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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - have internal and external data to support that medication errors, and in many cases patient harm, are occurring
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - CLT as it applies to diagnostic accuracy is a relatively new area of study, with most of the research occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Response, Mitigation, Prevention
Module 1
19
Once the CANDOR system is activated, two processes are occurring … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring
-
www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - step with intent to walk
Gait Initiation
Foot Off Swing
Step
GIFOSw First step to initiate gait, occurring … There was a
trend with the most FREs occurring at the low bed height. … In summary, we support the hypothesis that movements occurring prior to and during an FRE are
indicative … There was a trend with the
most FREs occurring at the low bed height, suggesting that the low bed had … In conclusion, there was a trend
with the most FREs occurring at the low bed height, suggesting that
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - much more commonly treated at visits to outpatient settings, with more than 12 million such visits occurring … Events treated in ambulatory settings may be less severe than those occurring in inpatient settings.
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - following ICU discharge. 45 percent of observed patients experienced an early death, defined as death occurring … In addition, when a functional decline was already occurring prior to admission, the patient had a higher
-
www.ahrq.gov/news/newsroom/case-studies/201808.html
December 01, 2018 - Insertion-related CAUTI was considered any CAUTI occurring within 7 days of insertion of an indwelling
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - physically present in the room
Paused other tasks: not engaged in other tasks while the briefing was occurring
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Paused other tasks : not engaged in other tasks while the briefing was occurring.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - Infections caused by multidrug resistant organisms are occurring more frequently in
residents.
-
www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - psychiatric perspective when they are fully interviewed in their own language, with the translation occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-one-page.docx
November 01, 2019 - Ventilator-Associated Pneumonia
Ventilator-Associated Pneumonia
Diagnosis
· Defined as pneumonia occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - infections (UTIs)
Suspected complicated UTIs
− UTIs in adolescent or adult males or UTIs in a female occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
June 02, 2025 - In column E, “Volume of Cases at Risk,” indicate the annual volume of each PDI event
occurring within … This number is the total raw number of events occurring
within your organization for your chosen time
-
www.ahrq.gov/research/publications/search.html?page=17
October 01, 2011 - research and implementation projects, offers these 10 evidence-based tips to prevent adverse events from occurring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - following ICU discharge. 45 percent of observed patients experienced an early death, defined as death occurring … In addition, when a functional decline was already occurring prior to admission, the patient had a higher
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - organization can demonstrate its commitment to making sure steps are taken to prevent a similar event from occurring … What is occurring in your legal community regarding medical litigation?
-
www.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
February 01, 2017 - effort; factors not related to the PCMH transformation effort, such as changes in patient mix and co-occurring … transformation can help to distinguish changes caused by transformation efforts versus other trends or co-occurring … Costs may be affected by co-occurring quality improvement or other initiatives whose activities overlap
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
October 01, 2015 - effort; factors not related to the PCMH transformation effort, such as changes in patient mix and co-occurring … transformation can help to distinguish changes caused by transformation efforts versus other trends or co-occurring … Costs may be affected by co-occurring quality improvement or other initiatives whose activities overlap
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 02, 2025 - 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