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Showing results for "occurred".

6021. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
      January 01, 2007 - accident-related The affected party was a patient, and the fall was observed by hospital staff and occurred

6022. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - altered the final results of the infusion scheme, there were several instances of operations that occurred

6023. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
      January 01, 2011 - documented the differences in the drug, dose, route and frequency and the location at which the discrepancy occurred

6024. Emergency Department Visits for Injurious Falls among the Elderly, 2006 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf
      October 01, 2009 - the ED, a readmission for a complication resulting from an earlier fall seen in the ED, a fall that occurred

6025. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - alignment of “holes” in the layers of defense that result in an incident.6 Studying errors that have occurred

6026. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - were the hazards you encountered today related to this patient and what was the context in which they occurred

6027. Archived: Final Evidence Summary: Skin Cancer: Screening, April 2001 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/skin-cancer-screening-2001
      April 01, 2001 - shown to occur in usual care, 82 none of the studies of screening examined the rate at which this occurred

6028. Cancer-Pancreas Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_executive.pdf
      September 01, 2014 - procedure-related harm and number of patients at risk, or the reporting that no harms or complications occurred

6029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33784/psn-pdf
      April 01, 2015 - This occurred all around the world and not just in Ontario.

6030. Archived: Bladder Cancer in Adults: Screening, 2004 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/bladder-cancer-screening-2004
      June 07, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Bladder Cancer in Adults: Screening, 2004 June 07, 2004 Recommendations made by the USPSTF are independent of the U.S. governme…

6031. Guide To The Healthy Weight Care Assistant (doc file)
      cds.ahrq.gov/sites/default/files/cds/artifact/106/Guide%20to%20the%20Healthy%20Weight%20Care%20Assistant.docx
      February 15, 2018 - Guide to the Healthy Weight Care Assistant 1. Introduction The Healthy Weight Care Assistant (HWCA) was developed to assist pediatricians in providing evidence-based care to children with overweight or obese body habitus who were at risk for developing complications of obesity. The goal was that by early identification…

6032. Empowering Women and Providers for Improved Care of Urinary Incontinence: EMPOWER Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_empower.pdf
      January 01, 2024 - Empowering Women and Providers for Improved Care of Urinary Incontinence: EMPOWER Study - - - Ohio Empowering Women and Providers for Improved Care of Urinary Incontinence: EMPOWER Study Project Overview The EMPOWER project is assessi…

6033. Case Study: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medicaid/OK_CaseStudy_FINAL.pdf
      February 01, 2011 - Case Study: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid Case Study Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services …

6034. Impoving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
      April 01, 2019 - Impoving Diagnosis Improving Diagnosis Diagnostic error is a significant and under-recognized threat to patient safety. ■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately 4 million. ■ Fifty-five percent of patients said diagnostic errors were a chief conce…

6035. SynergyHealth - St. Joseph's Hospital: Designing a safe hospital (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
      January 01, 2005 - SynergyHealth - St. Joseph's Hospital: Designing a safe hospital AHRQ Patient Safety & Health IT 2006 Strengthening the Connections Designing a Safe Hospital John G. Reiling, Principal Investigator SynergyHealth St. Joseph’s Hospital Latent Conditions Errors in the design, organization, training or mainten…

6036. Battle Buddy Pocket Card - Final (1) (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
      January 01, 2021 - COVID 19 Battle Buddy Support Program Background: COVID-19 is a pandemic that threatens not only our patients but ourselves and our sense of safety and control. Like soldiers on a battlefield, our front line staff are coping with ongoing uncertainty about the scope of the threat, concerns about adequate PPE, …

6037. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
      March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 Appendix K. CAUTI Case Review Form Purpose The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a catheter-associated urinary tract infecti…

6038. Antibiotic Stewardship FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
      July 01, 2017 - Antibiotic Stewardship FAQs AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The frequently asked questions (FAQs) that are intended to support long-term care (LTC) facilities in the implementation of efforts to reduce the overuse of antibiotics. The answers to these commonly asked questions are…

6039. Agency for Healthcare Research and Quality Competency Check vs. Observational Audit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/competency-check-vs-observational-audit.pdf
      March 01, 2021 - Agency for Healthcare Research and Quality Competency Check vs. Observational Audit Competency Check vs. Observational Audit Validate Nursing Home Staff Performance To Improve Infection Prevention Processes for COVID-19 This document explains the difference between the competency check you complete to me…

6040. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
      January 01, 2016 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers Background Your organization is committed to making health care better and safer for your patients. But achieving this goal is no small feat. You and your staff must collect data, identify quality and safety problems, design impr…