-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - examine the distribution of time among tasks, the average duration of tasks and hourly
rates of tasks occurrence … Table 7 describes the rate of activity occurrence per hour in each of the task categories, i.e. … Rate of activity occurrence [hourly rate]
Nurses: Pre Nurses: Post
Physicians
and PAs: Pre
Physicians
-
www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - These are falls that are attributed to physiologic causes, but
occurrence of the condition could not … fall risk:
• New onset of probable indicators of fall risk (refer to screening criteria above)
• Occurrence … sedative) or risk for injury
(anticoagulant, antiplatelet agent, except low-dose aspirin)
• New occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - identify potential
adverse events that might need further study and also to enable users to assess the occurrence … Timing of Occurrence
The AHRQ PSIs are used to detect complications or adverse events resulting from … Revision Committee
Discussion
Procedure Codes and Major Diagnostic Category
Diagnosis Codes
Timing of Occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - These are falls that are attributed to physiologic causes, but
occurrence of the condition could not … fall risk:
• New onset of probable indicators of fall risk (refer to screening criteria above)
• Occurrence … sedative) or risk for injury
(anticoagulant, antiplatelet agent, except low-dose aspirin)
• New occurrence
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.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 SDM occurrence and estimates … This new measure of SDM occurrence can help uncover how frequently SDM techniques are used in the care
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - which contributing factors are most critical, chart the factors evaluating impact and likelihood of occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - One plausible explanation
for this high occurrence of error is that nurses have to rely on monitoring … the cognitive aids available to deal with the task may be partly responsible for the relatively
high occurrence
-
www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - range,26 substantially
reducing the potential protective benefits of warfarin therapy against the occurrence … was 1.2 (range: 0.8 to 1.4), substantially below the level providing adequate
protection against the occurrence … For example, a frequent occurrence in the care of nursing home
residents is a telephone call from the … them was our reliance solely on information contained in
nursing home records to assess the occurrence
-
www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - Inter-rater reliability for error occurrence was 100%. 2,35,36 Inter-rater
reliability for error occurrence … we calculated
risk priority numbers by multiplying participant Likert scale ratings of frequency of occurrence … This is
partially due to the infrequent occurrence of this physiologic state for most patients, and
-
psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - Insert Omission
Citation Text:
Darney P. Insert Omission. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…
-
psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
-
psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - Turn the Other Cheek
March 1, 2012
Starling J. Turn the Other Cheek. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/turn-other-cheek
The Case
A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy
was diagnostic for squamous cell carcinoma (SCC) and docume…
-
psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
-
effectivehealthcare.ahrq.gov/sites/default/files/ch_6-user-guide-to-ocer_130129.pdf
October 30, 2012 - treatments are developed and
must demonstrate efficacy in preapproval clinical
trials to prevent the occurrence … first or new diagnosis of the condition of interest),
prevalent (existing disease), or recurrent (new
occurrence … effectiveness in SLE, such as reduction or increase
in time to flare, reduction in corticosteroid use,
or occurrence … instances, additional information must
be collected (usually from medical records)
to validate the occurrence
-
hcup-us.ahrq.gov/reports/statbriefs/sb154.jsp
April 01, 2013 - Statistical Brief #154
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
-
www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - system with the following components:
a shared-learning data repository that includes narrative occurrence … specifically, this includes developing multiple
avenues for consumers to report to incident and narrative occurrence … communication of facts, means of dispute resolution, remedial
action, and magnitude of compensation after the occurrence … communication of facts, means of dispute resolution, remedial action, and magnitude of compensation
after the occurrence
-
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - Information
exchange
problems with
outside labs or
imaging centers
Pe
rc
en
t
Daily or Weekly Occurrence … Monthly Occurrence
Patient safety and quality issues in outpatient medical offices, by frequency, … Information
exchange
problems with
outside labs or
imaging centers
Pe
rc
en
t
Daily or Weekly Occurrence … Monthly Occurrence
• Importance: Most healthcare takes place in the outpatient, or ambulatory care,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide.pdf
March 22, 2014 - This may occur more than once during the report week,
but the first date of occurrence will display … Displays an
X if the resident has any occurrence of weight loss ≥5% in the
last 30 days. … Displays an
X if any occurrence of weight loss of 5 percent or more within the
past 30 days.