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Total Results: 566 records

Showing results for "occurrence".

521. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
     January 01, 2024 - Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs Title Page Title of Project: Risks Of Inaccurate Or Incomplete Preoperative Assessments In Freestanding ASCs Principal Investigator: Nancy Kupka DNSc, MPH, RN - The Joint Commission Team Members: Diana Bickham, …

522. Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
     September 01, 2015 - something happens that could’ve harmed the patient but does not it was documented in an incident or occurrence

523. Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
     February 01, 2017 - By reducing the occurrence of serious infection among children with SCD, timely and consistent use of

524. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - AHRQ Healthcare Cost and Utilization Project (HCUP), may help us determine if efforts to reduce the occurrence

525. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
     January 01, 2011 - Once identified, themes are prioritized based on frequency of occurrence and professional judgment.

526. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - Once identified, themes are prioritized based on frequency of occurrence and professional judgment.

527. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - medication prescribing fields, reducing the potential for medication errors that could lead to the occurrence

528. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
     July 01, 2024 - summaries to determine how effectively NLP detects adverse events defined in the New York Patient Occurrence

529. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
     January 01, 2025 - tree model representation of the types of failures, and combinations of failures, required for the occurrence

530. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Learning Collaborative Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-learningcollab.pdf
     September 01, 2025 - MCCs are defined as the co- occurrence of two or more chronic physical, mental, or behavioral health

531. Appendix B: Grant Tables for Additional Topics | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2025-annual-report/appendixb.html
     August 01, 2025 - chronic conditions (MCC), also referred to as multimorbidity  or medical complexity , as “the co-occurrence

532. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
     January 01, 2025 - Statistical Process Control Charts have been created for each complication showing the occurrence rate

533. Medical Team Training Programs in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
     February 01, 2005 - Medical Team Training Programs in Health Care 253 Medical Team Training Programs in Health Care David P. Baker, Sigrid Gustafson, J. Mathew Beaubien, Eduardo Salas, Paul Barach Abstract Numerous medical team training programs have been developed and implemented in response to the patient safety crisis hig…

534. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
     January 01, 2024 - To better understand the subcomponents of individual clinician authority, we examined the co- occurrence

535. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - Occurrence of adverse, often preventable, events in community hospitals involving nephrotoxic drugs or

536. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
     January 01, 2024 - A histogram of the bed angles and frequency of occurrence for each interval.47 The qualitative analysis

537. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - Data collected included the occurrence (or not) of a free flow, any error or warning message displayed

538. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
     January 01, 2024 - sleep duration by approximately 1 hour per night, and significantly reduce (by more than half) the occurrence

539. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
     January 01, 2024 - During the medical record review, it was noted that omitted errors seemed to be more clustered in their occurrence

540. Presentation: Optimize Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
     December 01, 2017 - The Joint Commission defines a sentinel event as an unexpected occurrence involving death or serious