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Total Results: 590 records

Showing results for "occurrence".

281. 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

282. 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

283. 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

284. 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

285. 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

286. 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

287. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
     www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
     March 09, 2008 - Occurrence reporting and management system; Milpitas, CA) through the AHRQ grant.

288. 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

289. “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

290. 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

291. 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

292. 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

293. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
     July 01, 2018 - Key internal motivators included the occurrence of a sentinel event, the business case for patient and

294. 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

295. 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

296. 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

297. 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.

298. 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

299. 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.

300. 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.