-
psnet.ahrq.gov/node/35244/psn-pdf
December 17, 2008 - representative-case-series-public-hospital-admissions-1998-ii-surgical-
adverse-events
The authors analyzed surgical adverse events to assess the occurrence
-
psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - program has been designed to help hospitals implement practice and process improvements to reduce the
occurrence
-
psnet.ahrq.gov/node/37741/psn-pdf
January 10, 2017 - error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
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psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
October 13, 2010 - Study
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.
Citation Text:
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …
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psnet.ahrq.gov/node/37365/psn-pdf
March 04, 2011 - The authors use these methods to uncover
characteristics associated with the occurrence of patient safety
-
psnet.ahrq.gov/node/38511/psn-pdf
March 25, 2009 - high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-
and-tracking
This report assesses the New York State Department of Health's New York Patient Occurrence
-
psnet.ahrq.gov/node/35254/psn-pdf
April 06, 2011 - Discussion includes detailed presentation of the frequency of events, their
location of occurrence,
-
psnet.ahrq.gov/node/44781/psn-pdf
January 13, 2016 - improving-pediatric-surgery-quality-and-outcomes-21st-century
https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
-
psnet.ahrq.gov/node/45756/psn-pdf
December 21, 2016 - evaluation-perioperative-medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
-
psnet.ahrq.gov/node/36690/psn-pdf
January 18, 2011 - designated by
the Beers Criteria as potentially inappropriate for older adults was associated with occurrence
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/brownbridge
January 01, 2023 - Physicians who entered patient information after the consultation were likely to indicate the occurrence … The physicians who entered patient information during the consultation rarely indicated the occurrence
-
www.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - Current research areas of interest are:
Preventing the occurrence of healthcare-associated infections
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
May 24, 2016 - discharge home, the majority of
patients should be prescribed regular
ongoing ICS treatment, since the
occurrence
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix A
CANDOR Gap Analysis Document Review Checklist
Instructions: At least 1 month prior to the onsite gap analysis, collect and provide the following documents for analysis by the Gap Analysis Team.
Documents for Submission to Reviewers
Is the document availab…
-
www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - effectively,"ranked as the most critical unique event, with the highest independent contribution to the occurrence … ST-PRA stems from the combinations of events and probabilities to identify critical paths leading to the occurrence … the new probability estimate for an intervention targeting each component intervention to reduce the occurrence … be integrated into the process of care, and should include redundant process steps to minimize the occurrence
-
psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - conditions), in contrast, refer to less apparent failures of organization or design that contributed to the occurrence
-
psnet.ahrq.gov/node/73370/psn-pdf
June 09, 2021 - This study explores the association of nurse
burnout and self-reported occurrence of adverse events
-
psnet.ahrq.gov/node/853428/psn-pdf
September 13, 2023 - In this
retrospective study, researchers identified the occurrence of common ICU scenarios and skills
-
psnet.ahrq.gov/node/60520/psn-pdf
May 27, 2020 - epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review
https://psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
-
psnet.ahrq.gov/node/847716/psn-pdf
April 19, 2023 - psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident