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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Try to view the world as they did when the event occurred.
-
psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - adverse event reports identified using the Safer Dx tool and found that more than half of errors occurred
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd_research-protocol.pdf
August 10, 2010 - measured using identical
methods.8 Increases in identification and treatment using medication have occurred
-
psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - A stroke alert was not activated upon ED arrival, nor at the first suspicion that a stroke had occurred
-
psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - identified this and related problems prior to their being discovered in the context of patient injury, as occurred
-
digital.ahrq.gov/sites/default/files/docs/publication/r36hs018071-delrahim-howlett-final-report-2010.pdf
January 01, 2010 - Randomization occurred at the individual level (i.e., across clinics).
-
psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - serious adverse event reports identified using
the Safer Dx tool and found that more than half of errors occurred
-
psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - variability has on
phenytoin serum level interpretation is necessary to understand the error that occurred
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - This group met over a 2-year period,
during which it reviewed the changes
in practice that have occurred
-
www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - In your opinion, what are the most important quality improvements or disparity reductions that have occurred
-
digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-co-final-report.pdf
July 01, 2015 - Most of these developments occurred in
collaboration with funding from AHRQ for the Health Information
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
January 01, 2011 - Actual transfer of information occurred through the Apache web server (Laurie, 2002).
-
www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
January 01, 2024 - If turnover occurred between survey
years, we provided information about prior survey(s) for comparison … In the sample, slight
under-representation occurred in county-owned government facilities, and over-representation
-
hcup-us.ahrq.gov/reports/statbriefs/sb253-Influenza-Hospitalizations-ED-Visits-2006-2016.pdf
January 01, 2016 - number of inpatient stays,
inpatient deaths, and treat-and-release ED visits involving influenza occurred … The most influenza-related inpatient deaths occurred in the 2014–2015 flu season also, peaking
at 3,100
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/handouts.html
December 01, 2017 - On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports: Handouts
AHRQ’s Safety Program for Nursing Homes
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Completed Self-Assessment Worksheet
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.docx
July 01, 2016 - Handouts: Implementation of the Healing Reports
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Facilitator Training
Implementation of the Healing Reports: Handouts
Review of Self-Assessment Worksheet
Script Illustrating Change Team Meeting To Discuss and Complete Self-Assessment Worksheet
Com…
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
April 01, 2013 - So when a medium or minor problem occurred, you could just step out to the station and talk it over,
-
psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - One of the other changes that has occurred along with the shift work is now physicians are being held
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hospital-length-of-stay-disposition-comments_0.pdf
September 20, 2021 - care delivery
improvements (for example, the rapid stand-up of telehealth
interventions) that have occurred
-
psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - , if the information arrives but is not used (or usable), then true interoperability would not have occurred