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Total Results: 566 records

Showing results for "occurrence".

381. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
     February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…

382. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

383. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - National Action Alliance to Advance Patient Safety Webinar Series National Action Alliance to Advance Patient Safety Webinar Series Engaging Boards and Executive Leadership In Safety August 22, 2023 Beth Daley Ullem Founder and CEO, Quality and Safety First National Action Alliance To Advance …

384. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
     January 01, 2024 - support (CDS) system was evaluated to measure its effect on the use of pharmacologic prophylaxis and the occurrence … postoperative nasogastric tube insertion, postoperative ileus-related readmission within 7 days, and occurrence

385. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - For 10 of the NQF-defined event types, there was not a single reported occurrence during the 6-year … Frequency of occurrence and severity of harm were obtained from reviewing the data on serious incidents

386. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
     May 01, 2004 - Prescribing- related errors, for example, included wrong or missing dose, and route or frequency of occurrence

387. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
     January 10, 2022 - climate in which it is expected that assistance will be actively sought and offered to reduce the occurrence

388. Module 6: Mutual Support
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
     January 10, 2022 - a climate in which it is expected that assistance will be actively sought and offered to reduce the occurrence

389. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
     December 01, 2017 - The Joint Commission defines a sentinel event as an unexpected occurrence involving death or serious

390. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - Also, patients and family members tend to underestimate the occurrence of medical errors.

391. The Rural Physician Peer Review Model©: A Virtual Solution (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
     June 19, 2008 - Graber, and colleagues14 have described the occurrence of three types of medical errors: (1) no- fault

392. Asthma 1: Emergency Room Visits for Children between 3 and 21 with identifiable asthma (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
     October 31, 2018 - occur within one day of an ED visit or of one another because these are considered to be the same occurrence … malignancy have been rolled up to a single record per claim, with a single indication of any specified occurrence

393. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
     January 01, 2024 - patient injuries and deaths, which should be deemed preventable, and what should be done to limit their occurrence

394. 043-Vap-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
     October 01, 2024 - Occurrence or treatment of VAP is associated with an increased duration of mechanical ventilation, as

395. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
     June 01, 2020 - This category includes studies of population health, injury occurrence, and disease progression.

396. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
     January 01, 2024 - response (i.e., the resident neither acknowledging the mistake nor dwelling on it immediately after its occurrence

397. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
     January 01, 2024 - and effects of each failure mode and ranked each failure mode based on its severity, frequency of occurrence

398. 4. Assessment of the Intervention | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
     April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests 4. Assessment of the Intervention Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Descriptio…

399. Measuring Safety: A New Perspective on Outcomes of a Long-term Intensive Case Management Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cotayo.pdf
     April 22, 2004 - Furthermore, longer inpatient stays have been associated with increased occurrence of medication error4

400. The Use of Surgical Simulators to Reduce Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
     January 01, 2003 - are not the sole standard, since mechanisms in current training practices largely prevent their occurrence