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psnet.ahrq.gov/issue/healthcare-associated-infections
January 10, 2018 - This special issue explores Canadian initiatives to combat the occurrence of methicillin-resistant Staphylococcus
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psnet.ahrq.gov/issue/antidote-medical-errors
May 02, 2017 - article explains how cognitive errors contribute to medical mistakes and describes ways to lessen their occurrence
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www.ahrq.gov/ncepcr/reports/2025-annual-report/person-centered.html
August 01, 2025 - SDMo – a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions (R01) PI: … Rochester Grant Start Date: September 30, 2022 Develops a measure of shared decision making (SDM) occurrence … This new measure of SDM occurrence can help uncover how frequently SDM techniques are used in the care
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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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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - fact that a sophisticated computer system expected to prevent such errors likely contributed to its occurrence … factors are overlooked in planning, information technology may automate a bad practice or accelerate the occurrence … bar coding could be considered in the intermediate term, several short-term approaches can reduce the occurrence … work with its software vendor to develop a forcing function in its computer system to prevent such an occurrence
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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.
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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
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psnet.ahrq.gov/node/37471/psn-pdf
February 17, 2011 - delays were associated with noncardiac admitting
diagnoses, care received in an unmonitored unit, and occurrence
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psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - registration-associated-patient-misidentification-academic-medical-center-causes-and
https://psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
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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
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www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - analyses will examine the
predictive relationships between workplace and psychosocial variables and the occurrence … the causal relationship between extrinsic and intrinsic factors among specific clinicians and the
occurrence … These hospital-based incident and occurrence
reporting mechanisms remained in place during the duration … include the
following: (1) examining predictive relationships between psychosocial variables and the
occurrence … lead to
the elucidation of important relationships between clinician and workplace factors and the
occurrence
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effectivehealthcare.ahrq.gov/sites/default/files/s108.pdf
October 01, 2007 - Before occurrence of the adverse event, the mean
value of V(t) equaled V(0). … After occurrence of the adverse
event, the mean value of V(t) equaled V(0) � �3. … Lagged severity of illness influences
the probability of occurrence of an adverse event during the
next … The relationship between prior severity of illness and
occurrence of the adverse event depended on the … An advantage of IPW is that lack of bias does not depend
on this type of chance occurrence.
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hcup-us.ahrq.gov/reports/statbriefs/sb186-Operating-Room-Procedures-United-States-2012.jsp
December 01, 2014 - The OR procedures with the greatest change in occurrence (either increasing or decreasing) from 2003 … Between 2003 and 2012, the inpatient OR procedures with the greatest change in rate of occurrence overall … OR procedures with the greatest change in occurrence, 2003-2012
Table 2 presents the OR procedures … Brachytherapy was the OR procedure with the greatest change in occurrence among hospital stays paid by … The five OR procedures with the greatest change in occurrence for stays paid by Medicaid involved the
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
June 02, 2025 - Other qualifying events after the fifth birthday (age is age at occurrence):
i.