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Total Results: 2,581 records

Showing results for "occurrence".

  1. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
    January 01, 2025 - Investigators (PALISI) network and to generate a bundled quality improvement intervention to reduce the occurrence … Site-level characteristics associated with occurrence of TIAEs Site characteristic# Univariate analysis … The variables associated with occurrence of non-severe or severe TIAEs were considered for entry into … tracheal intubations, and certain patient, provider, and practice factors are associated with their occurrence … Our site variance analysis revealed a significant variability in the occurrence of TI and safety outcomes

  2. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
    March 01, 2012 - This process resulted in a probability of occurrence of the top-level event, along with the major risk … Using these inputs enabled us to identify the multiple connections associated with the occurrence of … This process leads to a probability of occurrence of the top-level event, along with the major risk … Cut sets are a unique combination of events leading to the occurrence of a top level event (an SSI). … In this study, we were able to use this novel approach to identify the contributors to the occurrence

  3. VTE Surveillance Assessment_49_low_SPI (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/blood-clots-hip-knee-surgery_surveillance.pdf
    December 01, 2012 - Comparing LMWH agents with DTIs is difficult because the occurrence of DVT was greater, but the occurrence … Patients receiving VKAs had less occurrence of proximal DVT versus mechanical prophylaxis, but with … Flowtron excel pump) and found to have a similar occurrence of DVT. … Comparing LMWH agents with DTIs is difficult because the occurrence of DVT was greater, but the occurrence … Flowtron excel pump) and found to have a similar occurrence of DVT.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34691/psn-pdf
    May 18, 2016 - , he advocates systems that assume human errors will occur and that are designed to minimize their occurrence

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35703/psn-pdf
    July 13, 2010 - MAC claims involved older and more ill patients, with respiratory depression being the most frequent occurrence

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36005/psn-pdf
    March 28, 2011 - surveillance methodology designed to improve on current systems that fail to capture events at the time of occurrence

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45573/psn-pdf
    November 16, 2016 - patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis https://psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866168/psn-pdf
    January 02, 2000 - This analysis examined the occurrence of missed acute cardiac ischemia among over 10,000 patients presenting

  9. Healthcare-Associated Infections. | PSNet

    psnet.ahrq.gov/issue/healthcare-associated-infections
    January 10, 2018 - This special issue explores Canadian initiatives to combat the occurrence of methicillin-resistant Staphylococcus

  10. Checklist | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/checklist
    January 01, 2023 - It is particularly effective at registering the occurrence of incidents, events, tasks, or problems.

  11. Annual Communication, Apology, and Resolution (CARe) Forum. | PSNet

    psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
    May 03, 2023 - a promising strategy for successful management of relationships and actions after medical error occurrence

  12. 097-Ss-Normothermia-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/097-ss-normothermia-one-pager.docx
    April 01, 2025 - Effects of preoperative warming on the occurrence of surgical site infection: A systematic review and

  13. 041-Pros-Cons-Mrsa-Surveillance-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/041-pros-cons-mrsa-surveillance-one-pager.docx
    October 01, 2024 - MRSA surveillance data allow facilities to detect outbreaks, spot unexpected increases in disease occurrence

  14. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. | PSNet

    psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats
    November 30, 2011 - Study Classic Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Citation Text: Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…

  15. Application of root cause analysis on malpractice claim files related to diagnostic failures. | PSNet

    psnet.ahrq.gov/issue/application-root-cause-analysis-malpractice-claim-files-related-diagnostic-failures
    March 01, 2011 - June 13, 2011 Design of a retrospective patient record study on the occurrence of adverse

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - This review examines the impact of financial incentives on occurrence of hospital-acquired infections

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46849/psn-pdf
    May 23, 2018 - This commentary describes how one organization reduced the occurrence of this surgical complication.

  18. Patient Safety Papers 5. | PSNet

    psnet.ahrq.gov/issue/patient-safety-papers-5
    July 03, 2013 - The articles highlight work related to topics including critical occurrence review , hand hygiene compliance

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44658/psn-pdf
    November 18, 2015 - review-2008-2014 Adverse events in the nursing home setting are a common, and often preventable, occurrence

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45327/psn-pdf
    September 27, 2016 - concept-analysis-undergraduate-nursing-students-speaking-patient-safety-patient-care https://psnet.ahrq.gov/issue/relationship-between-nursing-experience-and-education-and-occurrence-reported-pediatric
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