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Total Results: 2,581 records

Showing results for "occurrence".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49463/psn-pdf
     October 14, 2004 - fact that a sophisticated computer system expected to prevent such errors likely contributed to its occurrence … factors are overlooked in planning, information technology may automate a bad practice or accelerate the occurrence … coding could be considered in the intermediate term, several short-term approaches can reduce the occurrence … work with its software vendor to develop a forcing function in its computer system to prevent such an occurrence

162. Pakyz, Amy | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumpaky.html
     October 01, 2014 - patterns, infection prevention and control, and pharmacy policies predict C. difficile infection (CDI) occurrence

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72672/psn-pdf
     January 27, 2021 - that a smart phone app providing just-in-time medication administration information could reduce the occurrence

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837000/psn-pdf
     May 06, 2022 - lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- fatal-medication Organizational factors can contribute to the occurrence

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60359/psn-pdf
     May 20, 2020 - libraries when programing pumps and assessed equipment competency as actions to mitigate similar incident occurrence

166. Impact of adverse events on outcomes in intensive care unit patients. | PSNet
     psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients
     April 18, 2012 - March 20, 2015 Impact of contact isolation for multidrug-resistant organisms on the occurrence … September 30, 2015 Impact of contact isolation for multidrug-resistant organisms on the occurrence

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34002/psn-pdf
     March 17, 2011 - utah-doh-patient-safety-initiatives Utah established a number of collaborative initiatives to understand the nature and occurrence

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36266/psn-pdf
     October 21, 2010 - the frequency and types of incidents in anesthesia, as well as risk factors associated with their occurrence

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860732/psn-pdf
     April 16, 2024 - serious-incident Retained surgical items are never events that continue to occur despite efforts to reduce their occurrence

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36402/psn-pdf
     June 13, 2011 - medication-reconciliation-reducing-drug-discrepancy-adverse-events The investigators examined the effect of pharmacist-conducted medication reconciliation on the occurrence

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40568/psn-pdf
     June 29, 2011 - tubing-misconnections-normalization-deviance https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38618/psn-pdf
     May 06, 2009 - tubing-safety-obstetric-setting-preventing-medication-errors https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence

173. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
     December 01, 2017 - Sample of initial nurses note using SOAP and occurrence based documentation methods 4/1/04 11 pm … determined based on further assessment and interdisciplinary evaluation. 4/01/04 11 pm Example 2-Occurrence … Sample of documentation q shift X 72 hours or until stable using both SOAP and occurrence based documentation … determined based on further assessment and interdisciplinary evaluation. 4/2/04 11pm Example 2—Occurrence

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867690/psn-pdf
     March 05, 2025 - Data from four studies that included 19-20 hospitals were analyzed to estimate the occurrence of diagnostic

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36860/psn-pdf
     January 20, 2016 - paper describes a tool that employs triggers to identify adverse events and measure their rate of occurrence

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41510/psn-pdf
     July 11, 2012 - us-inaction-lets-look-alike-tubes-kill-patients https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence

177. Root Cause Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
     January 01, 2023 - allows the analyst or analyzing team to identify the exact issue, identify the reason for the problem’s occurrence

178. Latent Error (or Latent Condition) | PSNet
     psnet.ahrq.gov/glossary/latent-error-or-latent-condition
     September 13, 2021 - latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848378/psn-pdf
     May 04, 2023 - safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices https://psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72590/psn-pdf
     December 23, 2020 - effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study https://psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and