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Total Results: 596 records

Showing results for "occurrence".

401. 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 …

402. 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

403. 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

404. 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

405. 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

406. 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

407. 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.

408. 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

409. 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

410. 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

411. 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.

412. 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

413. 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

414. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - PPV) is an assessment of how accurately the measurement (i.e., the reported PDI rate) reflects the occurrence

415. Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
     November 30, 2010 - ADE occurrence and secondary safety outcomes of incident ER visitation or hospital admission over the

416. 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

417. Assemble-Team-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
     May 01, 2017 - positive effects of the CUSP initiative in the areas surrounding patient harm and the average cost per occurrence

418. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
     December 01, 2017 - The Joint Commission defines a sentinel event as an unexpected occurrence involving death or serious

419. 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

420. SOPS™ ASC Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
     February 01, 2019 - when something happens that could harm the patient but does not, it is documented in an incident or occurrence