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Showing results for "occurred".

  1. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet

    psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - false-positive rate, it is still difficult to shake the intuition that unexpected deaths such as the one that occurred

  2. Medication Reconciliation: Whose Job Is It? | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
    May 01, 2018 - determined that the gabapentin liquid had been refilled earlier than expected and that an overdose had occurred

  3. Statistical Brief #115: All-Cause Readmissions by Payer and Age, 2008 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb115.pdf
    June 01, 2011 - Discharges for patients who died at an initial stay or whose initial stay occurred in December of 2008

  4. HCUP Statistical Brief #126: Hospital Stays for Circulatory Diseases, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb26.pdf
    February 01, 2007 - Hospital admissions for nonspecific chest pain occurred among the uninsured at twice the rate of hospital

  5. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - The dataset initially consisted of 535,190 anesthesia cases that occurred at five hospitals (coded as … These syringe events mainly occurred during the intraoperative phase (65%), followed by preoperative … On average, 14.5 syringe movements occurred in each case.

  6. Grading_didactic_faculty_approved (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/grading.ppt
    January 01, 2013 - of effect: Defined as the likelihood that the observed effect is large enough that it cannot have occurred … scores are possible for strength of association: Strong: large effect size that is unlikely to have occurred … Weak: small enough effect size that it could have occurred solely as a result of bias from confounding

  7. Research Findings #23: Trends in Children's Antibiotic Use: 1996 to 2001

    meps.ahrq.gov/data_files/publications/rf23/rf23.shtml
    March 01, 2005 - reductions in the proportion with use and in the average number of prescriptions occurred … Instead, a large reduction in the percentage with use occurred from 1996 through 1999 and was then … Instead, large reductions in use occurred from 1996 through 1998, followed by a flattening

  8. Transparency of Reporting Requirements: Omega-3 Fatty Acids and Cardiovascular Disease (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-omega-3_research-protocol.pdf
    September 02, 2016 - against information obtained from publications to judge whether important changes in the analysis plan occurred … retrospective longitudinal (clinical outcomes, adverse events): measure of n-3 intake/exposure must have occurred … outcomes) (case control study done within a prospective study): measure of n-3 intake/exposure must have occurred

  9. Enhancing an EMR-Based Real-Time Sepsis Alert System Performance through Machine Learning - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
    January 01, 2019 - The initial “build” occurred in the EMR test environment, which represents an operational clone of the … A similar issue occurred with WBC. … Additionally, the advent of the new ‘Sepsis 3.0’ guidelines occurred in the middle of the development

  10. Slide 1 (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - Developed (3) EXAMPLE – 2 A list of provider staff who were present at the time a patient incident occurred

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60865/psn-pdf
    August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33843/psn-pdf
    October 01, 2017 - One of the other changes that has occurred along with the shift work is now physicians are being held

  13. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet

    psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
    February 01, 2023 - Additionally, insulin pump infusion site leakage occurred several times, possibly due to improper insertion

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49771/psn-pdf
    July 01, 2016 - identified this and related problems prior to their being discovered in the context of patient injury, as occurred

  15. Title Page (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
    January 01, 2008 - Prescribing errors occurred at a much higher rate than previously reported.

  16. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet

    psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
    May 31, 2023 - finding that a quarter of trauma deaths in Victoria could have been prevented if medical errors had not occurred

  17. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet

    psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
    February 01, 2014 - interruption-related errors resulted in delays of treatment or loss of concentration or focus.( 10 ) Such errors often occurred … in safety, there were 2.1 million fewer adverse events over the 2010 to 2014 period than would have occurred

  18. ahrq37a_LungCancer_Sum.qxd (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/VN82XmdDhcK74WtHxWBTqm
    May 01, 2004 - groups assembled initially, but some question remains whether some (although not major) differences occurred

  19. April 2022 CDS Connect Work Group Call (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Presentation.pdf
    January 01, 2022 - April 2022 CDS Connect Work Group Call April 2022 CDS Connect Work Group Call Agenda Schedule Topic 3:00 – 3:02 Roll Call, Michelle Lenox (MITRE) 3:02 – 3:05 Review of the Agenda, Maria Michaels (CDC) 3:05 - 3:35 Roundtable and Discussion on Partnering Experience: Amy Price (Stanford); Danny van Leeuwen (Hea…

  20. Building a Foundation for Health Information Exchange to Improve Poison Control (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/building-foundation-for-health-information-exchange-to-improve-poison-control.pdf
    April 01, 2014 - Building a Foundation for Health Information Exchange to Improve Poison Control 1 AHRQ Health Information Technology Exploratory and Developmental Grant to Improve Health Care Quality through Health IT (R21) Building a Foundation for Health Information Exchange to Improve Poison Control Poison control centers (…
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