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Total Results: 590 records

Showing results for "occurrence".

261. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     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

262. 040-Mrsa-Surveillance-Notes (doc file)
     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

263. Implications for Practice Improvement, Research, and Policy | Agency for Healthcare Research and Quality
     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

264. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)
     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.

265. AHRQ Patient Safety Tools and Resources (pdf file)
     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

266. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
     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

267. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     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

268. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - The occurrence of an error did not imply harm or injury to the patient. … While this study cannot provide incidence rates of errors, the reports establish the occurrence of that

269. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
     April 27, 2004 - poisonings (800–999).31 The administrative datasets we used did not permit us to obtain the actual occurrence … criteria.22 In this study, we did not analyze the impact of BZD drug dose and duration on either the occurrence

270. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
     March 01, 2004 - 9th revision, Clinical modification codes in discharge abstracts are poor measures of complication occurrence … In-hospital complications occurrence as a screen for quality-of-care problems: what’s next?

271. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - methods should be used in tandem to provide a better understanding of error causation and patterns of occurrence … impetus to standardize the collection and analysis of patient safety information is a relatively recent occurrence

272. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - which contributing factors are most critical, chart the factors evaluating impact and likelihood of occurrence … Hindsight bias: the tendency for people to exaggerate the likelihood that they could predict the event’s occurrence

273. Selected Best Practices and Suggestions for Improvement (pdf file)
     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…

274. Selected Best Practices and Suggestions for Improvement (pdf file)
     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…

275. Selected Best Practices and Suggestions for Improvement (pdf file)
     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…

276. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
     January 01, 2024 - If the RRS was just shifting the occurrence of some cardiac arrests from the floor to the ICU, the … cross-referencing of ICD-9 discharge codes with electronic progress notes to determine the actual occurrence

277. Facilitator Notes | Agency for Healthcare Research and Quality
     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

278. Summary and Discussion | Agency for Healthcare Research and Quality
     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

279. Impact of Staff-Led Safety Walk Rounds (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
     March 05, 2008 - • Do you know how the information from occurrence reports is used in this hospital?

280. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - Second, it was often difficult to ascertain Drug/Age misuse occurrence, because a patient’s acute or … providing product details and self-care appropriateness) also became more frequent, suggesting a growing occurrence