Results

Total Results: over 10,000 records

Showing results for "occurred".

5361. High-Risk Deliveries at Facilities with Level 3 or Higher NICU Services on Campus (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
      November 01, 2019 - In New York State, 48.6 percent of deliveries in 2011 occurred in women insured by Medicaid (New York … Our testing has occurred in Medicaid data and is described below and in Sections 3.C, 6.A, and 6.B of … of Class B deliveries, 10 and 24.66 percent of unduplicated combined Class A and B deliveries occurred

5362. High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
      October 01, 2019 - In New York State, 48.6 percent of deliveries in 2011 occurred in women insured by Medicaid (New York … Our testing occurred in Medicaid data and is described below and in Sections 3.C, 6.A, and 6.B of this … deliveries, 27.98 percent of Class B, and 24.66 percent of Unduplicated combined A and B deliveries occurred

5363. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
      September 01, 2019 - In New York State, 48.6 percent of deliveries in 2011 occurred in women insured by Medicaid (New York … Our testing has occurred in Medicaid data and is described below and in Sections 3.C, 6.A, and 6.B of … percent of Class B deliveries, and 24.66 percent of unduplicated combined Class A and B deliveries occurred

5364. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - patients value their relationship with their provider and take it into consideration when an error has occurred

5365. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
      January 10, 2022 - Delivering feedback several weeks after poor performance has occurred is too late for it to be effective

5366. Module 6: Mutual Support
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
      January 10, 2022 - Delivering feedback several weeks after poor performance has occurred is too late for it to be effective

5367. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - Spend 10 minutes recording the reasons you believe this failure occurred. … So, take a couple minutes and brainstorm all of the reasons that the failure occurred.

5368. Diabetes Mellitus (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1406.pdf
      September 26, 2014 - T2DM and mild obesity, as follows.99 For up to 6 years following RYGB, durable diabetes remission occurred … In patients who were phakic in the study eye at baseline, cataracts occurred in 82 % of fluocinolone … An improvement ≥2 steps in the [ETDRS] retinopathy scale occurred in 13.7% (low dose) and 10.1% ( … Benefit occurred for both doses compared with sham at 3 weeks and all subsequent time points. … Glaucoma requiring incisional surgery occurred in 3.7%, 7.6%, and 0.5% of the low-dose, high- dose

5369. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
      February 01, 2017 - patient’s highest level of mobility, barriers to higher levels of mobility, and any adverse events that occurred

5370. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, August 1, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
      September 01, 2025 - Workgroup Summary: The latest Workgroup meeting occurred virtually on August 1, 2025, from 10 AM–noon

5371. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49693/psn-pdf
      October 01, 2013 - The clinician acknowledged the error when it occurred, apologized for the harm done, and reassured both

5372. Medical Devices in the "Wild" | PSNet
      psnet.ahrq.gov/web-mm/medical-devices-wild
      March 27, 2024 - The unit where the fall occurred called a multidisciplinary "fall huddle" to reenact the circumstances

5373. Discharge Instructions in the PACU: Who Remembers? | PSNet
      psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
      August 05, 2009 - (no written instructions on the updated recovery plan were provided), and subsequent communication occurred

5374. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49475/psn-pdf
      March 01, 2005 - Instead, the failure occurred because the IT design was technology-centered rather than human-centered

5375. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49679/psn-pdf
      March 01, 2013 - connectors allow fluid to be pushed out to the catheter lumen to overcome the reflux of blood that has occurred

5376. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49789/psn-pdf
      April 01, 2017 - to document her preferences when she was relatively healthy, before any unnecessary interventions occurred

5377. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
      September 01, 2012 - Only upon secondary review of the imaging did the operator realize that a perforation had occurred.

5378. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49440/psn-pdf
      March 01, 2004 - sometimes, when one looks back to understand how a pathologic or radiologic misdiagnosis might have occurred

5379. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - Following placement of epidural anesthesia, a fetal heart rate deceleration occurred due to maternal

5380. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49848/psn-pdf
      January 01, 2019 - 2006, 6.6/1000 intubation attempts were described as difficult, and 0.2 failure to intubate scenarios occurred