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Total Results: 566 records

Showing results for "occurrence".

141. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     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.

142. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     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

143. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html?page=22
     may review discharge-level results to determine if evidence in the administrative record indicates occurrence

144. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     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

145. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     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

146. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
     August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix C Gap Analysis Structured Interview Guide To produce more consistently useful results, use structured interview questions. The facilitator should review the questions in advance to determine which questions are appropriate for each focus group session. It may help to…

147. 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

148. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     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

149. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     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

150. Small and Rural Critical Access Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     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

151. Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results (pdf file)
     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

152. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
     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

153. Section 5: Evidence, Attachment 1: AAP Guideline Evidence (pdf file)
     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

154. Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness (pdf file)
     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.

155. 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 - 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

156. Recent Evidence Indicates a Flourishing Market for Biosimilar Drugs | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/943.html
     January 01, 2025 - Occurrence, predictors, and management of late vascular complications following extracorporeal membrane

157. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
     January 01, 2020 - 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 … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence

158. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
     October 01, 2014 - Stage III and IV pressure ulcers, consider doing a root cause analysis to find out what led to their occurrence

159. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
     October 01, 2014 - Stage III and IV pressure ulcers, consider doing a root cause analysis to find out what led to their occurrence

160. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
     February 01, 2017 - Frequency of the defect occurrence. Likelihood of preventing defect in daily work.