Results

Total Results: 2,551 records

Showing results for "occurrence".

261. Psn-Pdf (pdf file)
     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

262. Psn-Pdf (pdf file)
     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

263. The texting debate: beneficial means of communication or safety and security risk? | PSNet
     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

264. Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. | PSNet
     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

265. Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
     March 14, 2008 - been prepared by various organizations.2 While the IOM report emphasized systems that monitor the occurrence … • Control group: 33 hospitals in which we monitored the occurrence of medical injuries throughout … The inability to detect a measurable impact on medical injury occurrence of confidential performance … complete coding of medical injuries and may have obscured any potential reduction in their actual occurrence … was no clear evidence of the effectiveness of different approaches to reporting on injury or error occurrence

266. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     datatools.ahrq.gov/action-alliance/wp-content/uploads/sites/8/2025/09/qsrs-2021-2023-adverse-event-data-report.pdf
     January 01, 2025 - Among the four cohorts, the CRITICAL ACCESS cohort had the lowest occurrence of AEs (3.4%). … Among the four cohorts, the CRITICAL ACCESS cohort had the lowest occurrence of AEs (3.2%). … Among the four cohorts, the CRITICAL ACCESS cohort had the lowest occurrence of AEs (2.3%). … The CRITICAL ACCESS cohort had the lowest occurrence of AEs in each of the 3 years. … Estimating the Occurrence of Adverse Events in Medicare Hospital Stays D.

267. Identification errors in pathology and laboratory medicine. | PSNet
     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

268. 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.

269. Pressure Injury Prevention in Hospitals Training Program. | PSNet
     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

270. 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

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37453/psn-pdf
     March 03, 2011 - studies suggesting intraoperative radiographic screening and counting as strategies to prevent their occurrence

272. Psn-Pdf (pdf file)
     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

273. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet
     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

274. Defusing Disruptive Behavior. A Workbook for Health Care Leaders. | PSNet
     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

275. Beyond the count: preventing the retention of foreign objects. | PSNet
     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

276. Medication errors related to product names. | PSNet
     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

277. Proactive prevention of maternal death from maternal hemorrhage. | PSNet
     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

278. Implement strategies to prevent persistent medication errors and hazards. | PSNet
     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

279. Low-Dose Aspirin for the Prevention of Morbidity and Mortality From Preeclampsia: Clinical Summary of USPSTF Recommendation (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/URK4KUpCK3gafGrdaLzYDJ
     Medication Low-dose aspirin (60 to 150 mg/d) initiated between 12 and 28 weeks of gestation reduces the occurrence

280. Prep, Stop, Block. | PSNet
     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