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Showing results for "occurrence".

181. 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

182. Risk-Based Patient Safety Metrics (pdf file)
     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

183. Error Producing Conditions in the Intensive Care Unit (pdf file)
     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

184. Module 7: Resolution | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
     August 01, 2022 - It is not a one-time occurrence and can be revisited throughout the CANDOR process.

185. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
     www.ahrq.gov/downloads/pub/advances/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

186. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
     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

187. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     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

188. Safety Climate on Hospital Units: A New Measure (pdf file)
     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

189. 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

190. 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

191. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
     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

192. 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

193. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
     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

194. 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

195. 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

196. 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.

197. Advances in Patient Safety | Agency for Healthcare Research and Quality
     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

198. 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

199. 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

200. 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).