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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.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Obstetric Hemorrhage
Labor and Delivery Unit Safety—Obstetric Hemorrhage
Purpose of the tool: This tool describes the key perinatal safety elements related t…
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www.ahrq.gov/research/shuttered/acfselection/appendixa.html
July 01, 2018 - issues, including the type of event that has transpired, the planning that has occurred before its occurrence … survey to describe emergency department experience with specific incidents, as well as the frequency of occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Increased national attention to reporting the ICD-9-CM
mechanism of injury code and the place of occurrence … Adverse events in
New Zealand public hospitals I: occurrence and
impact.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - (PPV) is an assessment of how accurately the
measurement (i.e., the reported QI rate) reflects the occurrence … Delivery
With Instrument
OB Trauma – Vaginal Delivery
Without Instrument
Document clearly the occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - IV IV III III
Identified failure events in the assessed processes are reviewed for frequency of occurrence
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Most importantly, a hospital should study in detail what led to the occurrence of each Stage 2 or greater
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - positive effects of the CUSP initiative in the areas surrounding patient harm and the average cost per occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
March 01, 2017 - statistics that show the positive effects of the project in reducing resident harm or the average cost per occurrence
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www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - Pediatric emergencies with critical consequences are an infrequent occurrence in community emergency
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - The project focused on identifying the occurrence of clinically Avoidable Classes of Events (ACEs), which … Researchers wanted to understand how a health care team could quickly (1) identify the occurrence of
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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - The rate of occurrence, or incidence, of the conditions that this study reveals is high.
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www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
January 01, 2025 - Given the common occurrence of error outcomes in our data, we opted for a
modified form of Cox regression
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - Rather, it is
the co-occurrence of multiple forms of learning (e.g., improved practices, enhanced
feedback
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www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
January 01, 2024 - Intervention &
control
nursing units
RCT Directed chart and incident report
review x10 days after occurrence
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www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
January 01, 2024 - Univariate analysis of risk factors did not reveal any
associations with later occurrence of a BSI.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - You can do every time there is a, let’s say a blood stream infection occurrence or what you’re trying … You want to use the learning from defects so if you do have an occurrence of the defect or you have a
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www.ahrq.gov/research/shuttered/acfselection/chapter4.html
July 01, 2018 - Risks should be assessed based on the likelihood of occurrence and potential severity. … Incident: An occurrence or event, natural or human-caused, that requires an emergency response to protect
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - .5 The Canadian review of specialized anticoagulation services found significant differences in
the occurrence … outcomes were not compared with usual care or a
control group, so whether the time to coagulation and occurrence … of a dosing nomogram in the intensive care unit.14
7.2.3.1.2 Bleeding
Two studies examined the occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - .
• Escalate all serious events to the senior level and chairman of the board within 24 hours of occurrence