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psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
July 12, 2023 - improvements and problems associated with the practice , and notes limited understanding regarding their occurrence
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psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens-medication
July 14, 2021 - discusses the consequences of drug shortages, approaches different countries are taking to reduce their occurrence
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - This article examines how identification errors are discovered, as well as frequency of their occurrence
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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.
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Retained surgical items are never events that continue to occur despite efforts to reduce their 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/pressure-injury-prevention-hospitals-training-program
May 01, 2017 - program has been designed to help hospitals implement practice and process improvements to reduce the occurrence
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psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - This article discusses the importance of standard practice bundles as a strategy to reduce its occurrence
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
March 14, 2023 - errors that continue to occur despite established practices that, if applied, can mitigate error occurrence
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psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects
November 28, 2018 - factors associated with retention of foreign objects and suggests several tactics to prevent its occurrence
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psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders
April 24, 2007 - tools for health care managers to develop awareness initiatives and policies to reduce the impact and occurrence
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psnet.ahrq.gov/issue/medication-errors-related-product-names
January 02, 2017 - Reporting Program to illustrate look-alike/sound-alike errors and provide strategies to minimize their occurrence
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - explaining-ethnic-disparities-patient-safety-qualitative-analysis
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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psnet.ahrq.gov/node/42473/psn-pdf
August 13, 2013 - surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
https://psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - 9
Today’s Webinar Presenters
Ian Hargraves, PhD, Mayo Rochester, SDMo – a Measure of the Occurrence … You can also pop your questions into the chat for later.
10
Presentation 1
Shared Decision Making Occurrence … (SDMo) – a Measure of the Occurrence of SDM in the Care of Patients with Chronic Conditions
Ian Hargraves … ’s
Method of Inquiry7
noticing
formulating
trying on
integrating
19
19
SDMo – A Measure of the Occurrence … Definitely
did not
Definitely
did
Probably
did
Probably
did not
SDM occurrence
did the participants
work
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psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - studies suggesting
intraoperative radiographic screening and counting as strategies to prevent their occurrence
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - This tool outlines a three-step process for minimizing the occurrence of wrong-side peripheral nerve
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psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
November 21, 2016 - Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse