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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - The quantitative measurement for the pilot occurred through informal, ongoing monitoring of the pilot … This validation occurred through a focus group activity with clinicians at the pilot site upon the pilot … Implementation Testing and the Live Pilot
End-to-end implementation testing of the Statin Use artifact occurred … the pilot CDS altered their workflow, the clinicians responded that no changes to their workflow had occurred
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - A chart review study was conducted to identify actual and potential adverse events that have occurred … evidence, virtually certain
evidence), and the stage of medication-use process in which the error occurred … the presence/absence of the EPh, reviewed the records independently and
determined if an event had occurred … • A list of challenges and unanticipated barriers that occurred during the development of the program
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hcup-us.ahrq.gov/reports/statbriefs/sb251-Sickle-Cell-Disease-Stays-2016.pdf
January 01, 2016 - ■ Most SCD-related stays were
for patients from metro areas
and occurred at hospitals in
metro … Half of SCD-
related stays for patients from
rural areas occurred at
hospitals in metro areas. … Of SCD-related stays for patients from metro areas, 99.6 percent occurred at hospitals that also were … ■ Half of SCD-related stays for patients from rural areas occurred at hospitals in metro areas.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017035-mehr-final-report-2011.pdf
January 01, 2011 - A trial of home
monitoring of blood glucose and blood pressure occurred in 108 patients. … positive report from Cleveland on the positive effect of ambulatory EMRs on Diabetes
Mellitus outcomes occurred … anticipated within the time frame of the proposed
evaluation or in the case of the condition summary screens occurred … disadvantage of
requiring physician entry in the record that eye examinations or foot examinations had occurred
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - Return to Contents
Knowing When a Fall Has Occurred
A person can end up on the ground for many
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - When reckless behavior has occurred, it must be met with remedial or punitive action to decrease or eliminate
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Though no harm occurred, this case was a “near miss,” given the prolonged exposure of a potentially suicidal
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - cardiac risk, precluding surgery and requiring further evaluation, but appropriate communication never occurred
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - patient has not designated one, and it is presumed from the narrative that in the state where this occurred
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - collect necessary laboratory tests, timely follow-up in the Infectious Diseases
clinic would have occurred
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/rachel-hogg-graham-application.pdf
May 19, 2021 - Rachel Hogg Graham - Sample Grant Application
PI: Hogg, Rachel A. Title: Examining the Integration of Hospitals, Public Health, and Social Services to
Target the Social Determinants of Health Using Patient-Centered and Comparative
Effectiveness Research Method…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - Note that this is neither the date the patient safety concern occurred nor the date
the concern was … and provides the following possible responses:
No harm, Unknown harm, or, if harm is known to have occurred … Incidents involving preparation or administration of Blood
or Blood Products were reported to have occurred … However, the
largest number of total harm events (n = 14; 28.0%) occurred during Product test or request … Numerous falls (13,384 /113,268; 11.8%) were reported to have occurred in Other location.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - Our primary outcome measure was the number of
call nights when something unanticipated occurred that … The number of call shifts when unexpected events occurred
that the residents felt could have been anticipated … The number of call nights in which unexpected events occurred that the residents felt
could have been
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.docx
February 10, 2014 - The Weekly Wound Rounds Report displays declines in ADLs that have occurred in the past:
1. … Consults
Any consultations that occurred during the week are recorded. … If more than one consultation occurred, all are listed.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
January 01, 2007 - between the
'baseline' and 'intervention' periods for the e-prescribing and control groups, which occurred … We then identified additional filled claims
that occurred during that period of time. … that were dispensed, we can only evaluate potential
DDIs, we cannot determine whether actual events occurred
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - involves use of computer-based triggers, or indications stored in the database that an error might have occurred
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023865-lee-final-report-2018.pdf
January 01, 2018 - which the teen could refer to when completing an end-of-day
diary noting the different activities that occurred … monitoring as well as basal and bolus insulin, carbs, corrections, and pump setting
changes that occurred
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hcup-us.ahrq.gov/reports/methods/2008_05.pdf
January 01, 2008 - The AHRQ QIs are measures of quality associated with processes of care that
occurred in an outpatient … For missing age, gender, ZIP Code, and payer data
that occurred on a small proportion of discharge records … The strongest result occurred with coding practices ―
the number of diagnosis fields coded.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - So, take a couple minutes and brainstorm all of the reasons that the failure occurred.