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Showing results for "occurring".

  1. Patient-Centered Outcomes Research Trust Fund Training Program Evaluation Report | Agency for Healthcare Research and Quality

    www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tp-evaluation-report.html
    August 01, 2024 - During this period, AHRQ issued 80 PCORTF-supported grant awards, with start dates occurring between

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866352/psn-pdf
    July 24, 2024 - This commentary describes the challenges of using national falls databases to learn from falls occurring

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48067/psn-pdf
    June 12, 2019 - Nursing observations and formal assessments of mothers' sleepiness prevented infant drops from occurring

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60819/psn-pdf
    August 19, 2020 - retrospective review of patient incident reports in Finland found that nearly half of the 82,353 incidents occurring

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48081/psn-pdf
    January 01, 2021 - Veterans Health Administration efforts surrounding the lessons learned process for adverse events occurring

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50652/psn-pdf
    January 01, 2020 - retrospective review conducted at four Canadian acute care hospitals describes preventable adverse drug events occurring

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866561/psn-pdf
    August 21, 2024 - transition to DST was not associated with higher severity patient safety incidents, but that events occurring

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866642/psn-pdf
    September 04, 2024 - with the Green Cross method, a proactive method to report and learn from patient safety incidents occurring

  9. Network of Patient Safety Databases (NPSD) Dashboards | PSO

    pso.ahrq.gov/common-formats/npsd-dashboards
    November 01, 2024 - Additional dashboards of patient safety concerns occurring in the hospital setting include: Blood and

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - enteral-nutrition-underappreciated-source-patient-safety-events Enteral nutrition (EN) therapies are vulnerable to the same types of errors as those occurring

  11. Sample Scenario for Uterine Tachysystole In Situ Simulation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-ut-tachysystole.html
    July 01, 2023 - Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … Pulse 110 BP 140/85 Resp Rate 20 FHR: 130; late decelerations are occurring with each contraction … Contractions are now lasting 60 seconds and occurring every 90 seconds with very little return to baseline … assessment after trigger #2 Pulse 110 BP 140/85 Resp Rate 20 FHR: 130; late decelerations are occurring

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72816/psn-pdf
    March 10, 2021 - This cohort study analyzed adverse events occurring among patients discharged from the ED with cardiovascular

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72702/psn-pdf
    February 03, 2021 - outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative The Wake Up Safe initiative includes a registry of serious adverse events occurring

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74746/psn-pdf
    February 09, 2022 - /medication-errors-causes-analysis-home-care-setting-systematic-review Causes of medication errors occurring

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36437/psn-pdf
    June 06, 2018 - of the misadministration of Promethazine and provides recommendations to minimize the risk of this occurring

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50911/psn-pdf
    February 19, 2020 - medication errors due to the severity of their injuries and the multiple handoffs and transitions often occurring

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839324/psn-pdf
    November 02, 2022 - examined how COVID-19-related workflow changes affected reporting of medical errors and near misses occurring

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851656/psn-pdf
    July 26, 2023 - Using RCA data from the Veterans Health Administration (VHA), this study characterized adverse events occurring

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60575/psn-pdf
    June 10, 2020 - incident This case study describes the use of root cause analysis to investigate a critical incident occurring

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50708/psn-pdf
    December 04, 2019 - This study compared the incidence of medication errors occurring in two NICUs over a three-month period
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