-
psnet.ahrq.gov/node/44149/psn-pdf
June 03, 2015 - This commentary examines the
literature on dialysis-related incidents occurring in the home setting
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psnet.ahrq.gov/node/46760/psn-pdf
January 24, 2018 - medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
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psnet.ahrq.gov/node/46961/psn-pdf
June 06, 2018 - A previous
WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
January 01, 2023 - For each answer from step 2, determine what you would do to prevent each event from occurring.
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hcup-us.ahrq.gov/reports/statbriefs/sb309-sepsis-race-2016-2022-addendum.pdf
January 01, 2022 - Outcomes for stays when sepsis was a co-occurring condition or complication of the stay (i.e., only reported … For stays in which sepsis was a co-occurring condition
or complication of the stay, other conditions … Additionally, information is presented separately for
sepsis as the reason for the stay versus a co-occurring … White NH 1,056,695 1,180,470 166,435 1,014,035
Sepsis was a co-occurring
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psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - A preventable error occurring in an elderly patient is discussed in an AHRQ WebM&M
commentary.
-
psnet.ahrq.gov/node/45924/psn-pdf
March 15, 2017 - prospective study elicited incident reports from general practitioners for all types of adverse events
occurring
-
psnet.ahrq.gov/node/46246/psn-pdf
June 25, 2018 - Investigators interviewed 30 oncologists to understand their attitudes
toward disclosure of medical errors occurring
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hcup-us.ahrq.gov/reports/infographics/AdverseDrugEventsInfographic.pdf
February 12, 2015 - HCUP Adverse Drug Events Infographic
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S
-
psnet.ahrq.gov/node/36680/psn-pdf
July 10, 2008 - An electronic medical record was screened for hospitalizations or urgent visits occurring within 10
-
digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
January 01, 2023 - project were to:
Implement an automated surveillance system for measuring the incidence of ADEs occurring … Use the automated surveillance system for measuring the incidence of ADEs occurring in these patient
-
psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
July 31, 2019 - Near misses or adverse events due to defective surgical equipment were rare, occurring in only 1 per
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - solving
Solves one problem in one particular instance
Generally does not help prevent future harm from occurring … adaptive interventions to change culture and beliefs
Identifies system opportunities to prevent harm from occurring
-
psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - observational study, investigators
examined maternal and neonatal quality measures for deliveries occurring
-
psnet.ahrq.gov/node/37648/psn-pdf
January 12, 2012 - This study
summarizes the types and severity of adverse events occurring in ASCs in Florida, gathered
-
effectivehealthcare.ahrq.gov/sites/default/files/upenn-final-report-2005-certs-ce-supplement.pdf
January 01, 2005 - Cardiorespiratory arrest
798 Sudden Death, Cause Unknown
798.1 Instantaneous Death
798.2
Death Occurring … Results: Queries of the CMS claims data identified 477 SCD/VA events occurring within 127,106 person-years … If we had not restricted our validation definition to exclude events occurring during the
course of … Conclusion: Overall, our outpatient-occurring composite SCD/VA outcome validated poorly (PPV= 18%).
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/administrative-data-validity_research.pdf
January 01, 2007 - Cardiorespiratory arrest
798 Sudden Death, Cause Unknown
798.1 Instantaneous Death
798.2
Death Occurring … Results: Queries of the CMS claims data identified 477 SCD/VA events occurring within 127,106 person-years … If we had not restricted our validation definition to exclude events occurring during the
course of … Conclusion: Overall, our outpatient-occurring composite SCD/VA outcome validated poorly (PPV= 18%).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - organization can demonstrate its commitment to making sure steps are taken to prevent a similar event from occurring … Identify trends occurring in your legal community regarding medical litigation. … What is occurring in your legal community regarding medical litigation?
-
psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - Predictors of higher harm included diagnostic
errors, patient/caregiver challenges, and events occurring
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pso.ahrq.gov/about
October 01, 2020 - Err Is Human , which sparked national concern over the number of preventable medical errors that were occurring