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Total Results: 566 records

Showing results for "occurrence".

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

282. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
     January 01, 2024 - Specific Aim 3 To determine if there is an association between the occurrence of errors and the hours … transcribing orders, and administering medication suggests the possibility that fatigue may contribute to the occurrence

283. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
     March 28, 2008 - However, in medium and high A1c cells, patients’ adherence to treatment influenced the occurrence of … The decision tree, when tested on the synthetic data, predicts the occurrence of “error” and “no error

284. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA Abstract Objective: We aimed to determine the effectiveness of team-based reporting, system…

285. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
     March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…

286. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
     July 01, 2023 - Labor and Delivery Unit Safety: Obstetric Hemorrhage AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the management obstetric hemorrhage. The key elements are presented within the framework of the Comprehensive Unit-base…

287. Presentation: Turning Data Into Action
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
     December 01, 2017 - The sooner an infection is recognized, the sooner it can be investigated for its occurrence.

288. PowerPoint Presentation; Deep-Root Your Data
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
     December 01, 2017 - point is to think of your audience and anticipate its questions and informational needs to prevent occurrence

289. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
     January 01, 2024 - on the MDS cognition scale.51,58 The event date for the cases was defined as the date of the first occurrence … All-cause mortality was measured as the occurrence of death in nursing home between the start of follow … As before, the earlier date of occurrence was considered the event date.

290. Engageexecnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
     June 02, 2025 - positive effects of the CUSP initiative in the areas surrounding patient harm and the average cost per occurrence

291. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
     October 01, 2011 - addition to more refined codes for AEs, specific locations, such as hospital or nursing home as place of occurrence … Clinical modification codes in discharge abstracts are poor measures of complication occurrence in medical

292. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - We did not include complications of anesthesia or transfusion reaction because their low occurrence … A study of adverse occurrence and failure to rescue. Med Care 1992; 30: 615-629. 25.

293. Section 1: Product Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/pcguide1.html
     March 01, 2025 - example: Anti (e.g., anticoagulant; but anti-inflammatory, anti-AIDS) Co (e.g., codirector, but co-occurrence

294. Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
     January 01, 2024 - Though rare, radiotherapy never events have potentially devastating consequences, and reducing their occurrence

295. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
     January 01, 2024 - deficiencies involving poor coordination of care (adjusted OR 4.4, 95% CI 1.4–14.0) were associated with the occurrence

296. Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
     November 01, 2017 - Second, the denominator elements, “occurrence of an administration of a nutritional status screening … Health IT could enhance the use of this measure by creating structured, queriable fields for “occurrence … The biggest concern regarding the calculation of this measure is that “occurrence of an administration

297. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
     January 01, 2003 - groups to a mistake or near miss incident have an effect on learning practices and their frequency of occurrence … unique event enables the researcher to more easily describe the circumstances surrounding an event’s occurrence … particular phenomenon (in this case, resident mistakes) within the contextual dynamics that surround its occurrence … attempting to identify overt “facilitating factors” that might have played a meaningful role in the occurrence

298. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     August 01, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

299. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
     September 18, 2011 - first used a binary logistic regression model to evaluate the relationship of each variable with the occurrence

300. 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/exercises3.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises (continued) Trigger Summary Report Information Exercises Objective: Facilitators will understand criteria and rules that determine information that displays on the Trigger Summary Report. …