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Showing results for "occurrence".

61. Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. | PSNet
    psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
    October 13, 2021 - Study Association between night-time surgery and occurrence of intraoperative adverse … Citation Text: Association between night-time surgery and occurrence of intraoperative adverse events … Cite Citation Citation Text: Association between night-time surgery and occurrence

62. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
    January 01, 2004 - detection and that a RCA for that occurrence be submitted within 30 days. … Introduction During a statewide meeting of the New York Patient Occurrence Reporting and Tracking … Of note, NYPORTS collects monitoring errors only as a “type of occurrence” and not as part of the “ … Albany (NY): New York Patient Occurrence Reporting and Tracking System. c2000–2002. … Percentage breakdown of data by type of occurrence (N = 96) Figure 3.

63. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. | PSNet
    psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
    July 31, 2013 - Study Maximum emergency department overcrowding is correlated with occurrence of … Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. … Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest.

64. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. | PSNet
    psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
    September 08, 2021 - Study The effect of a transitional pharmaceutical care program on the occurrence … The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from … The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from

65. Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet
    psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
    March 11, 2020 - : how patient engagement and safety climate jointly affect error occurrence in hospital units. … : How patient engagement and safety climate jointly affect error occurrence in hospital units. … : How patient engagement and safety climate jointly affect error occurrence in hospital units.

66. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - This paper focuses on the New York State Patient Occurrence Reporting and Tracking System (NYPORTS), … New York Patient Occurrence Reporting and Tracking System Database. … On-line New York Patient Occurrence Reporting and Tracking System. … NYPORTS— The New York Patient Occurrence Reporting and Tracking System Annual Report. … NYPORTS— The New York Patient Occurrence Reporting and Tracking System Annual Report.

67. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
    www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
    January 01, 2025 - [3] Pivotal event – A pivotal event is an intermediate event for which occurrence or non- occurrence … If the pivotal event is an event (e.g., maternal hypotension), its occurrence or non-occurrence determines … ‘Y’ or ‘N’ refers to the occurrence or non-occurrence of each particular event, and points to a specific … or non-occurrence, success or failure), then a demand-based model was selected. … /non-occurrence of this event

68. Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. | PSNet
    psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning
    July 06, 2012 - Review Minimization of occurrence of retained surgical items using machine learning … Minimization of occurrence of retained surgical items using machine learning and deep learning techniques … Minimization of occurrence of retained surgical items using machine learning and deep learning techniques

69. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. | PSNet
    psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
    May 05, 2021 - Study Implementing the clinical occurrence reporting and learning system: a double-loop … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting

70. Pressure Ulcers | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/pressure-ulcers.html
    Pressure Ulcer Prevention This toolkit helps nursing homes with electronic medical records reduce the occurrence

71. Failure Mode and Effects Analysis | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
    January 01, 2023 - DETERMINE THE OCCURRENCE RATING (or O) for each root cause that was identified in the previous step. … List the occurrence rating for each cause on the FMEA table. 9. … Typically, critical characteristics will have a severity rating of 9 or 10 and occurrence and detection … The RPN is equal to the product of the S (severity rating), O (occurrence rating), and D (detection rating … IDENTIFY RECOMMENDED ACTIONS, whether they are changes that diminish severity or occurrence, or are extra

72. Wrong site surgery near misses and actual occurrences. | PSNet
    psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
    November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …

73. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
    psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
    August 05, 2020 - Study Occurrence of no-harm incidents and adverse events in hospitalized patients … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA

74. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
    July 19, 2023 - Review Classic Occurrence, prevention, and management of … Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare … Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare

75. Potential Problem Analysis | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
    January 01, 2023 - The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … (Optional) For each cause, RATE AS HIGH, MEDIUM, OR LOW its likelihood and the severity of its occurrence

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72732/psn-pdf
    February 10, 2021 - through-eyes-workforce-creating-joy-meaning-and-safer-health-care https://psnet.ahrq.gov/issue/no-one-listening-us https://psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks … https://psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks

77. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet
    psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
    July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence … Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and … Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and

78. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. | PSNet
    psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units-cross-sectional
    December 29, 2014 - Study The occurrence of adverse events potentially attributable to nursing care in … The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional

79. Recommended Infection Prevention Components of Quality Assessment and Performance Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
    June 02, 2025 - Infection occurrence surveillance: Occurrences should be logged for— a. … Sufficient information should be recorded for each occurrence, including patient identification, date

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/845652/psn-pdf
    March 14, 2023 - Drug diversion can reduce patient safety and should be addressed at a system level to reduce its occurrence … examines ways in which drug diversion can affect care teams, and outlines what to watch for to flag its occurrence