-
www.ahrq.gov/sdm/measures-data-funding/index.html
February 01, 2025 - University of North Carolina, Chapel Hill) SDMo–a measure of the occurrence of SDM in the care of patients
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
April 01, 2016 - – Length of time to report the adverse event
• Number of adverse events reported >24
hours after occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
January 01, 2003 - environment such as improving the transmission of
important patient information may help reduce the occurrence … shifts
occurs for specific risk factors, and suggests that this variation may play a role in
the occurrence … distracting
conditions, as well as missing patient information, having higher acuity patients,
and the occurrence … Drug administration errors: a study into
the factors underlying the occurrence and reporting of
drug
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 02, 2025 - something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
January 01, 2011 - defects
Implement teamwork tools
Provide timely feedback
Learn from defects – Have staff investigate each occurrence
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
April 01, 2018 - Topics identified as duplicative were combined into a single occurrence, and themes identified from the
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/practice-level-baseline-data.pdf
January 01, 2016 - Other qualifying events after the fifth birthday (age is age at occurrence):
i.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - • Reduce the occurrence of unexpected events.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Third, study in detail what led to the occurrence of each Stage III or IV pressure ulcer. … on rates is disseminated to key stakeholders and staff
Root cause analysis is conducted for each occurrence
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Third, study in detail what led to the occurrence of each Stage III or IV pressure ulcer. … on rates is disseminated to key stakeholders and staff
Root cause analysis is conducted for each occurrence
-
www.ahrq.gov/faqs/index.html?page=22
may review discharge-level results to determine if evidence in the administrative record indicates occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - QSRS
The QSRS was designed to identify the occurrence of specified AEs to better understand patient safety … These weighted rates provide
national estimates for the occurrence of the specified in-hospital AEs … The occurrence of the AEs specified in QSRS may be different among patients with
other insurance types
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - QSRS
The QSRS was designed to identify the occurrence of specified AEs to better understand patient safety … These weighted rates provide
national estimates for the occurrence of the specified in-hospital AEs … The occurrence of the AEs specified in QSRS may be different among patients with
other insurance types
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - QSRS
The QSRS was designed to identify the occurrence of specified AEs to better understand patient safety … These weighted rates provide
national estimates for the occurrence of the specified in-hospital AEs … The occurrence of the AEs specified in QSRS may be different among patients with
other insurance types
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence … something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence … something happens that could harm the patient, but does not, how often is it documented in an
incident or occurrence … something happens that could harm the patient, but does not, how
often is it documented in an incident or occurrence … something happens that could harm the
patient, but does not, how often is it documented
in an incident or occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - providing opportunities to reconsider the overall
philosophy and approach to actual event and near-miss occurrence … moreover, many did not know what a near miss or latent
error was or the importance of reporting such an occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
January 01, 2009 - An uncommon additional significant adverse effect of
stimulants is the occurrence of hallucinations … and other psychotic symptoms.vii Although
concerns have been raised about the rare occurrence of sudden
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - Implement teamwork tools
Provide timely feedback
Learn from defects – Have staff investigate each occurrence
-
www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - industries that have
developed methods to understand existing risks and to reduce the likelihood of their occurrence … has been
shown that important differences exist between adults and children that contribute to the
occurrence … first step in designing these
systems is to identify [potential] errors and study their pattern of occurrence … - Woods) 11/7/2016 11:58:20 AM
Child-specific risk factors contribute directly to the nature and occurrence … of the event itself with contributing factors
having impact at each stage: fail-points lead to the occurrence
-
www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
January 01, 2024 - Participants reviewed the applicable NIC interventions
and were asked regarding frequency of occurrence … To determine the frequency of occurrence of an intervention, the
following question was presented: “ … Therefore, the time and date of
occurrence of patient-related nursing activities were not reliable. … In addition, 57% (n=24) of the 42
achieved consensus on the frequency of occurrence.