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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
January 01, 2017 - NO: Incident reports, occurrence screens, death
reviews, Global Trigger Tool
YES: Ask patients
Ask
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - For instance, the New York Patient Occurrence and Tracking System
(NYPORTS)12 and early users of the … GOC+
Generic Occurrence Classification 2003;
http://www.apsf.net.au/products.html. … New York
Patient Occurrence and Tracking System (NYPORTS)
2003 Sep;
http://www.health.state.ny.us/
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - Does not pertain to calculated attributable CLABSI cost estimates
Warren DK,
2004
Occurrence … CLABSI specific HAI
Zack JE,
2002
Effect of an education program aimed at reducing the occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution
(CANDOR) process and includes;
■ Identifying the existing process
■ Identifying the existing outcome(s)
■ Identifying the desired outcome(s)
■ Identifying and documenting the gap(s)
Who should use t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
January 01, 2005 - The specific aims are to (1) measure the
occurrence of prescribing-related errors, (2) determine the … Measure the occurrence of preventable medication prescribing errors
in physician office-based practices … Analysis
Occurrence of prescribing errors
All prescriptions were handwritten at baseline by all … Occurrence of prescribing-related errors
Problems of illegibility, omissions, and use of abbreviations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - Two
physicians then rated each patient for the occurrence of any medical injury, based
on the abstracted … The table provides the
number and rate of occurrence in each category, as well as the excess length
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - A number of best practices have been shown to be effective in reducing the occurrence of pressure ulcers
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - A number of best practices have been shown to be effective in reducing the occurrence of pressure ulcers
-
www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
January 01, 2024 - conducted three separate randomized,
controlled trials to evaluate the impact of the intervention on the occurrence … The primary outcome of the study will be the occurrence of
medication errors. … The primary outcome measure for all
interventions was the occurrence of medication errors, defined as
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
January 01, 2004 - effective
interventions has not been easily translated into clinical practice to prevent or
mitigate the occurrence … patient safety problems and monitoring the effectiveness
of interventions to prevent the problems’ occurrence … A series of different measures of medical injury occurrence will be
used: any medical injury, four major
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - This would not only document error occurrence, but it would also aim to understand
the complex underlying … conditions under which errors occur and implementation of
measures that would protect against such error occurrence … attitudes and had
higher average ratings; i.e., this
condition potentially contributes
more to error occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - events as a numerator
would therefore be a rate of reporting and not a true rate of medical error occurrence … through direct observation is contingent on another sequence of events:
Error occurs
Every error occurrence … First, trends in reported events, while not
valid as rates of event occurrence, are a potential reflection … Thus, changes in the rate might reflect true changes in the rate of injury occurrence
or simply changes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Although several approaches currently exist to identify the
occurrence of medication errors (e.g., retrospective … Drug administration errors: a study into
the factors underlying the occurrence and reporting of
drug … Nurses’ perceptions of reportable
medication errors and factors that contribute to their
occurrence
-
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 - Use of occurrence data for improvement.
f. Emphasis on safety and quality.
g. … rating was 4.17 for the worker safety dimension, and the
highest congruency score was 4.78 for the use occurrence … Our original conceptualization
separated the reporting of occurrence data from the review and use of
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/021-ss-mrsa-surveillance-fg.docx
April 01, 2025 - Data tracked over time allows facilities to detect outbreaks, spot unexpected increases in disease occurrence … data tracked over time allows facilities to detect outbreaks, spot unexpected increases in disease occurrence
-
www.ahrq.gov/sites/default/files/2025-05/stein-report.pdf
January 01, 2025 - departments across the United States, the evaluation of women at risk for
ectopic pregnancy is a daily occurrence
-
www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Dittus
The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - • Evaluation of patient occurrence reports: hospital data from the University Healthsystems
Consortium … Web-based occurrence reporting system (Patient Safety Net) … perception of the organizational safety culture, the effect of team and communication
factors in patient occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Clinicians are “trained
to review hospital medical records and give their opinion on the occurrence … The adverse event occurrence or the
occurrence, of an event considered as a proxy for an adverse event
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
May 01, 2016 - workflow modifications or changes to the EHR”
because (1) the variable type for two denominator elements, occurrence