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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - champions, and (v) providing the necessary education to try to prevent these types of events from occurring … and, through this understanding, potentially prevent a disruptive event or communication mishap from occurring … sessions mentioned above are designed to improve understanding and responses to prevent the event from occurring … After the event, the issue must be addressed to prevent it from occurring again. … assumptions about the event lead to a better understanding, which is enough to prevent the event from occurring

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861761/psn-pdf
    January 31, 2024 - found that 60% of those children experienced at least one severe ASE, with the highest odds of ASE occurring

  3. Neonatal Intensive Care: All Condition Readmissions with Gestational Age Reported: Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0207-technical-specifications.pdf
    June 02, 2025 - These time periods are assessed cumulatively, such that readmissions occurring within prior time periods

  4. women-hiv-protocol-160301 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/women-hiv_research-protocol.pdf
    March 01, 2016 - Assess the performance of diagnostics for co-occurring disease; and assess the effects of treating … co-occurring diseases (such as depression) or risk factors (such as high blood pressure) on person-level … Assess co-occurring diseases and risk factors as predictor of all-cause mortality and HIV progression … For assessing the effectiveness and safety of treatments for co-occurring diseases or risk factors, … Examples of co-occurring diseases of interest include cancer, infections (including hepatitis C, human

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73912/psn-pdf
    October 06, 2021 - The brief focuses on events occurring during childbirth and up to a week postpartum. 

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74754/psn-pdf
    February 09, 2022 - meta-analysis of all types of adverse events, critical or life-threatening adverse events, and death occurring

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72700/psn-pdf
    January 01, 2022 - control study compared missed acute coronary syndrome (ACS) cases to other cases with chest discomfort occurring

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764394/psn-pdf
    March 02, 2022 - Errors and/or adverse events occurring in one emergency department (ED) were classified into one of

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50622/psn-pdf
    November 06, 2019 - This retrospective cohort study examined outcomes of patients undergoing nonemergent cardiac surgery occurring

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60991/psn-pdf
    October 07, 2020 - The authors identified a greater number of opioid overdoses occurring between March 1 to June 30, 2020

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855098/psn-pdf
    November 08, 2023 - applied the International Classification for Patient Safety (ICPS) criteria to categorize types of falls occurring

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60318/psn-pdf
    January 01, 2022 - barriers contribute to patient safety events, the authors analyzed near- miss and adverse event reports occurring

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60050/psn-pdf
    March 18, 2020 - non-physical harms (e.g., psychological harms), harms to caregivers and the healthcare workforce, and harms occurring

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50795/psn-pdf
    January 15, 2020 - incident-report This retrospective study reviewed incident reports to characterize diagnostic errors occurring

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61119/psn-pdf
    November 11, 2020 - decision-making strategies used by emergency medicine physicians, contributing factors to diagnostic errors occurring

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73662/psn-pdf
    September 01, 2021 - Researchers analyzed videotapes of in situ simulations to evaluate latent safety events occurring during

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72593/psn-pdf
    January 01, 2021 - an adapted human factors analysis classification system (HFACS) to describe three levels of failure occurring

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50650/psn-pdf
    November 13, 2019 - safety in primary care settings and there is no clear definition of patient safety incidents and harm occurring

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61112/psn-pdf
    November 11, 2020 - Dose alert overrides had high sensitivity to detect medication prescribing errors occurring in an inpatient

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60199/psn-pdf
    April 08, 2020 - mixed-methods approach to retrospectively analyze root cause analysis (RCA) reports of ‘never events’ occurring
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