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www.ahrq.gov/ncepcr/reports/2025-annual-report/person-centered.html
August 01, 2025 - SDMo – a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions (R01) PI: … Rochester Grant Start Date: September 30, 2022 Develops a measure of shared decision making (SDM) occurrence … This new measure of SDM occurrence can help uncover how frequently SDM techniques are used in the care
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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-Schade_63.pdf
January 01, 2007 - Methods
As a part of this project, we licensed a Web-based medical error reporting system (the
Occurrence … In that scheme, events were classified by affected party, occurrence type, and outcome. … We created groups of similar events by occurrence type, such that each group would be expected
to include … hospital report: Acute care
Definitiona Your hospital
All participating
hospitals
Indicator Occurrence … 8 0.91 1.17 0 – 1.37 1.37
Laboratory specimen-
related occurrences Specimen Any specimen-related occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/041-pros-cons-mrsa-surveillance-one-pager.docx
October 01, 2024 - MRSA surveillance data allow facilities to detect outbreaks, spot unexpected increases in disease occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/097-ss-normothermia-one-pager.docx
April 01, 2025 - Effects of preoperative warming on the occurrence of surgical site infection: A systematic review and
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - effectively,"ranked as the most critical unique event, with the highest independent contribution to the occurrence … ST-PRA stems from the combinations of events and probabilities to identify critical paths leading to the occurrence … the new probability estimate for an intervention targeting each component intervention to reduce the occurrence … be integrated into the process of care, and should include redundant process steps to minimize the occurrence
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www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - analyses will examine the
predictive relationships between workplace and psychosocial variables and the occurrence … the causal relationship between extrinsic and intrinsic factors among specific clinicians and the
occurrence … These hospital-based incident and occurrence
reporting mechanisms remained in place during the duration … include the
following: (1) examining predictive relationships between psychosocial variables and the
occurrence … lead to
the elucidation of important relationships between clinician and workplace factors and the
occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
June 02, 2025 - Other qualifying events after the fifth birthday (age is age at occurrence):
i.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - been prepared by various organizations.2 While the IOM report emphasized systems that
monitor the occurrence … • Control group: 33 hospitals in which we monitored the occurrence of medical injuries
throughout … The inability to detect a measurable impact on medical injury occurrence of confidential
performance … complete coding of
medical injuries and may have obscured any potential reduction in their actual occurrence … was no clear evidence of the
effectiveness of different approaches to reporting on injury or error occurrence
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www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
January 01, 2025 - Investigators (PALISI) network and to generate a
bundled quality improvement intervention to reduce the occurrence … Site-level characteristics associated with occurrence of TIAEs
Site characteristic# Univariate analysis … The variables associated with occurrence of non-severe or severe TIAEs were
considered for entry into … tracheal intubations, and certain patient, provider, and practice factors are associated
with their occurrence … Our site variance analysis revealed a significant variability in the occurrence of TI and
safety outcomes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.docx
March 01, 2022 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.docx
March 01, 2022 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.pdf
March 01, 2022 - Such serious reactions are so rare that their occurrence prompts the submission
of case reports.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.pdf
March 01, 2022 - Such serious reactions are so rare that their occurrence
prompts the submission of case reports.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - process asks four questions that help us understand and identify the factors that contribute to defect occurrence … , and develop and implement interventions to reduce the risks of defect occurrence in the future. … defect happened, we get to the point where we can understand what system factors contributed to defect occurrence … we are able to develop and implement interventions that help us to reduce the risk of future defect occurrence
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - process asks four questions that help us understand and identify the factors that contribute to defect occurrence … , and develop and implement interventions to reduce the risks of defect occurrence in the future. … defect happened, we get to the point where we can understand what system factors contributed to defect occurrence … we are able to develop and implement interventions that help us to reduce the risk of future defect occurrence
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - 9
Today’s Webinar Presenters
Ian Hargraves, PhD, Mayo Rochester, SDMo – a Measure of the Occurrence … You can also pop your questions into the chat for later.
10
Presentation 1
Shared Decision Making Occurrence … (SDMo) – a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions
Ian Hargraves … ’s
Method of Inquiry7
noticing
formulating
trying on
integrating
19
19
SDMo – A Measure of the Occurrence … Definitely
did not
Definitely
did
Probably
did
Probably
did not
SDM occurrence
did the participants
work
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - A broad range of events was
studied (including the 45 events defined in the New York Patient Occurrence … The exact frequency of occurrence
of such reports in the narrative part of the electronic record was … For example, the occurrence of a
myocardial infarction in a non-cardiac admission demonstrates an adverse … c) Specific event detection—NYPORTS
We used the 45 events defined in New York State’s mandatory occurrence … reporting system, known as the New
York Patient Occurrence Reporting and Tracking System (NYPORTS)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
September 01, 2015 - something happens that could harm the patient, but does
not, how often is it documented in an incident or occurrence
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - individuals, we realize that we can redesign care and delivery processes to improve care and minimize the occurrence … improve the ability to learn from mistakes and implement procedures that reduce the risk of the future occurrence