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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - focus on the surgical safety checklist, related communication behaviors and the expected frequency of occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - It is not a one-time occurrence and can be revisited throughout the CANDOR process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data_facnotes.docx
December 01, 2017 - point is to think of your audience and anticipate its questions and informational needs to prevent occurrence
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
December 01, 2017 - point is to think of your audience and anticipate its questions and informational needs to prevent occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
June 02, 2025 - incomplete adherence including costs, the lack of benefit
that a patient can see or feel, and the occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - events are a leading cause
of death and injury, even though well-documented methods to prevent the
occurrence … Implement standardized protocols to prevent the occurrence of wrong-site procedures or
wrong-patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Further evaluation via the Resident Assessment Protocols
(RAPs) is “triggered” by the co-occurrence … process
developed for updating the drugs in GRAM includes review of quantitative data
on side effect occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - The key questions
asked of each Problem Statement are:
• What is the frequency of occurrence? … These include:
• What is the frequency of occurrence?
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Aims
To discover any associations between preoperative variables and the occurrence of wound complications … Occurrence of infection was strongly associated with use of long-acting intraarticular intraoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - because despite system changes, they
remain devastating in terms of their overall high frequency of occurrence … reported in medical journals suggests hospitals have been
implementing OBM strategies to increase the occurrence … negative outcome,73 it also adds a patient-centered, customized set of cues to
13
prompt the occurrence
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www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - capabilities, such as presence of
reminder systems or decision support tools in practices on the occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
July 01, 2015 - Only simple tabulations of the reported
safety occurrence (RSO) data from patient/family/caregiver reports … The main data entity is called a reported safety occurrence (RSO). … Similarly, patients who report the occurrence of a negative effect will be directed to the
section of … Patients and
caregivers who report the occurrence of a medical mistake will be prompted to answer whether … Health Care Safety Hotline
Classification of Reported Safety Occurrence (RSO)
-------------------
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
June 02, 2025 - Condition:
New
Reopened
Occurrence:
Present on Admission (POA)
In-House Acquired (IHA)
Site
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
January 30, 2017 - An uncommon additional significant adverse effect of stimulant use is the occurrence of
hallucinations … Concerns have also been raised about the rare occurrence of sudden cardiac death among
children using … An uncommon additional significant adverse effect of stimulants is the occurrence of
hallucinations … Concerns have also been
raised about the rare occurrence of sudden cardiac death among children using … An uncommon additional significant
adverse effect of stimulants is the occurrence of hallucinations
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www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - was then scored by
team members for severity (effect to the patient if the failure occurred),
occurrence … A 10-point scale (10=worst, 0=best) was used to score
severity, occurrence, and likelihood of detection … Severity Scale Occurrence Scale Detectability Scale
Rating Description Definition Description Definition
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www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - Interruptions are an inevitable occurrence in health care. … These
strategies have been shown to be feasible and to decrease the
occurrence of interruptions,12,13,22
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
June 02, 2025 - Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - hemoglobin (A1c), low-density lipoprotein-cholesterol (LDL),
and SBP control.12, 15
Cost
The frequent occurrence … SBP 10 mm Hg above
150 mm Hg, there will be 1 additional heart attack or stroke, plus 1 additional
occurrence … , but it also provides a strong
element of accountability to providers who must justify a specific occurrence
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
December 01, 2017 - Condition: New Reopened
Occurrence: Present on Admission (POA) In-House Acquired (IHA)
Site of
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6v.html
June 01, 2014 - Odds ratios of occurrence of indicators of problem continuity demonstrated that all but one of the subscale