-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-fullreport.pdf
November 01, 2017 - First, the
informaticist was unable to determine the variable type for two denominator elements,
occurrence … facilitate implementation would be to create discrete fields for the
denominator exceptions and the occurrence … site the informaticist was unable to determine the variable type for two
denominator elements, the occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - medication safety surveillance into new areas, where medications themselves are a risk factor for
the occurrence … Proactive medication safety studies that incorporate medication and comorbidity
profiles, a common occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Introduction
Patient safety initiatives are intended to reduce the occurrence of harm and the risk … • Evaluate the impact of each medication safety project on the occurrence of that type of
medication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
March 30, 2008 - points
were scored by team members for severity (i.e., effect on the patient should failure occur);
occurrence … A 10-point scale (0 = best, 10 = worst)
was used to score severity, occurrence, and likelihood of detection
-
www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics
FINAL PROGRESS REPORT
Title of Project:
Pursuing Perfection in Pediatric Therapeutics
Principal Investigator:
Carole Lannon, MD, MPH
Team Members:
Research Director: Michael Seid, PhD
Education Liaison: Peter Margolis, MD, PhD
Program Manage…
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
April 01, 2018 - Topics identified as duplicative were combined into a single occurrence, and themes identified from the
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docx
October 01, 2024 - Data tracked over time allows teams to detect outbreaks, spot unexpected increases in disease occurrence
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - Despite the body of evidence around the occurrence of diagnostic errors, research evaluating the implementation
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - is a team
training curriculum to help
nursing homes with electronic
medical records reduce the
occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4c
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on reta…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4q
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on retained forei…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
January 01, 2023 - happens that could
harm the patient, but does not, how
often is it documented in an incident
or occurrence … something happens that could harm the patient, but
does not, how often is it documented in an incident or
occurrence … happens that could
harm the patient, but does not, how
often is it documented in an incident
or occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - Spine
Surgery
2015–2019
$941,576
Final Report
Purpose: Develop a clinical tool that may predict occurrence … The model
predicted tertiles of AE occurrence in their prospective cohort. … Purpose: Improve the quality and completeness of reporting under the manda-
tory New York Patient Occurrence … Reporting and Tracking System (NYPORTS);
reduce the occurrence of adverse events and medical errors … (BMV) delivered
to critically ill children and evaluate the association of quality of BMV on
the occurrence
-
www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
January 01, 2024 - events” in other healthcare
settings: rare events, potentially preventable, with the potential or occurrence
-
www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - insurance, length of stay (hospital and study unit), admission
date/time (hospital and study unit), occurrence … fall/date/location, occurrence of fall with
injury/date/location, and Charlson comorbidity score.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - only a portion of those that
occur, so it is difficult to draw conclusions about the
frequency of occurrence
-
www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - by Resar and ourselves related to selecting a population with
more frequent care and for whom the occurrence … Similarly, the level of productivity (RVU per
physician FTE) at the practice level may also influence the occurrence … Theoretically, the process of assigning
probabilities of occurrence to the antecedent hazards and risks
-
www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence
-
www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
July 01, 2018 - Key internal motivators included the occurrence of a sentinel event, the business case for patient and