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Total Results: 2,574 records

Showing results for "occurrence".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49584/psn-pdf
    April 01, 2009 - EMR Entry Error: Not So Benign April 1, 2009 Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign The Case A 47-year-old man with advanced AIDS was admitted to an academic medical center with a chief complaint of shortness of breath. He was …

  2. Buprenorphine and the Medically Ill Patient | PSNet

    psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
    August 20, 2018 - Buprenorphine and the Medically Ill Patient Citation Text: McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX E…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems Perspective Seven years ago, the Institute of Medicine (I…

  5. Medication Mix-Up Leads to Patient Death | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

  6. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
    March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA Abstract Objective: We aimed to determine the effectiveness of team-based reporting, system…

  7. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
    January 01, 2024 - on the MDS cognition scale.51,58 The event date for the cases was defined as the date of the first occurrence … All-cause mortality was measured as the occurrence of death in nursing home between the start of follow … As before, the earlier date of occurrence was considered the event date.

  8. Microsoft Word - POA Methods 11_01.doc (pdf file)

    hcup-us.ahrq.gov/reports/methods/2011_05.pdf
    January 01, 2011 - Among 22 DRGs examined, sepsis was the most common among single occurrence HACs as well as when two … HCUP (11/01/2011) 12 The Case for the POA Indicator: Update 2011 • Rangachari (2007) analyzed the occurrence … portion of these events were considered not harmful to the patient or had resulted from a natural occurrence

  9. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cystic-fibrosis-hgh_executive.pdf
    October 01, 2010 - The occurrence of adverse effects associated with rhGH therapy in males and females was not individually … The occurrence of adverse events associated with rhGH therapy in patients with different baseline clinical … – IGF-I concentrations at the time of cancer occurrence in patients with CF.

  10. Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
    November 01, 2017 - Second, the denominator elements, “occurrence of an administration of a nutritional status screening … Health IT could enhance the use of this measure by creating structured, queriable fields for “occurrence … The biggest concern regarding the calculation of this measure is that “occurrence of an administration

  11. Microsoft Word - CentralDistributor_NIS88-97binderV5.doc (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/NIS88-92Overview_122104.pdf
    November 01, 2015 - Microsoft Word - CentralDistributor_NIS88-97binderV5.doc HEALTHCARE COST AND UTILIZATION PROJECT — HCUP A FEDERAL-STATE-INDUSTRY PARTNERSHIP IN HEALTH DATA Sponsored by the Agency for Healthcare Research and Quality OVERVIEW OF THE HCUP NATIONWIDE INPATIENT SAMPLE (NIS) RELEASE 1, 1988-…

  12. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
    January 01, 2003 - groups to a mistake or near miss incident have an effect on learning practices and their frequency of occurrence … unique event enables the researcher to more easily describe the circumstances surrounding an event’s occurrence … particular phenomenon (in this case, resident mistakes) within the contextual dynamics that surround its occurrence … attempting to identify overt “facilitating factors” that might have played a meaningful role in the occurrence

  13. Enhanced Functionality for the Distributed Research Network Pilot (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-expansion_research.pdf
    April 01, 2012 - Notification Concepts Event—refers to an occurrence of a particular transaction within the system, … Notification—refers to a message describing the occurrence of an event, for example, an email message … Notification Concepts Event—refers to an occurrence of a particular transaction within the system, for … Notification—refers to a message describing the occurrence of an event, for example an email message … Generation and Delivery of Notifications Notifications are messages describing the occurrence of an

  14. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)

    digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
    August 18, 2011 - CPOE with this particular computerized clinical decision support system was not found to reduce the occurrence

  15. Delirium or Dementia? | PSNet

    psnet.ahrq.gov/web-mm/delirium-or-dementia
    September 27, 2023 - Delirium in the intensive care unit: occurrence and clinical course in older patients.

  16. Cognitive Overload in the ICU | PSNet

    psnet.ahrq.gov/web-mm/cognitive-overload-icu
    June 01, 2005 - We know that characteristics of teamwork are intimately tied to the occurrence of errors and to their

  17. The Forgotten Turn | PSNet

    psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - provide an opportunity to analyze current systems that might need to be modified to prevent a similar occurrence

  18. Multifactorial Medication Mishap | PSNet

    psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
    September 01, 2016 - this error might discover failures that are amenable to higher leverage solutions to prevent future occurrence

  19. Parisetal Hfes2008 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
    January 01, 2008 - The research team reviewed all medication safety events to adjudicate the occurrence of a medication

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49611/psn-pdf
    October 01, 2010 - metabolism of other prescribed medications, or add to potential side effects increasing the likelihood of occurrence
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