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Showing results for "occurrence".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60857/psn-pdf
    August 26, 2020 - psnet.ahrq.gov//#32 Ultimately, however, systemic processes need to be implemented to prevent adverse event occurrence

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49480/psn-pdf
    May 01, 2005 - These diseases take varying times to diagnose and have markedly different probabilities of occurrence

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73456/psn-pdf
    June 30, 2021 - management are a major cause of anesthesia malpractice claims.1 Etiological factors that contribute to the occurrence

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73526/psn-pdf
    July 28, 2021 - Reporting the original error in Case #2 may have mitigated the second occurrence of the transcriptional

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49552/psn-pdf
    January 01, 2008 - This case unfortunately represents an all-too-common occurrence in modern medical practice.

  6. An Ounce of Prevention | PSNet

    psnet.ahrq.gov/web-mm/ounce-prevention
    February 17, 2011 - May 18, 2022 Occurrence of no-harm incidents and adverse events in hospitalized patients

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49485/psn-pdf
    August 29, 2024 - That being said, the occurrence of complete blindness in one eye is sufficiently dramatic and concerning

  8. HIT Based Regional Medication Management Pharmacy System (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
    January 01, 2007 - HIT Based Regional Medication Management Pharmacy System 1 Grant Final Report Grant ID: 5UC1HS014965-03 HIT Based Regional Medication Management Pharmacy System Inclusive dates: 09/30/04 - 09/29/07 Principal Investigator: Mark Schmidt, Chief Information Officer, SISU Medical Systems, Dulu…

  9. Final Progress Report: Patient Safety in Hospice Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
    January 01, 2024 - events” in other healthcare settings: rare events, potentially preventable, with the potential or occurrence

  10. Summary and Discussion | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
    July 01, 2018 - Key internal motivators included the occurrence of a sentinel event, the business case for patient and

  11. Impact of Staff-Led Safety Walk Rounds (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
    March 05, 2008 - • Do you know how the information from occurrence reports is used in this hospital?

  12. Right? Left? Neither! | PSNet

    psnet.ahrq.gov/web-mm/right-left-neither
    November 16, 2022 - NYPORTS—New York Patient Occurrence and Tracking System—Annual Report 1999.

  13. Frazee-notes-151006 copy - Teresa (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/frazee-presentation.pdf
    October 08, 2025 - you have to remember as human beings that it wasn't that long ago where famine was a pretty regul ar occurrence

  14. Standard Deviations | PSNet

    psnet.ahrq.gov/web-mm/standard-deviations
    January 01, 2006 - providers on future admissions about opportunities for early intervention and the risk for a repeated occurrence

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - this error might discover failures that are amenable to higher leverage solutions to prevent future occurrence

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74251/psn-pdf
    January 26, 2022 - intercostal artery injury.12 Although the method of thoracostomy used in this case is unknown, the occurrence

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73302/psn-pdf
    May 26, 2021 - And then when an incident happens, we don’t know if that's a one in a million occurrence or if it is

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60172/psn-pdf
    March 01, 2021 - ended up in a different patient's EMR between 0.3 and 0.5 percent of the time.3Although an infrequent occurrence

  19. Learning from Errors in Ambulatory Pediatrics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - The occurrence of an error did not imply harm or injury to the patient. … While this study cannot provide incidence rates of errors, the reports establish the occurrence of that

  20. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
    April 27, 2004 - poisonings (800–999).31 The administrative datasets we used did not permit us to obtain the actual occurrence … criteria.22 In this study, we did not analyze the impact of BZD drug dose and duration on either the occurrence
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