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Showing results for "occurring".

  1. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - August 11, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Review of reported adverse events occurring among the homeless veteran

  2. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
    November 17, 2021 - Related Resources From the Same Author(s) Review of reported adverse events occurring … June 23, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50714/psn-pdf
    December 04, 2019 - points of failure in the patient’s care and the other that shares strategies to prevent the event from occurring

  4. Research Findings #5: Characteristics of Nursing Home Residents - 1996 (pdf file)

    meps.ahrq.gov/data_files/publications/rf5/rf5.pdf
    December 01, 1998 - Percent of the most frequently occurring health conditions for nursing home residents under age 65 … Proportion of nursing home residents with the most frequently occurring health conditions, by age . . … Ten most frequently occurring health conditions by age and sex . . . . . . . . . . . . . . . . . . . … The most frequently occurring conditions among nursing home residents were dementias, various forms of … Note: The most frequently occurring conditions for nursing home residents under age 65 are seizures,

  5. Tips and Suggestions for Enhancing Organizational Readiness | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps/readiness/abouttips.html
    April 01, 2016 - Identify all the changes that are currently occurring within the organization, determine who the changes … Identify current safety and quality initiatives (e.g., Lean Six Sigma) that may be occurring within the … For example, TeamSTEPPS behaviors can be used during normally occurring handoffs to enhance information

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866863/psn-pdf
    October 02, 2024 - This study examined the incidence and characteristics of adverse events occurring at two dental clinics

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38102/psn-pdf
    April 15, 2019 - epidemiology-adverse-events-air-medical-transport Air transport of patients is generally safe, with possible patient harm occurring

  8. New Patient Safety Network Cases Offer Commentaries on Avoiding Severe Medical Errors | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/avoiding-severe-medical-errors.html
    January 01, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring

  9. Research Training and Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/index.html
    December 01, 2022 - AHRQ’s training opportunities are designed to prepare researchers to address the vast changes occurring

  10. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/match/matchap5.html
    August 01, 2012 - How do you monitor and measure that reconciliation is occurring? … How do you monitor and measure that reconciliation is occurring?

  11. AHRQ Special Emphasis Notice on Health Services Research to Improve Healthcare for Persons Living with Disabilities | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/special-emphasis-notice.html
    November 01, 2023 - Focus on disability and intersections with co-occurring conditions, including chronic disease and multiple

  12. Application of failure mode and effect analysis in a radiology department. | PSNet

    psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
    October 13, 2010 - Related Resources From the Same Author(s) Anatomy and pathophysiology of errors occurring … January 22, 2017 Anatomy and pathophysiology of errors occurring in clinical radiology

  13. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality

    pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a

  14. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality

    pcmh.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - partners—realized that hospitals needed to understand specifically how and where adverse events were occurring … Provides additional detail for the most frequently occurring events, e.g., not just fall rates over a

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854634/psn-pdf
    January 01, 2024 - After implementation, the number of elopements occurring over a six-month period decreased from 34 to

  16. 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

  17. Emergency Department Visits Related to Suicidal Ideation, 2006-2013 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb220-Suicidal-Ideation-ED-Visits.pdf
    December 01, 2016 - ■ Among suicidal ideation–related ED visits, 12 percent of patients had a co-occurring injury. … Finally, co-occurring injuries and mental and substance use disorders for patients with ED visits related … Top five co-occurring mental and substance use disorder diagnoses for ED visits related to suicidal … This diagnosis was not among the top five co-occurring mental and substance use disorder diagnoses in … The percentage of ED visits related to suicidal ideation and co-occurring schizophrenia and/or other

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - This systematic review identified 39 unique errors occurring in trauma resuscitation involving emergency

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50567/psn-pdf
    October 23, 2019 - diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new- directions This article reviews diagnostic errors occurring

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73536/psn-pdf
    July 28, 2021 - records-review-study In this retrospective study, researchers examined patient records to describe patient harm occurring
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