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Total Results: 566 records

Showing results for "occurrence".

261. 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?

262. 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

263. 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

264. 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?

265. 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

266. 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

267. 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

268. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - Significant racial disparities emerged in both event occurrence and reporting accuracy—White residents … determine if reports by ED personnel about safety processes are significantly correlated with the actual occurrence … medical event reporting system and a state-mandated incident reporting system: the New York Patient Occurrence … Walji University of Texas Health Science Center Houston, Texas R01 HS024406 [Grant] Measuring Occurrence … hospitals with resources to identify medical injuries, study their causes, and intervene to reduce their occurrence

269. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
     April 01, 2025 - Effects of preoperative warming on the occurrence of surgical site infection: A systematic review and

270. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
     April 01, 2025 - Effects of preoperative warming on the occurrence of surgical site infection: A systematic review and

271. 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

272. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - This occurrence appeared to be particularly true after individuals had reported a similar error several … admissions for asthma, we struggled to find any administrative claims information that pointed to the occurrence

273. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
     January 01, 2024 - medication safety tools, resources, and approaches into a cohesive, multifaceted intervention to reduce the occurrence … likelihood that procedures developed through this study could be generalized and scaled to affect the occurrence … Determination of Clinically Important Medication Errors: To assess for the occurrence of clinically

274. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
     January 01, 2024 - For a randomly selected group of patient visits, caregivers were queried as to the occurrence of events

275. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
     January 01, 2024 - randomized trials of high-risk patients, chemoprophylaxis with heparin has been shown to reduce the occurrence

276. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
     April 04, 2008 - Estimating Equations (GEE) logistic regression model to examine the relationship between race and the occurrence … The AHRQ PSI software does not generate risk-adjusted rates for these PSIs because their occurrence

277. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/corbett.html
     August 01, 2017 - To emphasize the importance of eliminating the occurrence of adverse events and ADEs, several health … (staffing and EHRs), patient education, and provider communication and preparation can minimize the occurrence

278. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
     January 01, 2004 - identifying near misses, patient safety can be improved by identifying latent failure prior to the occurrence

279. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - Drug administration errors: a study into the factors underlying the occurrence and reporting of drug

280. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
     May 01, 2016 - The example outlines a common occurrence in implementation of hospital-associated venous thromboembolism