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Showing results for "occurring".

2941. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Debriefings are often brief meetings immediately following a case, either regularly occurring or under

2942. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - care and delineated the steps in which physicians and their staff members perceive the most errors occurring

2943. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - • Occurrence (O) evaluates the risk of the event occurring again.

2944. I. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/intro1.html
      May 01, 2016 - Weingart and colleagues 29 found that 73 percent of adverse events occurring in primary care practices

2945. Manage-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
      June 01, 2021 - As we discussed previously, if Mary’s illness is occurring during respiratory virus season, respiratory

2946. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - Context: The study was limited to warfarin-related incidents occurring in the nursing home setting

2947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863747/psn-pdf
      March 06, 2024 - "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. March 6, 2024 Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582. doi:10.…

2948. CAHPS Program: Improving Response Rates and Representativeness - Trends in Survey Response Rates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-brown.pdf
      January 01, 2000 - CAHPS Program: Improving Response Rates and Representativeness - Trends in Survey Response Rates Trends in Survey Response Rates Julie Brown Senior Survey Researcher RAND Corporation, Santa Monica, CA 12 Response Rates Are Declining • Since 2000, survey response rates in the published literature have decrease…

2949. Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section6.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Sustainability Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of P…

2950. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.html
      July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Overview Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resour…

2951. Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0208-technical-specs.pdf
      June 02, 2025 - Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported Technical Specifications Eligible Population: Indication of NICU stay in the first 30 days of life without a spec…

2952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46578/psn-pdf
      April 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. April 29, 2018 Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106. https://psnet.ahrq.gov…

2953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38621/psn-pdf
      February 18, 2011 - Process of care failures in breast cancer diagnosis. February 18, 2011 Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Di…

2954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37096/psn-pdf
      June 24, 2010 - Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. June 24, 2010 Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources…

2955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44302/psn-pdf
      August 04, 2015 - The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. August 4, 2015 Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…

2956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42350/psn-pdf
      June 12, 2013 - PCA safety data review after clinical decision support and smart pump technology implementation. June 12, 2013 Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9. doi:10.1097/PTS.0b013e318281b866. …

2957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41764/psn-pdf
      January 18, 2013 - Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. January 18, 2013 Rosen AK, Loveland S, Shin MH, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions…

2958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39777/psn-pdf
      November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…

2959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37063/psn-pdf
      January 02, 2017 - Housestaff and medical student attitudes toward medical errors and adverse events. January 2, 2017 Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. https://psnet.ahrq.gov/issue/housestaff-and…

2960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36907/psn-pdf
      September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update. September 14, 2012 Washington DC: National Quality Forum; December 2011. https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update The National Quality Forum originally defined 27 health care "never events"—patient safety events that pose ser…