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Showing results for "occurrence".

81. Appendix R. Infection Prevention Support Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
    April 01, 2018 - surgical site infections (0/1) Ossi: Organ space surgical site infection (0/1) Total_ssi:* Occurrence … of an SSI (0/1) Algorithm_ssi: The occurrence of an SSI as flagged by the algorithm … These variables were then tested for the frequency of their occurrence in a cohort of patients in the

82. Final Progress Report: Emergency Physician Workload (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
    January 01, 2024 - rjone Pencil rjone Pencil rjone Pencil rjone Pencil rjone Pencil Then, we calculated a ration of occurrence … physicians (green). 10 There was a significant association (p<0.001) between the average ratio of occurrence … Ratio of occurrence for HR zones in each task category.

83. 100-Skin-Prep-Prior-Incision-One-Pager (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/100-skin-prep-prior-incision-one-pager.docx
    April 01, 2025 - investigators did not find differences overall nor in surgical specialty subgroups when examining the occurrence

84. Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    April 01, 2025 - 2021 and 2022: Preliminary Report (PDF, 1.5 MB) QSRS Features The QSRS was designed to identify the occurrence

85. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
    October 01, 2024 - Evaluating & Sustaining Progress Implementing a patient safety intervention is not a one-time occurrence

86. | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/tools/index.html?page=2
    January 01, 2018 - On-Time Pressure Ulcer Prevention to help nursing homes with electronic medical records reduce the occurrence

87. Presentation: Science of Improving Patient Safety and Identifying Defects
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    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 … Likelihood of the defect harming the patient Severity of harm the defect causes Frequency of the defect occurrence

88. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
    July 01, 2003 - completeness of Advances in Patient Safety: Vol. 3 266 reporting into the New York Patient Occurrence … NYPORTS), develop systems improvements, test the effectiveness of interventions designed to reduce the occurrence … microbiology laboratory reports, Admitting Face Sheets for admitting diagnoses that may precipitate an SSI occurrence … analysis of risk-adjusted outcomes and assessment of the role of factors other than the AMP in the occurrence

89. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
    October 01, 2015 - The occurrence of bacteremia in the presence of phlebitis and signs of sepsis is consistent with septic

90. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
    January 01, 2020 - indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence … something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence

91. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
    December 01, 2021 - indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … indicated that near-miss incidents were “Always” or “Most of the time” documented in an incident or occurrence … something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence … something happens that could harm the patient, but does not, how often is it documented in an incident or occurrence

92. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/022-ss-mrsa-surveillance.pptx
    April 01, 2025 - data tracked over time allows facilities to— Detect outbreaks Spot unexpected increases in disease occurrence … data tracked over time allows facilities to detect outbreaks, spot unexpected increases in disease occurrence

93. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - CHG and mupirocin for patient distribution during the pre-op visit was a major reason and a common occurrence … Staff onboarding about the importance of decolonization was listed as a minor reason with common occurrence … Updated protocols were not a major contributor, as it was a minor reason with rare occurrence.

94. Opportunities and Challenges Ahead | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
    August 01, 2024 - use of ANA testing and followup testing, 96,97 it is less clear whether they ultimately reduce the occurrence

95. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Hindsight bias: the tendency for people to exaggerate the likelihood that they could predict the event’s occurrence

96. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
    December 01, 2017 - found after they did their investigation was the safety culture at NASA was partially to blame for the occurrence … or program, and teaches us to look at how the way the care is organized affects and influences the occurrence … We know that if we do those things as the guidelines suggest, we will reduce the occurrence of CAUTIs … work of James Reason who's one of the great speakers in the area of how system factors relate to the occurrence … not always that good at learning about why events occurred and what we can do to prevent the future occurrence

97. Paul Tedrick (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
    June 03, 2014 - found after they did their investigation was the safety culture at NASA was partially to blame for the occurrence … or program, and teaches us to look at how the way the care is organized affects and influences the occurrence … We know that if we do those things as the guidelines suggest, we will reduce the occurrence of CAUTIs … work of James Reason who’s one of the great speakers in the area of how system factors relate to the occurrence … not always that good at learning about why events occurred and what we can do to prevent the future occurrence

98. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
    December 01, 2017 - Time of notification _____________________________ __ __ Medical record flagged and occurrence

99. University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
    October 01, 2014 - The most frequently injured body sites, in order of occurrence, were the lower extremities, the head

100. Ventilator-Associated Event Data Collection Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/tool.html
     January 01, 2017 - Ventilator-Associated Event Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Date __________     Month __________     Hospital __________     Unit __________ Use this tool to track your progress in reducing ventilator-associated event (VAE) rates by using this inform…