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Showing results for "occurrence".

181. Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14notes.html
     June 01, 2014 - for these 13 items are the sum of the three response options that represent the smallest frequency of occurrence

182. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
     January 01, 2025 - patients who are not known to have the relevant disease and who are at more or less  average risk for its occurrence … the numerator and denominator beginning on the date of a diagnosis or procedure that  indicates the occurrence … most disease management services use data  on the success of a service in addition to the service’s occurrence … are put in  calculating the indices:  • Defining the relevant patient population • Capturing the occurrence

183. CMV_27_M3_CUSP_SSA_Premortem
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
     January 01, 2017 - Likelihood of the defect harming the patient Severity of harm the defect causes Frequency of the defect occurrence

184. Monitoring Progress for Sustainable Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
     June 02, 2025 - Other measures that are not expressed as rates also can be used for monitoring, such as the occurrence

185. Monitoring Progress for Sustainable Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 02, 2025 - Other measures that are not expressed as rates also can be used for monitoring, such as the occurrence

186. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - proactive process that acknowledges that errors are inevitable and predictable, anticipates their occurrence … for identifying the basic or causal factors that underlie a variation in performance, such as the occurrence … medical center leadership, ensuring that all those involved in an event convene within 24 hours of the occurrence … 391 directly associated with the sentinel event, and the process and systems related to its occurrence

187. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - These future physicians must be explicitly taught that the occurrence of error is expected in the practice … Going paperless with custom-built Web- based patient occurrence reporting.

188. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.html
     December 01, 2017 - contribute a value to the average meal intake (numerator), and the denominator is reduced by one for each occurrence

189. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
     January 01, 2024 - Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians 1. TITLE PAGE Title: Developing and Training Interruption Management Strategies for Emergency Physicians Principal Investigator: Raj M. Ratwani, PhD Co-investigators: Zach Hettinger, MD, MS; Allan Fong, MS; T…

190. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - Woolever Abstract Background: In response to the occurrence of a sentinel event—a medical error with … A sentinel event, however, is a major occurrence resulting in an unexpected death or permanent disability

191. How To Measure Pressure Injury Rates and Prevention Practices
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
     June 02, 2025 - Study what led to the occurrence.

192. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - Process failures were analyzed for likelihood, severity, and discoverability of occurrence using the … mode.5 FMEA teams assigned an RPN to each failure mode based on three factors: (1) its likelihood of occurrence … (L), (2) its severity if it occurred (S), and (3) the detectability of the occurrence (D).

193. The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children  – Slides
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
     September 01, 2022 - Safety Program for Improving Antibiotic Use – Ambulatory Care Risk Factors1,5 Most common age of occurrence

194. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Frequency of the defect occurrence. Likelihood of preventing defect in daily work.

195. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
     November 29, 2004 - Moreover, the occurrence of glucose errors is significantly correlated with lipid errors in these patients

196. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
     August 01, 2022 - to authorize demonstration projects to put “patient safety first,” with the intent of reducing the occurrence

197. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
     January 01, 2025 - Statistical models were developed to predict AE occurrence from trigger data, enhancing EDTT yield (% … performance in the validation set. 5.4 Categorizing Adverse events AEs were rated on severity, place of occurrence … narratives for the AEs they identified and classified them as acts of omission or commission, place of occurrence … AEs by type and occurrence stratified by Post-Acute/Long-term care patient status 1,179 AEs detected

198. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
     January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator 39 Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator Brian Gallagher, Liyi Cen, Edward L. Hannan Abstract Objective: Evaluate the A…

199. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
     January 01, 2024 - the generic fault tree as a template • Identify specific error pathways with a high probability of occurrence … Rates Input from the modeling team was used to estimate the probability of failure or frequency of occurrence … trees, fault tree software94 calculated combinations of failures and the total combined probability of occurrence … with this PADE was a rushed or inattentive data entry verification process, with an estimated rate of occurrence

200. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
     October 01, 2017 - Study what led to the occurrence.