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Total Results: 566 records

Showing results for "occurrence".

341. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
     September 03, 2014 - Multidisciplinary discussion of causes or contributing factors Sharing of findings to mitigate future occurrence … of causes or contributing factors leading up to the error, and share findings to mitigate the future occurrence

342. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
     January 01, 2024 - Event-based PM tasks: Tasks that must be remembered to be performed after the occurrence of a specific

343. Labor and Delivery Unit Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

344. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
     March 22, 2014 - Display value to the average meal intake (numerator), and the denominator is reduced by one for each occurrence … Displays the occurrence of a resident weight loss of ≥5% compared to weight closest to 30 days prior

345. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - Severity scoring (i.e., severity of patient injury and frequency of occurrence) is one approach to prioritizing

346. Information to Help Hospitals Get Started (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
     April 05, 2013 - time occurrence.

347. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Identify individuals who might have been involved in the occurrence, and Document (a) the actions taken

348. Challenges to Real-Time Decision Support in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
     January 01, 2007 - Video recording minimizes the occurrence of hindsight bias, as occurs in reviewing a case at an M &

349. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
     February 23, 2008 - analysis as to why this vulnerability existed and initiate appropriate systems fixes to minimize a repeat occurrence

350. “Safeware”: Safety-Critical Computing and Health Care Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
     May 27, 2008 - either elimination from the system design if possible, or if not, by preventing or minimizing their occurrence

351. Volume 6. Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Citation Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
     May 01, 2013 - Calcium, vitamin D, dairy foods and the occurrence of colorectal adenomas among men and women in two … Calcium, vitamin D, and the occurrence of colorectal cancer among women. … Calcium, vitamin D, dairy foods, and the occurrence of colorectal adenomas among men and women in two … Calcium, vitamin D and dairy foods and the occurrence of colon cancer in men. … This is a rare occurrence, but can be encountered, e.g., in invited papers published in the same issue

352. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
     March 31, 2008 - occur in primary care or the harm associated with those errors, and they likely underestimate the occurrence

353. Applying CUSP To Promote Safe Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
     December 01, 2017 - the defect harming the patient • Severity of harm the defect causes • Frequency of the defect’s occurrence

354. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - antibiotics, antidepressants, antipsychotics, cardiovascular drugs, and anticoagulants. 9 Because the occurrence

355. Pf-Engagement-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
     May 01, 2017 - Also, patients and family members tend to underestimate the occurrence of medical errors.

356. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
     August 01, 2024 - promote optimal use of diagnostic tests, improve the speed and accuracy of diagnosis, and reduce the occurrence … use of ANA testing and followup testing,96,97 it is less clear whether they ultimately reduce the occurrence

357. 157-What-Are-4-Es (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
     October 01, 2024 - 2 years to demonstrate convincingly that the MRSA rates are an ongoing issue and not just a recent occurrence

358. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
     January 01, 2024 - Monthly “it happens here” meetings and means to anonymously report the occurrence of near misses constitute … results of this analysis suggest that the intervention may have had a positive (downward) effect on the occurrence

359. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
     January 01, 2024 - For area-level indicators, when hospital of occurrence is irrelevant, the POA exclusion was relaxed … The probability of the binary outcomes (indicating the occurrence of a PSI event for a patient) was

360. Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
     January 01, 2024 - VTE Occurrence: We identified 730 cases with VTE over the 36-month observation period, 345 of which