compartment syndrome that occurred after deliberate

3907. Methodology Report #19: Overview of Methodology for Imputing Missing Expenditure Data in the Medical Expenditure Panel Survey (pdf file)
      meps.ahrq.gov/data_files/publications/mr19/mr19.pdf
      March 01, 2007 - health care are not considered a proxy for payments, primarily due to two important trends that have occurred

3908. Archived: Asymptomatic Bacteriuria in Adults: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/asymptomatic-bacteriuria-adults-screening-1996
      January 01, 1996 - were treated for underlying renal or urologic abnormalities and 2 were treated for pyelonephritis that occurred

3909. Screening for Abdominal Aortic Aneurysm - Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/p8bwnFstpfy9KoDSJhT7m5
      February 01, 2005 - Screening for Abdominal Aortic Aneurysm - Recommendation Statement Summary of Recommendations The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65 to 75 who have ever smoked. B recommendation. The USPSTF found good evidence that screening for AAA and surgica…

3910. Facts and Figures Exhibit 5.8
      hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_8.jsp
      January 01, 2008 - Three of the top 15 principal conditions that occurred with a secondary MH diagnosis in 2008 were MH … A secondary MH diagnosis also occurred often with many of the top 15 most frequent medical conditions

3911. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - It is often difficult to agree whether an error has occurred, and even harder to determine with certainty … It is often difficult even to agree whether or not a diagnosis error has occurred. … It identifies what went wrong, and situates where in the diagnostic process the failure occurred (Table … Taxonomy of where and what errors occurred Where in Diagnostic Process What Went Wrong (~Anatomic … Taxonomy of where and what errors occurred Table 4.

3912. Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
      June 21, 2004 - Unexpected events have certainly occurred during this team’s initiative.

3913. Archived: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-prophylaxis-myocardial-infarction-preventive-medication-1996
      January 01, 1996 - In subgroup analyses, this beneficial effect occurred only in individuals age 50 years and older, although

3914. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/guide.html
      January 01, 2020 - Letter If a CLABSI occurs on your unit, your team should investigate process defects that may have occurred

3915. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - significantly the timeliness and accuracy with which management was notified that a patient safety event had occurred

3916. Hi Les, (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/rtc-design-principles_research.pdf
      January 01, 2009 - biopsy, conversion from wide local excision to more extensive surgery due to false positive findings occurred

3917. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
      April 01, 2016 - calculated in two ways: Point-to-Point is calculated using two data points, to determine if weight loss occurred

3918. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings Optimize Briefings and Debriefings – Facilitator Notes Slide Title and Commentary Slide Number and Slide Optimize Briefings and Debriefings SAY: This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …

3919. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - The second error occurred during the patient transfer, when only the records, but not the imaging, accompanied … The third error occurred as the patient was posted for the surgical suite without preoperative imaging … These three errors occurred before the patient was rolled into the surgical suite. … The fourth error occurred once in the operating room—implementation of the Universal Protocol could have

3920. Statistical Brief #4
      hcup-us.ahrq.gov/reports/statbriefs/sb4.jsp
      May 01, 2006 - In 2003, nearly three out of four hospital stays for alcohol abuse occurred in men, making it one of … almost half of all hospitalizations for alcohol abuse, while another 42 percent of these hospital stays occurred … Less than 8 percent of alcohol-related stays occurred among patients 65 and older. … More than 90 percent of hospitalizations for alcohol abuse occurred among adult patients under 64, with