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Total Results: 590 records

Showing results for "occurrence".

301. 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

302. 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…

303. 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…

304. 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…

305. 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

306. 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

307. 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

308. 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

309. 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

310. 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

311. 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

312. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     June 30, 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…

313. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - non-fall related injuries, such as burns, skin tears, or bruises.2, 4-6 Depending on their severity, the occurrence

314. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
     January 01, 2024 - Even modest reductions in the occurrence of delirium can have a big impact on quality of life owing … Delirium: The occurrence and persistence of symptoms among elderly hospitalized patients.

315. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
     January 01, 2024 - The second model used mixed-effects multiple logistic regression and the occurrence of one or more … We calculated estimated proportions of occurrence of adverse events.

316. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
     January 01, 2024 - The ST-PRA team then quantifies the probability of failure or the frequency of occurrence for each event … Event tree software then calculates the combinations of failures and the total combined probability of occurrence … the team developed and tested several mathematical models for computing the estimated frequency of occurrence

317. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - . · Identify individuals who might have been involved in the occurrence, and · Document (a) the actions

318. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
     April 01, 2025 - These investigators did not find differences in the occurrence of SSIs among the patients overall or

319. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
     April 01, 2025 - These investigators did not find differences in the occurrence of SSIs among the patients overall or

320. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
     January 01, 2024 - Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model Final Progress Report Brief, Risky, High-Benefit Procedures: Best Practice Model Colin F. Mackenzie, MD, Principal Investigator Co-investigators: Yan Xiao, PhD, Grant Bochicchio, MD, Peter Hu, MS, CNE, F. Jacob Seagull, PhD…