-
www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - A ‘sentinel event’ is defined by The Joint Commission as “an unexpected occurrence
involving
-
www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
February 22, 2024 - Examples
MeSH Terms (Bold)
Key Words (regular
text)
Multiple
chronic
conditions
(MCC)
The co-occurrence … KIs described various agency partnerships
with other government agencies, noting it
was a regular occurrence …
KIs described various agency partnerships with other government agencies, noting it was a regular occurrence
-
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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiif.html
June 01, 2010 - including consumer survey, administrative survey and certification data, investigations, medication occurrence
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
May 01, 2018 - African-American women of suffering from any mental disorder in terms of either lifetime prevalence or occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - Although the
rate of occurrence is low,14 this reaction carries a high mortality, and cervistatin
associated
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - reporter demographics; description of the close call; type(s) of close call; and
reasons for close call occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
January 01, 2004 - Liability insurance particularly
requires that the occurrence for which the insured is claiming coverage
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - used for
transposing qualitative frequency
and severity into numerical values
Probability of occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - This will reduce the
occurrence of misinterpreting an isolated “bad day” as a chronic seating issue.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - distribution, workload, psychological state, and
cognition of hospital-based physicians and nurses on the occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - As a
common occurrence, many IVD device problems were taken care of by the manufacturers, and
reporting
-
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
-
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
-
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
-
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 …
-
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…
-
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…
-
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
-
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.