Results

Total Results: over 10,000 records

Showing results for "occurred".

4601. Final Progress Report: Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
      January 01, 2025 - More than half of neonatal transports (57%) occurred under 1 day of age, leading to early separation … More than half of neonatal transports (57%) occurred under 1 day of age, leading to early separation

4602. Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb234-Adverse-Drug-Events.pdf
      June 01, 2016 - The largest increases in rate of stays involving an ADE between 2010 and 2014 occurred for ADEs caused … The largest decreases in rate of stays involving ADEs between 2010 and 2014 occurred for ADEs caused

4603. Screening for Ovarian Cancer: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/zHvENvrSUeZh6gFPUK_37c
      February 13, 2018 - cases of ovarian cancer will have been di- agnosed in the United States and 14 080 deaths will have occurred … investigate posi- tive screening test results among women who ultimately did not have ovarian cancer occurred

4604. CDS Artifact Enhancement Based on Pilot Implementation. Factors to Consider in Managing Chronic Pain: (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-artifact-enhancement.pdf
      December 01, 2018 - Changes occurred during the “planning,” “integration,” and “testing” stages of the pilot. … evaluation and the delivery of accurate CDS interventions. 15 Enhancements that occurred

4605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857059/psn-pdf
      November 29, 2023 - the procedure, the abdominal wall transilluminated as expected, and one-to-one motion of the stomach occurred … patient’s case, abdominal wall transillumination was documented, and one-to-one motion of the stomach occurred

4606. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - Secondly, facilitating a more rapid response after an event has occurred.

4607. Use of Observational Studies in Systematic Reviews of (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/methodsguidenorris_060420101.pdf
      June 01, 2010 - The inception date also allows investigators to capture the benefits and harms that occurred after a

4608. Use of Observational Studies in Systematic Reviews of (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-observational-studies_methods.pdf
      June 01, 2010 - The inception date also allows investigators to capture the benefits and harms that occurred after a

4609. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
      May 01, 2018 - In New York State, 48.6 percent of deliveries in 2011 occurred in women insured by Medicaid (New York … Our testing has occurred using Medicaid data and is described below and in Sections 3.C, 6.A, and 6. … 27.98 percent of Class B deliveries, and 24.66 percent of Unduplicated deliveries (combined A and B) occurred … of Class A deliveries, 12.62 percent of Class B deliveries, and 13.46 percent of Class C deliveries occurred

4610. Chapter 4. Evaluation Design | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet4.html
      October 01, 2014 - Session only) No clinician was involved in goal setting and no one-on-one interactive goal setting occurred

4611. Implement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
      May 01, 2017 - debriefings include— An accurate recounting and documenting of key events, An analysis of why an event occurred

4612. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
      July 01, 2023 - An analysis of why an event occurred, what worked, and what did not work.

4613. Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
      January 01, 2024 - Of the 12 high-risk failures, 58% occurred between ECG and catheterization laboratory activation.

4614. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
      January 01, 2013 - If a CLABSI occurs on your unit, your team should investigate process defects that may have occurred

4615. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - Then the patient did not return for treatment for another 2 weeks, by which time significant harm had occurred

4616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - One study found that most medication errors occurred during the ordering or prescribing stage, and both

4617. Consequences of Medical Overuse | PSNet
      psnet.ahrq.gov/web-mm/consequences-medical-overuse
      May 05, 2021 - Had this catastrophic outcome not occurred, the patient would have likely undergone one or more unnecessary

4618. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - One study found that most medication errors occurred during the ordering or prescribing stage, and both

4619. HCUP Using Multiple Years of Data Tutorial- Accessible Version
      hcup-us.ahrq.gov/tech_assist/trends/508/508course_2019.jsp
      January 01, 2019 - For example, major changes in the NIS sampling design occurred in 2012 to improve national estimates.

4620. Virtualized Homes: Tools for Better Discharge Planning - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
      January 01, 2018 - Much of the work in this step occurred in the laboratory at Wisconsin Institute for Discovery (WID) and