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Showing results for "occurring".

  1. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
    January 01, 2024 - step with intent to walk Gait Initiation Foot Off Swing Step GIFOSw First step to initiate gait, occurring … There was a trend with the most FREs occurring at the low bed height. … In summary, we support the hypothesis that movements occurring prior to and during an FRE are indicative … There was a trend with the most FREs occurring at the low bed height, suggesting that the low bed had … In conclusion, there was a trend with the most FREs occurring at the low bed height, suggesting that

  2. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - Response, Mitigation, Prevention Module 1 19 Once the CANDOR system is activated, two processes are occurring … Investigation: to determine how the event occurred, and how to mitigate that event or even prevent it from occurring … organization as a whole, with feedback on the investigation and its plans to prevent the adverse harm from occurring … allowing for clarification and improvement of the CANDOR processes and preventing similar harm events from occurring … along with information as to what action the organization is taking to prevent a similar event from occurring

  3. Guidelines for Design and Construction. | PSNet

    psnet.ahrq.gov/issue/guidelines-design-and-construction
    April 29, 2020 - November 4, 2020 Review of reported adverse events occurring among the homeless veteran

  4. Critical Incident Technique | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-incident-technique
    January 01, 2023 - cognitive details (i.e., what the person being interviewed thought and perceived while the incident was occurring

  5. Adverse events and preventable adverse events in children. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children
    March 24, 2011 - event rates (1% and 0.6%, respectively) were similar to those seen in adult populations, with most occurring

  6. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet

    psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
    February 24, 2011 - voluntary reporting systems indicates that approximately 1300 to 2700 WSPEs occur yearly, with many occurring

  7. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
    December 22, 2018 - The  Wake Up Safe  initiative includes a registry of serious adverse events occurring in  pediatric anesthesia

  8. Epidemiology of adverse events in air medical transport. | PSNet

    psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
    July 03, 2014 - Air transport of patients is generally safe, with possible patient harm occurring in approximately 1

  9. Diagnostic error in a national incident reporting system in the UK. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
    February 15, 2013 - error rate among events filed as incident reports , with the greatest harm associated with events occurring

  10. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
    August 02, 2015 - diagnostic errors in interpretation of pediatric musculoskeletal radiographs were relatively rare, occurring

  11. Other HHS Initiatives | The Academy

    integrationacademy.ahrq.gov/about/initiatives/other-initiatives
    May 01, 2024 - Behavioral Health Treatment Utilization Among Individuals With Co-occurring Opioid Use Disorder and Mental … opioid use disorder, finding that a high percentage (47%) of individuals with opioid use disorder and co-occurring

  12. Look-alike, sound-alike drugs trigger dangers. | PSNet

    psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
    June 29, 2016 - September 8, 2010 Medication errors occurring with the use of bar-code administration

  13. Clinical Summary: Screening for Hepatitis B Virus Infection in Pregnant Women (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/u7yLAN-SqsWk4TSoj-VH7V
    sexual intercourse, but most prevalent cases of HBV infection are chronic infections from exposure occurring

  14. Sterile water should not be given "freely." | PSNet

    psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
    March 18, 2010 - Copy Citation Related Resources From the Same Author(s) Medication errors occurring

  15. Safeguarding the storage of drug products. | PSNet

    psnet.ahrq.gov/issue/safeguarding-storage-drug-products
    December 15, 2010 - March 18, 2010 Medication errors occurring with the use of bar-code administration technology

  16. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
    February 01, 2017 - following ICU discharge. 45 percent of observed patients experienced an early death, defined as death occurring … In addition, when a functional decline was already occurring prior to admission, the patient had a higher

  17. Part 3: National Quality Strategy Priority—Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
    June 01, 2018 - much more commonly treated at visits to outpatient settings, with more than 12 million such visits occurring … Events treated in ambulatory settings may be less severe than those occurring in inpatient settings.

  18. Medication errors: when pharmacy is closed. | PSNet

    psnet.ahrq.gov/issue/medication-errors-when-pharmacy-closed
    April 16, 2018 - December 30, 2014 Medication errors occurring with the use of bar-code administration

  19. Unhealthy Alcohol Use Tools and Resources Guide | The Academy

    integrationacademy.ahrq.gov/products/substance-use-resources/environmental-scan/unhealthy-alcohol-use/guide
    November 01, 2022 - Co-Occurring Behavioral Health Disorders — those related to the screening and treatment of common comorbid … Co-Occurring Medical Conditions — those related to the screening and treatment of common comorbid medical

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74022/psn-pdf
    March 01, 2021 - be considered; steps that are dependent on the context in which the medication-related process is occurring … A clinical review is essential for all prescriptions and can help ensure that any errors occurring as
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