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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866167/psn-pdf
    June 19, 2024 - Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. June 19, 2024 Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective direct observational study of pae…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837512/psn-pdf
    January 01, 2024 - Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022 Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Hum Factors. 2024;6…

  3. Flowcharts | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/flowcharts
    January 01, 2023 - Flowcharts 1. Examples of flowcharts In-Office Prescribing - Paper System ( PDF , 22KB) Prescription Renewal Request - Paper System ( PDF , 25KB)   2. Why and how do we assess workflow using flowcharts when we are determining our clinic’s health it system requirements? A flow…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43309/psn-pdf
    August 02, 2015 - Wrong-side thoracentesis: lessons learned from root cause analysis. August 2, 2015 Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learne…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867444/psn-pdf
    January 08, 2025 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. January 8, 2025 Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications in a paediatric hospital…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867519/psn-pdf
    January 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. January 15, 2025 Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. doi:10.1016/j.rcsop.2024.100531.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867523/psn-pdf
    January 15, 2025 - How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. January 15, 2025 Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Jt Com…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837793/psn-pdf
    August 10, 2022 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. August 10, 2022 Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…

  9. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
    August 01, 2022 - determined to involve a potential transition of care event, defined by a multidisciplinary team as occurring … risk mitigation files, and incident reports from the target hospital) to identify potential failures occurring … These 18 events included those occurring during surgeries and other procedures (e.g., failure of sterility

  10. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)

    www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
    January 01, 2024 - / or pharmacy technician involved in a patient encounter completed the OTC form for that encounter, occurring … same pharmacists/technicians then used the OTC form to collect information about patient encounters occurring … including the propensity score) trended in the direction of anticipated effects, with lower frequencies occurring

  11. Healthcare Research and Quality Act of 1999 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/hrqa99.pdf
    January 10, 2001 - health care; ‘‘(B) provide information on the quality of care and patient outcomes for frequently occurring … — ‘‘(A) the nature and characteristics of primary care practice; ‘‘(B) the management of commonly occurring … portion by the factor applied under section 1886(d)(3)(E) of the Social Security Act for discharges occurring

  12. Archived: Evidence Summary: Folic Acid for the Prevention of Neural Tube Defects: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/folic-acid-for-the-prevention-of-neural-tube-defects-preventive-medication-january-2017
    January 10, 2017 - that examined the use of folic acid supplementation with or without food fortification or naturally occurring … Together they span births occurring over 3 decades, from 1976 through 2007. … and dose of supplements over a relatively short period of exposure (around the time of conception) occurring

  13. Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: USPSTF Final Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/94EGaPfA7-rqrR_xhaA2Yc
    June 11, 2018 - Current Practice Older or Vulnerable Adults | Limited evidence suggests that screen- ing is not commonly occurring … abuse.23 Women | While not specific to age, evidence suggests that screen- ing for IPV is not commonly occurring … Five-year all-cause mortality rates across five categories of substantiated elder abuse occurring in

  14. Microsoft Word - CaseforPOAIndicator_final_060806 _2_.doc (pdf file)

    hcup-us.ahrq.gov/reports/methods/2006_1.pdf
    January 01, 2006 - a discharge of an individual in order for payment to be made under this subsection, for discharges occurring … Postoperative complications that should have a low POA percentage when occurring on surgical cases: … Acute medical conditions that should have a low POA percentage when occurring on surgical case: A hospital

  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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