-
www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - risk assessment directed at selecting interventions to lessen the
rate of serious adverse drug events occurring … For many proximal errors, a long string of events would lead to the error occurring with
no safety checks … previously found this error to be responsible for 41% of the preventable serious adverse
drug events occurring … – the most common cause of serious, preventable adverse drug
events and by far the most frequently occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 05, 2016 - column E, “Volume of Cases at Risk,” indicate the annual volume of each PSI, IQI, and/or
PDI event occurring … This number is the total raw number of events
occurring within your organization for your chosen time
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - Image: A good target for an intervention is a defect that occurs often and has a major reason for occurring … indicating a good target for an intervention is on the far northeast corner, at the meeting of often occurring
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Next, rate each barrier on the likelihood of the barrier occurring within the unit and the severity of … of the Barrier Summary and Prioritization Table, rate each barrier on the likelihood of the barrier occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/144-cusp-tip-sheet-engaging-surgeons.docx
April 01, 2025 - improvement processes, and sometimes, a lack of awareness about broader patient safety initiatives occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-227-section-5-table-4.pdf
January 01, 2002 - • Urgent replacement of blood is often
required for sudden severe anemia occurring
in children when
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/gardner_r21grant.pdf
September 01, 2013 - Main Objective
Systematically describe the
incidence, treatment, and
outcomes of multiple co-
occurring
-
www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - The Patient Safety Indicators (PSIs) identify adverse events occurring during hospitalization.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0124-technicalspecs.pdf
November 01, 2011 - www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures/HEDIS2012/HEDIS2012FinalNDCLists.aspx�
EXCLUDE:
Events occurring … Events occurring in patients who not have been enrolled in the reporting plan
for at least 2 consecutive
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
December 01, 2014 - Can show trends occurring over time.
Can provide treatment history. … Example of trends occurring over time.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - facility level for residents at high risk for adverse events
Are generated weekly
Can show trends occurring … consumption
Weight loss
Trigger Summary Reports
Example of resident- and unit-level reports
Example of trends occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Next, rate each barrier on the likelihood of the barrier occurring within the unit and the severity of … of the Barrier Summary and Prioritization Table, rate each barrier on the likelihood of the barrier occurring
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - clinicians understand what a CANDOR event is and what to do when they recognize that a CANDOR event is occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
February 28, 2022 - Directed toward improvement:
Helps prevent the same problem from occurring in the future.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/miller_r24grant.pdf
September 01, 2013 - weaknesses, and
potential for extensive CER with patients from underrepresented
groups who have co-occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/gross_grant.pdf
September 01, 2013 - Main Objective
Increase understanding of how
co-occurring chronic diseases,
sex, and age affect the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5b.docx
January 29, 2013 - Background: This sample protocol illustrates how to evaluate whether fall prevention care processes are occurring
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appc.html
October 01, 2015 - new data system (the Transformed Medicaid Statistical Information System, or T-MSIS) for all claims occurring
-
www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
January 01, 2024 - sought to test whether deaths due to underlying complex chronic
conditions (CCCs) were increasingly occurring … DESIGN & METHODS: Retrospective case series of all deaths occurring to children
age 0-18 years in Washington … DESIGN AND METHODS: Retrospective case series of all deaths occurring under
25 years of age from 1990 … Characteristics of deaths occurring in children's
Feudtner, Final Progress Report, page 10 of 13
-
www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Through this strategy, we
hoped to see different kinds of errors and near misses occurring within the … In the emergency medicine setting, we observed shift work activities occurring during the
day that involved … In interviews with surgical
residents, a link was implied between the high percentages of mistakes occurring … The fact that none of the mistakes and
near misses occurring in isolation was associated with an adverse