-
psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - reality
Debriefing is an established strategy teams use to learn from critical events, reduce event occurrence
-
psnet.ahrq.gov/node/865869/psn-pdf
May 15, 2024 - primary, radiology, emergency, ambulatory surgery) in Massachusetts in 2018, were reviewed
for any occurrence
-
psnet.ahrq.gov/node/36051/psn-pdf
January 05, 2017 - using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
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psnet.ahrq.gov/node/42202/psn-pdf
May 01, 2013 - economic-measurement-medical-errors-using-hospital-claims-database
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/histogram
January 01, 2023 - The height of the bar indicates the frequency of occurrence.
-
digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology
January 01, 2023 - Vulnerable Population
The impact of a Web-based reporting system on the collection of medication error occurrence … The impact of a Web-based reporting system on the collection of medication error occurrence data.
-
hcup-us.ahrq.gov/reports/statbriefs/sb186-Operating-Room-Procedures-United-States-2012.pdf
January 01, 2012 - The OR procedures with
the greatest change in occurrence (either increasing or
decreasing) from 2003 … Finally, the OR
procedures that were performed most frequently and underwent
the greatest change in occurrence … ■ Between 2003 and 2012, the
inpatient OR procedures with
the greatest change in rate of
occurrence … The five OR procedures with the greatest change in occurrence for stays paid by Medicaid involved
the … Among uninsured hospital stays, the two OR procedures with the greatest change in occurrence also
involved
-
psnet.ahrq.gov/node/44770/psn-pdf
September 24, 2016 - psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
Interruptions are a common occurrence
-
psnet.ahrq.gov/node/38588/psn-pdf
July 13, 2009 - nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
-
psnet.ahrq.gov/node/44091/psn-pdf
January 04, 2019 - safety-patients-isolated-infection-control
https://psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
-
psnet.ahrq.gov/node/73136/psn-pdf
April 14, 2021 - At least one of the six variables was significantly associated with the occurrence or nonoccurrence of
-
psnet.ahrq.gov/node/74183/psn-pdf
December 15, 2021 - identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
https://psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
-
psnet.ahrq.gov/node/856585/psn-pdf
November 29, 2023 - delayed-evaluation-abdominal-pain-elderly-patient
https://psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
-
psnet.ahrq.gov/node/36694/psn-pdf
January 18, 2011 - and found them more likely to coincide with a
high male patient population, staff absences, and the occurrence
-
psnet.ahrq.gov/node/35700/psn-pdf
February 15, 2010 - relatively common and identified sources of the
errors along with factors that increase the likelihood of occurrence
-
www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - This process resulted in a probability of occurrence of the top-level event, along with the major risk … effectively] ranked as the most critical unique event, with the highest independent contribution to the occurrence
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
May 01, 2016 - On-Time Pressure Ulcer Prevention to help nursing homes with electronic medical records reduce the occurrence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Methods
As a part of this project, we licensed a Web-based medical error reporting system (the
Occurrence … In that scheme, events were classified by affected party, occurrence type, and outcome. … We created groups of similar events by occurrence type, such that each group would be expected
to include … hospital report: Acute care
Definitiona Your hospital
All participating
hospitals
Indicator Occurrence … 8 0.91 1.17 0 – 1.37 1.37
Laboratory specimen-
related occurrences Specimen Any specimen-related occurrence
-
psnet.ahrq.gov/node/836923/psn-pdf
April 13, 2022 - Study participants rated 178 clinical scenarios for likelihood of occurrence, level of associated
harm
-
psnet.ahrq.gov/node/841140/psn-pdf
December 07, 2022 - association-measured-quality-financial-health-among-us-hospitals
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances