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Showing results for "occurrence".

1641. Transparency of Reporting Requirements: Management of Infertility (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-infertility_research-protocol.pdf
      September 02, 2016 - importance to patients, based on input from topical experts and Key Informants, rather than temporal occurrence

1642. Making Healthcare Safer IV: Use of Structured Handoff Protocols for Intrahospital Transitions (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-protocol.pdf
      December 31, 2024 - The I-PASS mnemonic and the occurrence of handoff related errors in adult acute care hospitals: a systematic

1643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - [Amphetamine use by truck drivers on highways of Sao Paulo State: a risk for the occurrence of traffic

1644. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - [Amphetamine use by truck drivers on highways of Sao Paulo State: a risk for the occurrence of traffic

1645. How Do You Define Regional? The Geography of Health Information Exchange - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs020304-vest-final-report-2015.pdf
      January 01, 2015 - Next, a series of GIS overlay analyses of these self-reported service areas determined the occurrence

1646. Can Risk Score Alerts Improve Office Care for Chest Pain? - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
      January 01, 2010 - diagnosis represent the leading ambulatory patient safety concern, and our data showed that while the occurrence

1647. A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
      February 07, 2017 - ► Statistical methods (noisy channel models, co-occurrence statistics), machine learning, and knowledge-based

1648. Chapter-7 - Harm Due to Anticoagulants (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
      March 01, 2020 - .5 The Canadian review of specialized anticoagulation services found significant differences in the occurrence … outcomes were not compared with usual care or a control group, so whether the time to coagulation and occurrence … of a dosing nomogram in the intensive care unit.14 7.2.3.1.2 Bleeding Two studies examined the occurrence

1649. Disposition of Comments_Systematic Review: Mental Health and Occupational Stress in the Emergency Medical Services and 911 Workforce (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-911-workforce-mental-health-disposition-comments.pdf
      February 28, 2025 - This seemed to be a common occurrence throughout.

1650. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
      psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
      September 01, 2003 - Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. 

1651. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - Therefore, we can try to minimize either the impact of making those mistakes, or the occurrence of them

1652. Long Term Care e-Prescribing Standards Pilot Study - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
      October 25, 2025 - Data Codes The codes for all of the observed tasks related to medication ordering were reviewed for occurrence

1653. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
      September 03, 2014 - Multidisciplinary discussion of causes or contributing factors Sharing of findings to mitigate future occurrence … of causes or contributing factors leading up to the error, and share findings to mitigate the future occurrence

1654. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - only the severity of an individual file or report, but then also the frequency and probability of occurrence … to ensure that near misses or incidents that don't reach the patient but have a high probability of occurrence

1655. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
      January 01, 2023 - focus on all eligible members of a population, can establish denominators, and calculate rates of occurrence … Falls Resulting in NO INJURY and NO HARM FOCUS: PATIENT RISK FACTORS Risk factors can impact the occurrence

1656. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - These vignettes were derived from observations, reports from clinicians, and occurrence-reporting systems … gender, ASA status); surgical procedure; PACU admission vital signs; length of PACU stay; and the occurrence

1657. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
      January 01, 2024 - End-stage renal disease (ESRD) affects about 43,000 people with diabetes annually and is presaged by the occurrence … We focus here on the occurrence of outpatient-documented episodes of hypoglycemia; the performance of

1658. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - annually.3,4 Care costs and patient length of stay increase and quality of life decreases with each occurrence … The model demonstrates unavoidable levels of endogeneity, because we hypothesized that the occurrence

1659. Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs018288-zhou-final-report-2011.pdf
      January 01, 2011 - A common occurrence in electronic order entry systems is free text medication entries. … A common occurrence in electronic order entry systems is free text medication entries.

1660. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - ameliorate barriers to error reporting.( 1 , 2 ) Of course, the ethical obligations triggered by the occurrence