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Total Results: over 10,000 records

Showing results for "occurred".

61. Simon SR et al. 2006 "Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/simon-sr-et-al-2006
    January 01, 2006 - INTERVENTION: The computerized age-specific alerts occurred at the time of prescribing a targeted potentially … The alerts were programmed to 'pop up' only when both of the following circumstances occurred: 1. … Approximately 14 (82%) alerts per clinician occurred while ordering these medications for patients younger … January to June 2004), [they received] approximately four alerts per clinician, all of which, by design, occurred

62. When errors occur. | PSNet
    psnet.ahrq.gov/issue/when-errors-occur
    March 12, 2011 - Newspaper/Magazine Article When errors occur. Citation Text: Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

63. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - over the 5 years (2011, 2012, 2013, 2014, and 2015) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2015 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and … on October 1, 2015, and also due in part to delays in contracting for MPSMS data analysis that occurred

64. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - over the 5 years (2011, 2012, 2013, 2014, and 2015) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2015 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and … on October 1, 2015, and also due in part to delays in contracting for MPSMS data analysis that occurred

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33592/psn-pdf
    December 15, 2024 - independently reviewed by two clinically experienced reviewers in order to determine whether an adverse event occurred … When an adverse event occurred, reviewers also may disagree about whether the event was preventable. … Important subcategories of adverse events include: Preventable adverse events: those that occurred … could have been less harmful if care had been different; Adverse events due to negligence: those that occurred

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37446/psn-pdf
    January 06, 2017 - Investigators discovered that inpatient warfarin- related errors occurred most frequently during transcription … /documentation and administration, while outpatient errors occurred most frequently during prescribing

67. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse

68. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - patients over the 4 years (2011, 2012, 2013, and 2014) relative to the number of HACs that would have occurred … precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … in 2014 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse

69. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - , 6 percent occurred in patients between the ages of 6 and 17 years, and 24 percent occurred in patients … , while 28 percent occurred in patients 65 years of age and older. … Of the reports in which possible patient harm may have occurred, 21 percent of the events occurred in … years, and 29 percent occurred in patients between 18 and 45 years. … occurred in patients 65 years of age and older.

70. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
    July 03, 2023 - Problems that occurred between patients and clinicians or staff 7. Exceptional people 8. … exceptional people exceptional ways to do things problems with the practice’s day-to-day … problems that occurred … ) 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 Exceptional ways to do things Exceptional people Problems that occurred

71. Electronic Communications Across Provider Settings | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-communications-across-provider-settings
    January 01, 2023 - Project planning occurred in two rural settings. … Planning also occurred among six rural community health centers throughout New Hampshire.

72. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2013.html
    November 01, 2015 - precise causes of the decline in patient harm are not fully understood, the increase in safety has occurred … Costs included the initial hospital stay and costs of other inpatient sites of care that occurred within … in 2013 than would have occurred if the rate of HACs had remained steady at the 2010 level ( Exhibit … Cumulatively, approximately 1.3 million fewer incidents of harm occurred in 2011, 2012, and 2013 (compared … The majority of deaths averted occurred as a result of reductions in the rates of pressure ulcers 15

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39402/psn-pdf
    August 08, 2010 - A fatal vincristine error that occurred in the United Kingdom was the subject of a detailed investigation … preventing-vincristine-administration-errors https://psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36200/psn-pdf
    February 15, 2011 - Prior research revealed that patients wanted the physicians to apologize for the error, explain how it occurred … Approximately half of respondents declined to explain how the error occurred or discuss specific plans

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41522/psn-pdf
    December 02, 2014 - resulted in patient harm in the outpatient setting, and this study found that more than 250 such errors occurred … Although pharmacists intercepted nearly half the errors, more than one-third occurred at the time of

76. Table 4. Near-term Measure Opportunities | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab4.html
    July 01, 2018 - information on hospitalization (e.g., discharge summary) or specialist visits (e.g., clinical summary) that occurred … Numerator and denominator: EHR audit files Use claims data to confirm follow-up care occurred within

77. Objective Outcomes Data Collection Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/vae/objective-outcome-tool.html
    January 01, 2017 - Total number of episodes of mechanical ventilation How many episodes of mechanical ventilation have occurred … Total number of deaths How many deaths have occurred in the patients who have been or were mechanically

78. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet
    psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
    November 11, 2020 - This retrospective study analyzed critical incidents that occurred during MET responses over a five-year … They mainly occurred due to lack of compliance with protocols and lack of available supplies.

79. Medication errors in the care transition of trauma patients | PSNet
    psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
    September 02, 2020 - This observational, descriptive, prospective study comprises an analysis of the medication errors that occurred … Results indicate that most medication errors occurred in the trauma unit and 64.2% of these types of

80. Enteral nutrition: an underappreciated source of patient safety events. | PSNet
    psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
    February 01, 2023 - reported events were classified as "care management events," eg, incorrect rate or dosage; 31% of errors occurred … during administration ; and 28% occurred during monitoring.