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Total Results: 596 records

Showing results for "occurrence".

61. 004-Cusp-Learning-From-Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - Bleach wipes that were out of stock were determined to be a major reason and a common occurrence. … staffed and hand hygiene adherence being low for the past 90 days was a major reason but was not a common occurrence … Curtains not being changed was listed as a minor reason with common occurrence. … increased length of stay of patients was not a major contributor, as it was a minor reason with rare occurrence

62. 047-Ss-Faqs-Staff-Safety-Side-Effects (doc file)
    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.

63. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    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

64. Underwood Surgery Center: Slide Presentation (pdf file)
    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

65. | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/topics/index.html
    October 01, 2008 - differences in access to or availability of medical facilities and services and variation in rates of disease occurrence

66. | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/topics/index.html?page=0
    October 01, 2008 - differences in access to or availability of medical facilities and services and variation in rates of disease occurrence

67. The Relationship Between Hospital Workload and Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
    January 01, 2024 - assignment of the time period during which the working conditions may have influenced adverse event occurrence … In order to ensure the most likely time period relevant to when the adverse event occurrence was assigned … temporal relationship between clinical identification of adverse events and the time of adverse event occurrence … to the frequency and preventability of medical errors naturally suggests that hospitals monitor the occurrence … The occurrence of an adverse medical event consistent with this medication. c.

68. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - and Limitations ST-PRA is a valuable and important tool for assessing the risks associated with the occurrence … In this study, we were able to use this novel approach to identify the contributors to the occurrence

69. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - improve the ability to learn from mistakes and implement procedures that reduce the risk of the future occurrence … individuals, we realize that we can redesign care and delivery processes to improve care and minimize the occurrence … It shows the continuum of system factors that can influence health care delivery and the occurrence of

70. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
    January 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

71. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - We classified these factors as contributing to the occurrence of the main event or its outcome, mitigating … the severity of the occurrence or outcome, or contextual to the event’s flow. … Then divide and code the report narrative into aspects that— • Lead to or affect the occurrence of … Identify and categorize the contributing, mitigating, and contextual factors affecting the occurrence … Identify possible intervention mechanisms related to reducing the occurrence of various types of main

72. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
    January 01, 2024 - events: based on observations of communication between healthcare providers  Evaluation of patient occurrence … reports: hospital data from the University Health Systems Consortium web-based occurrence reporting … care for the patient  Focus group interviews with hospital staff Review of our 2004 and 2005 patient occurrence … Example of a protracted communication event with timeline Table 1: Contributing factors in patient occurrence … Other 109 1.6% 148 2.7% Total 6766 100% 5677 100% Contributing factors in patient occurrence reports

73. Person-Centered Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-person-centered.html
    May 01, 2024 - SDMo—a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions (R01) PI: Ian … Hargraves Organization: Mayo Clinic Rochester 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

74. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - The occurrence of harm was also determined. … When there was enough information, both reviewers had to agree on the occurrence of harm. … All reports submitted through the formal hospital incident reporting system with a location of occurrence … The hazard analysis involved determining the severity and probability of occurrence of the failure modes … The severity of the occurrence was placed into one of four categories, and points were assigned: a catastrophic

75. 066-Dec-Staff-Faqs-Safety-Side-Effects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
    October 01, 2024 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.

76. Research in Shared Decision Making | Agency for Healthcare Research and Quality
    www.ahrq.gov/sdm/research/index.html
    May 01, 2023 - AHRQ also currently funds a research grant that aims to develop an observer-based measure of SDM occurrence

77. Measuring Pressure Ulcer Rates and Prevention Practices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
    April 01, 2011 - 3.7 3.6 3 2.8 0 5 10 15 20 25 P re va le n ce % Source: Hill-Rom IPUP Survey Rate of Occurrence … Measurement Overall PU Rates Acute Care Long Term Care Long Term Acute Care Rehabilitation Rate of Occurrence

78. Low Tidal Volume Ventilation Facts | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
    January 01, 2017 - Lung-protective ventilation with low tidal volumes and the occurrence of pulmonary complications in patients

79. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
    January 01, 2017 - Lung-protective ventilation with low tidal volumes and the occurrence of pulmonary complications in patients

80. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
    December 01, 2017 - improve the ability to learn from mistakes and implement procedures that reduce the risk of the future occurrence … individuals, we realize that we can redesign care and delivery processes to improve care and minimize the occurrence … It shows the continuum of system factors that can influence health care delivery and the occurrence of