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Showing results for "occurred".

  1. In Conversation with…William B. Weeks, MD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
    May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA May 1, 2009  Also Read an Essay Citation Text: In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

  2. Safety Climate on Hospital Units: A New Measure (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - nurses’ perceptions of medication administration error reporting, the reasons that medication errors occurred

  3. PULMONARY with "Discussions" in Exec Summary (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/13_pulmonary_potential_high_impact_june_2012.pdf
    January 01, 2012 - 7 that clinician acceptance could result in off-label use for unrelated indications, which has occurred

  4. Case 2. Central Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Prospective projects were studied as the project occurred (i.e., from the initial training and project … Continued collection of D2B data occurred during sustainment monitoring for the ED and the catheterization

  5. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
    July 01, 2004 - They thought it referenced falls and accidents of the sort that occurred in medical settings, rather

  6. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
    January 01, 2004 - The process we describe occurred as part of a quality improvement project.

  7. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - and lab studies and it's not looking through textbook chapters to figure out where those things have occurred

  8. Access to Pediatric Voice Therapy: A Telehealth Solution - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r21hs021781-kelchner-final-report-2014.pdf
    January 01, 2014 - • A second set of issues occurred as CCHMC IS took on a complete upgrade/overhaul of the CCHMC Telemedicine

  9. Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
    January 01, 2024 - We considered an ED visit, readmission, or death to have occurred if a patient was discharged alive

  10. Program Overview: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
    December 01, 2017 - Spend 10 minutes recording the reasons you believe this failure occurred.

  11. Using mHealth and Patient-Reported Outcomes to Deliver Evidence-Based Asthma Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023960-rudin-final-report-2018.pdf
    January 01, 2018 - Although the steps largely occurred in sequence, at times we needed to return to a previous phase (

  12. Archived: Ovarian Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening-2012
    September 15, 2012 - Nearly 21 major complications occurred per 100 surgical procedures done on the basis of false-positive

  13. HCUP Statistical Brief #17: Hospital Stays among Patients with Diabetes, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb17.pdf
    November 01, 2006 - Findings In 2004, nearly 6.3 million hospital stays occurred among patients with diabetes (i.e.,

  14. Statistical Brief #17

    hcup-us.ahrq.gov/reports/statbriefs/sb17.jsp
    November 17, 2006 - Findings In 2004, nearly 6.3 million hospital stays occurred among patients with diabetes (i.e.,

  15. Statistical Brief #26

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

  16. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
    September 27, 2023 - In the second clinical encounter, it appeared that a psychotic exacerbation occurred, but again systemic

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837748/psn-pdf
    August 05, 2022 - as re- hospitalization or persistent alteration in health function.1 The majority of potential ADEs occurred

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837215/psn-pdf
    July 08, 2022 - A stroke alert was not activated upon ED arrival, nor at the first suspicion that a stroke had occurred

  19. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - NGT was replaced, but X-ray was not performed due to miscommunication at the change of shift, which occurred

  20. Medication Reconciliation With a Twist (or Dare We Say, a Patch?) | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
    April 03, 2024 - high-risk (based on age) and had medication reconciliation performed by a pharmacist, an error still occurred
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