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Total Results: 2,574 records

Showing results for "occurrence".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73200/psn-pdf
    April 28, 2021 - Several factors may have contributed to this occurrence including misinterpretation of her laboratory

  2. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
    January 01, 2023 - Risk factors for and occurrence of postoperative cervical hematoma after thyroid surgery: A single-institution

  3. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - Reporting the original error in Case #2 may have mitigated the second occurrence of the transcriptional

  4. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet

    psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
    January 29, 2021 - are a major cause of anesthesia malpractice claims. 1 Etiological factors that contribute to the occurrence

  5. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
    April 01, 2025 - Effects of preoperative warming on the occurrence of surgical site infection: A systematic review and

  6. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
    April 01, 2025 - Effects of preoperative warming on the occurrence of surgical site infection: A systematic review and

  7. HEALTHCARE COST AND UTILIZATION PROJECT (HCUP) E CODE EVALUATION (pdf file)

    hcup-us.ahrq.gov/reports/methods/2015-03.pdf
    January 01, 2015 - Injury-Related Events First character = "E" and NOT ONE of the following:  E849.0-E849.9 (place of occurrence

  8. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
    January 01, 2004 - identifying near misses, patient safety can be improved by identifying latent failure prior to the occurrence

  9. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
    January 01, 2003 - Drug administration errors: a study into the factors underlying the occurrence and reporting of drug

  10. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
    August 01, 2022 - to authorize demonstration projects to put “patient safety first,” with the intent of reducing the occurrence

  11. Summary of Recommendations from Round 2 Cognitive Testing of the MEPS Cancer SAQ

    meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R2_Results.shtml
    January 01, 2011 - It is intended for those who have had one cancer occurrence as well as those with multiple cancer diagnoses … Those with one cancer occurrence, either current or in the recent past had the least trouble navigating … of this section describes issues experienced by those with multiple diagnoses and those whose last occurrence

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49869/psn-pdf
    July 02, 2019 - Failure to Rescue the Mother July 2, 2019 Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/failure-rescue-mother The Case A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for vaginal bleeding. An …

  13. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet

    psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
    April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

  14. Archived: Evidence Summary: Genital Herpes Infection: Serologic Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/genital-herpes-screening-november-2016
    December 20, 2016 - Both assessed outcomes over a short time (6-8 weeks) and relied on self-report to ascertain symptom occurrence

  15. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-patient-family-engagement.pdf
    July 01, 2023 - their families are the ones who experience safety events and are often most equipped to detect their occurrence

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49585/psn-pdf
    May 01, 2009 - Delirium in the intensive care unit: occurrence and clinical course in older patients.

  17. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet

    psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
    October 30, 2024 - ended up in a different patient's EMR between 0.3 and 0.5 percent of the time. 3 Although an infrequent occurrence

  18. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
    January 01, 2024 - For a randomly selected group of patient visits, caregivers were queried as to the occurrence of events

  19. Executive Summary | Agency for Healthcare Research and Quality

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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49615/psn-pdf
    December 01, 2010 - provide an opportunity to analyze current systems that might need to be modified to prevent a similar occurrence
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