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Showing results for "occurring".

81. Appendix A. Recommendations for Ideal Consumer Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
    June 02, 2025 - The reporting system will need to be flexible regarding analysis and other activities occurring at local

82. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - Harms as Opportunities1 Reframe a problem or error as an opportunity to prevent the same problem from occurring

83. Implementation Guide for the CANDOR Process: Appendix A | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
    August 01, 2022 - Assess what is occurring in the organization's legal community regarding medical litigation.

84. Building the Business Case for CANDOR Worksheet | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
    August 01, 2022 - Assess what is occurring in the organization's legal community regarding medical litigation.

85. Participation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp3.html
    January 01, 2013 - Further, there were approximately 28 million hospital admissions in 2010 with slightly over 10 million occurring

86. Fact Sheet on Patient Safety Indicators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
    October 01, 2015 - for Healthcare Research and Quality (AHRQ) to provide information on safety-related adverse events occurring

87. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
    January 01, 2024 - We excluded outcomes occurring on the first day of statin exposure because of pharmacological data … The baseline sCr measurement was the lowest sCr value occurring within 365 days before the elevated … Outcomes occurring during follow-up time were attributed to the current exposure category. … Outcomes occurring within 30 days after the included follow-up time were attributed to the prior exposure … Outcomes occurring more than 30 days after included follow-up time were not included in the analysis

88. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - dispensing and administration studies.6, 7 However, the goals of the present study were to identify errors occurring … The identification and characterization of medication errors occurring in the Medical Errors Prior … Specifically, the team was very interested in identifying errors occurring in patients greater than … The types of errors that are characterized in the ambulatory setting are often different from those occurring

89. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
    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

90. Appendix A. Recommendations for Ideal Consumer Reporting Systems | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/hotline/appa.html
    May 01, 2016 - The reporting system will need to be flexible regarding analysis and other activities occurring at local

91. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

92. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
    May 01, 2017 - Divergent thinking occurs during brainstorming sessions and when trying to understand what might be occurring

93. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
    October 01, 2014 - Many of the trends occurring in care management, such as population-based approaches and managing comorbid

94. Staff Safety Assessment
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - happen again CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring

95. Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
    January 01, 2024 - common care gaps underscored the importance of improving systems and processes to prevent errors from occurring … study results suggested that there are opportunities to improve efforts to prevent care gaps from occurring

96. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - To implement an automated surveillance system for measuring the incidence of ADEs occurring in the outpatient … To utilize the automated surveillance system for measuring the incidence of ADEs occurring in these patient … Laboratory monitoring of medications and physiologic function, though frequently occurring on a near-daily … setting (including the emergency department) that require emergency care or hospital admission and occurring … Adverse drug events occurring following hospital discharge. J Gen Intern Med 2005; 20(4):317-323.

97. Antibiotic-Targets-Facilitator-Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - This type of problem solving generally does not help prevent future harm from occurring. … It identifies problems in the system and works to prevent them from occurring again.

98. Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - determined to involve a potential transition of care event, defined by a multidisciplinary team as occurring … collected and reviewed the hospital’s clinical and administrative documents to identify potential failures occurring

99. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
    November 01, 2019 - solving one particular instance of the problem, and it generally does not help prevent future harm from occurring … It identifies issues in the system and aims to prevent them from occurring again.

100. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - Using this process, they found that harmful DEs were common, occurring in about 7% of hospitalized patients