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Total Results: 2,551 records

Showing results for "occurrence".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44471/psn-pdf
    September 27, 2016 - : 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.

82. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet
    psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
    April 05, 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

83. Brown, Andrew | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/brown-andrew
    January 01, 2023 - The impact of a Web-based reporting system on the collection of medication error occurrence … The impact of a Web-based reporting system on the collection of medication error occurrence data.

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33729/psn-pdf
    May 01, 2012 - approaches to measuring adverse event rates have been used, including voluntary reports ("incident" or "occurrence … Occurrence reports: The most well known strategy to identify and measure patient safety in U.S. hospitals … is the use of occurrence ("incident") reports submitted by caregivers. … Although these data are relatively easy and inexpensive to obtain, evidence suggests that occurrence … (Go to table citation in the text) Harm Detection Method Advantages Limitations Incident (occurrence

85. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? | PSNet
    psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical
    February 23, 2011 - analyzed the frequency and types of incidents in anesthesia, as well as risk factors associated with their occurrence … June 14, 2023 Association between night-time surgery and occurrence of intraoperative

86. Serious Reportable Adverse Events in Health Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Introduction Lapses in patient safety are a major health care quality problem, and the occurrence … occur, and changing processes of care to reduce the chance of harm, requires reliable data about the occurrence … list of serious reportable events While it is believed that having reliable information about the occurrence … The occurrence of a serious preventable adverse event in health care—e.g., operating on the wrong patient … Event means a discrete, auditable, and clearly defined occurrence.

87. | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/index.html?page=0
    October 01, 2008 - differences in access to or availability of medical facilities and services and variation in rates of disease occurrence

88. Center for Consumer Health Care Information Patient Safety Center. | PSNet
    psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
    February 04, 2025 - 2005 The Center's efforts for patient safety are highlighted, including New York's Patient Occurrence

89. Risk Assessment | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
    January 01, 2023 - The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … allows the analyst or analyzing team to identify the exact issue, identify the reason for the problem’s occurrence

90. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
    January 01, 2024 - Risk managers were asked how many occurrence reports were entered into their occurrence reporting system … The number of occurrence reports ranges widely. … Risk managers were asked about the dissemination of occurrence reports in their hospital. … Risk managers were asked how many occurrence reports were entered into their occurrence reporting system … The number of occurrence reports ranged widely from 344 to 7,263.

91. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
    www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
    January 01, 2025 - Of 7,076 intubations from the apneic oxygenation sites, the use of apneic oxygenation had lower occurrence … Of 5,060 intubations from video laryngoscope sites, the use of video laryngoscope had lower occurrence … After adjusting for patient, provider, and practice factors, the apneic oxygenation and the occurrence … Similarly, the occurrence of hypoxemia was not different between the video laryngoscope versus the direct … Ketamine Use for Tracheal Intubation in Critically Ill Children Is Associated With a Lower Occurrence

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35933/psn-pdf
    July 26, 2010 - Surgical 'never events': how common are adverse occurrences? July 26, 2010 West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. https://psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences The…

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37757/psn-pdf
    March 10, 2011 - Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. March 10, 2011 Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38892/psn-pdf
    August 26, 2009 - Wrong site surgery near misses and actual occurrences. August 26, 2009 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. https://psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences This a…

95. Nurses' clinical reasoning practices that support safe medication administration: an integrative review of the literature. | PSNet
    psnet.ahrq.gov/issue/nurses-clinical-reasoning-practices-support-safe-medication-administration-integrative-review
    October 19, 2022 - September 24, 2016 The relationship between nursing experience and education and the occurrence … July 1, 2016 The occurrence of adverse events potentially attributable to nursing care

96. Pediatric medical errors part 1: the case. A pediatric drug overdose case. | PSNet
    psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
    April 22, 2020 - August 10, 2016 The relationship between nursing experience and education and the occurrence … May 7, 2014 The relationship between the nursing work environment and the occurrence

97. Medication administration errors by nurses: adherence to guidelines. | PSNet
    psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
    July 08, 2020 - From the Same Author(s) Maximum emergency department overcrowding is correlated with occurrence … June 28, 2017 The occurrence of adverse events potentially attributable to nursing care

98. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet
    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - September 8, 2021 Implementing the clinical occurrence reporting and learning system: … December 15, 2014 The occurrence of adverse events potentially attributable to nursing

99. Trial and error: learning from malpractice claims in childhood surgery. | PSNet
    psnet.ahrq.gov/issue/trial-and-error-learning-malpractice-claims-childhood-surgery
    March 09, 2022 - August 26, 2020 Occurrence of no-harm incidents and adverse events in hospitalized patients … December 1, 2021 The effect of a transitional pharmaceutical care program on the occurrence

100. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
     April 26, 2023 - March 5, 2025 The relationship between nursing experience and education and the occurrence … July 1, 2016 The relationship between the nursing work environment and the occurrence