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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35028/psn-pdf
    May 27, 2011 - Medication errors and adverse drug events in pediatric inpatients. May 27, 2011 Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients This p…

  2. Table 25. Utilization of education and case management (ECM) visits among adults who had at least one visit by type of visit. All project sites. Fiscal year 2010 | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab25.html
    December 01, 2017 - Table 25. Utilization of education and case management (ECM) visits among adults who had at least one visit by type of visit. All project sites. Fiscal year 2010 ARRA Grant Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery syst…

  3. Delrahim Howlett Podcast Transcript (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/delrahim-howlett-podcast-transcript.pdf
    June 16, 2021 - Delrahim Howlett Podcast Transcript Podcast 1  Web‐Based Assessment and Brief Intervention for Alcohol Use in Women of Childbearing Age  (Dr. Katia Delrahim Howlett)  Narrator: Welcome to Health IT Spotlight from the Agency for Healthcare Research and Quality.  Fetal Alcohol Spectrum Disorders result from prenatal e…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46877/psn-pdf
    March 14, 2018 - Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. March 14, 2018 Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. https://psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014 Adverse drug even…

  5. 148-Investigating-Defect-Lfd-Worksheet (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
    June 02, 2025 - AHRQ Safety Program for MRSA Prevention Investigating A Defect Worksheet ICU & Non-ICUTop Contributing Factors Interventions To Reduce Risk Who Will Do It and By When Status Enter contributing factor Enter intervention Enter responsible staff, deadline Enter status Enter contributing factor Enter intervention Enter re…

  6. Hindsight Bias | PSNet

    psnet.ahrq.gov/glossary/hindsight-bias
    September 13, 2021 - Hindsight Bias September 13, 2021 Anonymous (not verified) In a very general sense, hindsight bias relates to the common expression "hindsight is 20/20." This expression captures the tendency for people to regard past events as expected or obvious, even when, in real time, the events perplexed those involved. M…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838134/psn-pdf
    September 21, 2022 - Allergic adverse drug events after alert overrides in hospitalized patients. September 21, 2022 Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034. https://psnet.ahrq.gov/issue/aller…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40093/psn-pdf
    May 25, 2011 - Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. May 25, 2011 Wang GS, Erwin N, Zuk J, et al. Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. J Hosp Med. 2011;6(3):131-5. doi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45686/psn-pdf
    January 18, 2017 - Association between hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target and nontarget conditions. January 18, 2017 Desai NR, Ross JS, Kwon JY, et al. Association Between Hospital Penalty Status Under the Hospital Readmission Reduction Program and Readmission Ra…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50820/psn-pdf
    January 22, 2020 - Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. January 22, 2020 Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression. Jt C…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865479/psn-pdf
    April 03, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. April 3, 2024 Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45640/psn-pdf
    September 01, 2018 - Case outcomes in a communication-and-resolution program in New York hospitals. September 1, 2018 Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.12594. https://psnet.ahrq.gov/i…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46045/psn-pdf
    December 22, 2018 - Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. December 22, 2018 Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors Essential to Preventin…

  15. Origin of Adverse Drug Events in U.S. Hospitals, 2011 - Statistical Brief #158

    hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
    July 01, 2013 - data can be used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least frequently occurring cause overall. … Clostridium difficile infection was the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at

  16. Parent preferences for medical error disclosure: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric

  17. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency

  18. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring

  19. Risk factors for hospital admissions associated with adverse drug events. | PSNet

    psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
    October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

  20. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous
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