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Total Results: 2,574 records

Showing results for "occurrence".

1681. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016160-sakuda-final-report-2009.pdf
      January 01, 2009 - (This should be a natural occurrence with the implementation of Epic).

1682. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - Therefore, we can try to minimize either the impact of making those mistakes, or the occurrence of them

1683. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
      psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
      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

1684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74120/psn-pdf
      November 30, 2021 - commendable that this hospice took on this palliative effort for their patient, but it is not a common occurrence

1685. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/notes.html
      December 01, 2012 - Identify individuals who might have been involved in the occurrence, and Document (a) the actions taken

1686. Fan-Qvpdgnjh8Krdf4Smmv (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/FaN-QvpDgnJh8KrdF4smmv
      May 01, 2013 - Urinary tract stone occurrence in the Women’s Health Initiative (WHI) randomized clinical trial of calcium

1687. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
      April 05, 2013 - time occurrence.

1688. 2024 Network of Patient Safety Databases Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
      January 01, 2024 - focus on all eligible members of a population, can establish denominators, and calculate rates of occurrence

1689. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - Video recording minimizes the occurrence of hindsight bias, as occurs in reviewing a case at an M &

1690. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - Severity scoring (i.e., severity of patient injury and frequency of occurrence) is one approach to prioritizing

1691. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - analysis as to why this vulnerability existed and initiate appropriate systems fixes to minimize a repeat occurrence

1692. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_executive.pdf
      July 01, 2009 - Most of the studies did not report the time of occurrence of the adverse events.

1693. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/undescended-testicle_research-protocol.pdf
      September 02, 2011 - bilateral, palpable vs. nonpalpable, anatomic location) and occurrence of associated abnormalities

1694. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - Also, patients and family members tend to underestimate the occurrence of medical errors.

1695. Safety Culture in EMS | PSNet
      psnet.ahrq.gov/perspective/safety-culture-ems
      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

1696. Final Recommendation Statement: Obstructive Sleep Apnea in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/obstructive-sleep-apnea-in-adults-screening
      November 15, 2022 - The occurrence of sleep-disordered breathing among middle-aged adults.

1697. Nephropathy-Contrast-Induced Executive-2016 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/nephropathy-contrast-induced_executive-2016.pdf
      January 01, 2016 - Effect of nonionic radiocontrast agents on the occurrence of contrast-induced nephropathy in patients

1698. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
      January 01, 2021 - commendable that this hospice covered radiotherapy as a palliative intervention, but this is not a common occurrence

1699. Applying CUSP To Promote Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
      December 01, 2017 - the defect harming the patient • Severity of harm the defect causes • Frequency of the defect’s occurrence

1700. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
      September 01, 2010 - The occurrence of pressure ulcers may indicate the quality of care received by patients at home or in