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Showing results for "occurrence".

21. Recommended Infection Prevention Components of Quality Assessment and Performance Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
    June 02, 2025 - Infection occurrence surveillance: Occurrences should be logged for— a. … Sufficient information should be recorded for each occurrence, including patient identification, date

22. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
    www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
    January 01, 2025 - [3] Pivotal event – A pivotal event is an intermediate event for which occurrence or non- occurrence … If the pivotal event is an event (e.g., maternal hypotension), its occurrence or non-occurrence determines … ‘Y’ or ‘N’ refers to the occurrence or non-occurrence of each particular event, and points to a specific … or non-occurrence, success or failure), then a demand-based model was selected. … /non-occurrence of this event

23. Serious Reportable Adverse Events in Health Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Introduction Lapses in patient safety are a major health care quality problem, and the occurrence … occur, and changing processes of care to reduce the chance of harm, requires reliable data about the occurrence … list of serious reportable events While it is believed that having reliable information about the occurrence … The occurrence of a serious preventable adverse event in health care—e.g., operating on the wrong patient … Event means a discrete, auditable, and clearly defined occurrence.

24. | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/index.html?page=0
    October 01, 2008 - differences in access to or availability of medical facilities and services and variation in rates of disease occurrence

25. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Risk managers were asked how many occurrence reports were entered into their occurrence reporting system … The number of occurrence reports ranges widely. … Risk managers were asked about the dissemination of occurrence reports in their hospital. … Risk managers were asked how many occurrence reports were entered into their occurrence reporting system … The number of occurrence reports ranged widely from 344 to 7,263.

26. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
    www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
    January 01, 2025 - Of 7,076 intubations from the apneic oxygenation sites, the use of apneic oxygenation had lower occurrence … Of 5,060 intubations from video laryngoscope sites, the use of video laryngoscope had lower occurrence … After adjusting for patient, provider, and practice factors, the apneic oxygenation and the occurrence … Similarly, the occurrence of hypoxemia was not different between the video laryngoscope versus the direct … Ketamine Use for Tracheal Intubation in Critically Ill Children Is Associated With a Lower Occurrence

27. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
    www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
    January 01, 2024 - Ventilation (BMV) delivered to critically ill children and to evaluate the association of BMV quality on the occurrence … BMV delivered to critically ill children and to evaluate the association of quality of BMV on the occurrence … For our specific aim 2: To evaluate the association of the quality of BMV with the occurrence of adverse … Our primary outcome was the occurrence of adverse TIAEs or severe oxygen desaturation (SpO2<80%) during

28. NCEPCR Webinar: Research on Person-Centered Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
    July 01, 2024 - (Mayo Rochester), SDMo – a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions

29. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - The panel analyzed 254 root cause analyses submitted to the New York Patient Occurrence Reporting and … system has gone through several design changes to reach its present form as the New York Patient Occurrence … Exclusions • Occurrence with the administration of anesthesia only (Code as 912). … In 1998, the system was revised to its current form, the New York Patient Occurrence and Tracking System … New York State patient occurrence and tracking system report, 2002-2004.

30. Evaluation Issues | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
    August 01, 2022 - Others implemented patient safety interventions that plausibly might reduce the occurrence of adverse … problem of the malpractice “claims tail” (i.e., that malpractice claims frequently take years from the occurrence

31. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
    January 01, 2024 - J., Hope, C. (2005) "The impact of a Web-based Reporting System on Variations in Medication Error Occurrence … Reports: Comparing Web-based Occurrence Reports to Paper Occurrence Reports." … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 1." … "The Use of Web-based Occurrence Reports in Documenting Medication Errors: Part 2." … "Evaluating a Web-based System of Medication Error Reporting of Occurrence Reports: Beyond the Numbers

32. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
    April 01, 2018 - prioritization of risk reduction interventions based on sequences that have the highest probability of occurrence … element of the ST-PRA models: A review and comparison of policies and procedures related to the occurrence … Using these inputs enabled us to identify the multiple connections associated with the occurrence of … This process leads to a probability of occurrence of the top-level event, along with the major risk points … Cut sets are a unique combination of events leading to the occurrence of a top level event (an SSI).

33. 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-2021-2023-adverse-event-data-report.pdf
    January 01, 2023 - Among the four cohorts, the CRITICAL ACCESS cohort had the lowest occurrence of AEs (3.4%). … Among the four cohorts, the CRITICAL ACCESS cohort had the lowest occurrence of AEs (3.2%). … Among the four cohorts, the CRITICAL ACCESS cohort had the lowest occurrence of AEs (2.3%). … The CRITICAL ACCESS cohort had the lowest occurrence of AEs in each of the 3 years. … Estimating the Occurrence of Adverse Events in Medicare Hospital Stays D.

34. Pakyz, Amy | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumpaky.html
    October 01, 2014 - patterns, infection prevention and control, and pharmacy policies predict C. difficile infection (CDI) occurrence

35. Appendix A. Literature Review | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
    April 01, 2018 - surgical wound class, identification of positive intraoperative wound cultures, duration of surgery, occurrence … Factors associated with the occurrence of positive intraoperative cultures: surgical wound class (35% … Confirmed an association between the duration of the surgical procedure and the occurrence of infection … finding of our study was that the CD4+ cell count and the HIV viral load were not associated to SSI occurrence … There was a direct association between the occurrence of wound infections and high ASA classification

36. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
    August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix A CANDOR Gap Analysis Document Review Checklist Instructions: At least 1 month prior to the onsite gap analysis, collect and provide the following documents for analysis by the Gap Analysis Team. Documents for Submission to Reviewers Is the document availab…

37. 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/index.html
    May 01, 2016 - On-Time Pressure Ulcer Prevention to help nursing homes with electronic medical records reduce the occurrence

38. CHIPRA 212 Table 4 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
    May 24, 2016 - discharge home, the majority of patients should be prescribed regular ongoing ICS treatment, since the occurrence

39. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
    December 01, 2017 - Sample of initial nurses note using SOAP and occurrence based documentation methods 4/1/04 11 pm … determined based on further assessment and interdisciplinary evaluation. 4/01/04 11 pm Example 2-Occurrence … Sample of documentation q shift X 72 hours or until stable using both SOAP and occurrence based documentation … determined based on further assessment and interdisciplinary evaluation. 4/2/04 11pm Example 2—Occurrence

40. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
    April 01, 2013 - This process resulted in a probability of occurrence of the top-level event, along with the major risk … effectively] ranked as the most critical unique event, with the highest independent contribution to the occurrence