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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - can be more productive than examining a broad category of problems months after their occurrence (e.g
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - NYPORTS—New York Patient Occurrence and Tracking System—Annual Report 1999.
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - which is where the recurrent laryngeal nerve enters, rendering it vulnerable to injury.( 8 )
The occurrence
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - A study of adverse occurrence and failure to rescue.
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psnet.ahrq.gov/node/45249/psn-pdf
June 22, 2016 - PHSO Review: Quality of NHS Complaints Investigations.
June 22, 2016
First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional
Affairs Committee. London, England: The Stationery Office; May 24, 2016. Publication HC 94.
https://psnet.ahrq.gov/issue/phso-review-quality-nhs-comp…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024541-goss-final-report-2018.pdf
January 01, 2018 - relevancy is latent and the
association of items with a clinical situation is not manifested in the occurrence … Pointwise-mutual information (PMI) was
then calculated based on co-occurrence of any of the original … rarely appear verbatim in patient notes, we mapped to their ICD
codes and measured the PMI based on co-occurrence
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www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - Statistical models were
developed to predict AE occurrence from trigger data, enhancing EDTT yield (% … performance in the validation set.
5.4 Categorizing Adverse events
AEs were rated on severity, place of occurrence … narratives for the AEs they
identified and classified them as acts of omission or commission, place of occurrence … AEs by type and occurrence stratified by Post-Acute/Long-term care patient status
1,179 AEs detected
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/headaches-pregnancy.pdf
March 23, 2019 - outcomes that will be used when developing Strength of
Evidence tables)
• Acute headache attacks*
o Occurrence … headache attacks
• Headache-related symptoms (e.g., nausea/vomiting, photosensitivity, dizziness)*
o Occurrence … their comparators, for their effects, primarily with odds
ratios (ORs) for dichotomous outcomes (e.g., occurrence … Definitions of Terms and Abbreviations
Definitions of Terms
Acute headache attack An occurrence
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - Mark My Limb
Citation Text:
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Reporting Patient Safety Events
Citation Text:
Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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hcup-us.ahrq.gov/db/vars/i10_dxn/nisnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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hcup-us.ahrq.gov/db/vars/i10_dxn/kidnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/38721/psn-pdf
June 25, 2009 - Effect of bar-code–assisted medication administration on
medication error rates in an adult medical intensive care
unit.
June 25, 2009
DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on
medication error rates in an adult medical intensive care unit. Am J Health Syst Ph…
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psnet.ahrq.gov/node/47044/psn-pdf
April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
…
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psnet.ahrq.gov/node/44746/psn-pdf
January 20, 2016 - Creating a culture of safety around bar-code medication
administration: an evidence-based evaluation framework.
January 20, 2016
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication
Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7.
doi:10…
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psnet.ahrq.gov/node/40304/psn-pdf
March 23, 2011 - Bar code medication administration technology:
characterization of high-alert medication triggers and
clinician workarounds.
March 23, 2011
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of
High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…
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psnet.ahrq.gov/node/37776/psn-pdf
January 31, 2011 - Barcoded medication administration: a last line of
defense.
January 31, 2011
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA.
2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
https://psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
Barcoding techn…