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Total Results: 596 records

Showing results for "occurrence".

121. Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
     June 02, 2025 - something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence

122. Methods (continued, 2) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
     July 01, 2018 - Consequently, CMS's policy motivates hospitals to avoid financial losses by taking action to avoid the occurrence … insufficient—"internal" organizational motivation to change or improve is also required. 101 The occurrence … One of the most powerful internal motivators for change unfortunately can be the occurrence of a sentinel … Key internal motivators included the occurrence of a sentinel event; the business case for patient and

123. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
     April 01, 2018 - infections in ASCs or outpatient centers and subsequently to design an intervention to mitigate the occurrence … Is this a common occurrence?

124. Protecting Patients from Drug-Drug Medication Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
     September 01, 2023 - decision support (CDS) software is being used by healthcare providers and is helping to reduce the occurrence

125. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - Similar safety lessons have been learned from other safety-conscious industries, most often after the occurrence … the scheduling intervention on work hours and sleep and 2) the effects of the intervention on the occurrence … traditional schedule than on the intervention schedule (P=0.02), and there was a trend toward an increased occurrence … that govern alertness, the intervention schedule reduced both total weekly work hours as well as the occurrence

126. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - The average time between occurrence of the injury and closure of the claim was 5 years. … a method of quantifying the role of various contributing factors (alone and in combination) to the occurrence … The average time between occurrence of the injury and closure of the claim was 5 years. Table 3. … We found that systems factors played a critical role in the occurrence of errors.

127. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
     April 03, 2008 - reporting systems and improvement interventions continually focus on building an awareness of the occurrence … A qualifying question will be asked before reports are entered to detect any occurrence that actually … If a report is found to have data that actually indicate that the occurrence did reach the patient,

128. Building the Business Case for CANDOR Worksheet | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
     August 01, 2022 - Length of time to report the adverse event: Number of adverse events reported >24 hours after occurrence

129. Implementation Guide for the CANDOR Process: Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
     August 01, 2022 - Length of time to report the adverse event: Number of adverse events reported >24 hours after occurrence

130. Chapter 4. Results and Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program4.html
     April 01, 2018 - events (i.e., because these events rarely occur, demonstrating that a program helped to reduce their occurrence

131. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/intro.html
     March 01, 2017 - Practices to improve patient safety thus include those that reduce the occurrence of preventable adverse

132. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Hospital ___________ Unit___________ Month ___________ Please record the following occurrences for all patients in your unit within the selected month. ________ Total number of patients on mechanical ventilation ________ Total number of episodes of mechani…

133. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
     January 01, 2015 - something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence

134. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
     January 01, 2004 - Specifically, the purposes of the study are to use medical record reviews to (1) validate the occurrence … of in-hospital APLs associated with the PSI for APL, and (2) investigate the occurrence of in-hospital … validation sample is based on the New York State inpatient adverse event report system, New York Patient Occurrence … These patients do not meet the indicator’s intent, which is to identify occurrence of an accidental

135. Appendix S. Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
     April 01, 2018 - Topics identified as duplicative were combined into a single occurrence.

136. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
     January 01, 2024 - pharmacist-led medication management service for high-risk medications on adverse drug event (ADE) occurrence … Various approaches have been taken to minimize the occurrence of ADEs, including federal regulations … Our prior work confirmed the frequent occurrence of hypoglycemic events in NHs (9.5 events per 1,000 … Action Plan for Adverse Drug Event Prevention identified priority drug class targets based on frequent occurrence … more frequent MRR when residents were prescribed a high-risk drug during their stay to prevent ADE occurrence

137. Ambulatory Procedure/Surgery Center Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
     June 02, 2025 - something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence

138. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
     January 01, 2024 - found that participants were generally aware of errors and did not consider them to be an unusual occurrence … Government Regulation (“How necessary do you believe it is to have new government regulations to reduce the occurrence

139. Table 5.A.1. Evidence Table (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
     January 01, 2014 - Of the 554 detected unique AEs, only 8% were identified by voluntary occurrence reports. … The trigger tool specifically identified 89 of the total 107 ADEs (83.2%), while hospital occurrence … The trigger tool identified approximately 22 times more ADEs than occurrence reports. … examined potential Calder L, Tierney S, Jiang Study associations between evidence-based care and the occurrence

140. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Because of this concern, the quantitative component of this report focuses on the occurrence of neonatal … arterial blood-gas results and triage patterns to define electronic signatures associated with the occurrence … of a discrete clinical event (i.e., occurrence of prolonged, assisted ventilation lasting at least … approach could be extended to situations that are more likely to have a high association with the occurrence … Relationship between maternal triage in labor and delivery and the occurrence of prolonged assisted ventilation