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Showing results for "occurring".

  1. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
    September 01, 2007 - Current knowledge about the number and types of errors and adverse events occurring within emergency … Less than 1% of the total number of visits occurring during the data collection period had a reported … An effective control measure eliminates or significantly reduces the likelihood of the failure occurring … system down, affecting all patients (Hazard Score 9 – severity of effect is major, probability of occurring … staff type Order entered incorrectly (Hazard Score 4 – severity of effect is minor, probability of occurring

  2. Measurement of the effects of an integrated, point-of-care computer system on quality of nursing documentation and patient satisfaction | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency

    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/measurement-effects-integrated
    A significant increase in charting compliance was still occurring between the 12- and the 18-month time

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37687/psn-pdf
    February 22, 2011 - telephone-based diabetes self-management system to characterize the types and severity of adverse events occurring

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45174/psn-pdf
    November 18, 2016 - A WebM&M commentary discussed a case of a preventable death occurring shortly after a patient with schizophrenia

  5. Nursing Practice Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
    March 01, 2022 - bath is accurate and timely: Process to identify patients with devices Documentation of CHG bath is occurring

  6. Nursing Practice Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
    March 01, 2022 - accurate and timely: • Process to identify patients with devices • Documentation of CHG bath is occurring

  7. Mod01-Grand-Rounds-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Slide 18 Say: Once the CANDOR system is activated, two processes are occurring at the same time: … 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 … 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

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41176/psn-pdf
    March 02, 2012 - Of note, there was a reduced risk of deaths occurring on the weekends themselves; the risk came on subsequent

  9. PHS 398 (Rev. 9/04), Continuation Page (pdf file)

    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%).

  10. PHS 398 (Rev. 9/04), Continuation Page (pdf file)

    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%).

  11. PHS 398 (Rev. 9/04), Continuation Page (pdf file)

    effectivehealthcare-admin.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%).

  12. PHS 398 (Rev. 9/04), Continuation Page (pdf file)

    effectivehealthcare-admin.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%).

  13. Identifying Targets for Improving Antibiotic Use

    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

  14. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet

    psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
    August 06, 2008 - wrong site surgeries in Massachusetts and describes complex factors that may contribute to such errors occurring

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38411/psn-pdf
    December 16, 2014 - reengineered-hospital-discharge-program-decrease-rehospitalization- randomized-trial Adverse events after hospital discharge are disturbingly common, occurring

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43170/psn-pdf
    December 12, 2014 - The study found approximately 27% of high-alert medication uses had errors, with more occurring in the

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36366/psn-pdf
    April 11, 2011 - Adverse events were relatively common, occurring at a rate of 0.74 per patient, most of which were preventable

  18. Engaging Patients and Families in Their Health Care | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/engaging-patients-and-families-their-health-care
    January 01, 2018 - delivered via tablet, smartphone, or computer and has been effective at reducing insomnia symptoms and co-occurring

  19. Statistical Brief #6: The Uninsured in America – 1996-2001 Estimates for the Civilian Noninstitutionalized Population Under (pdf file)

    meps.ahrq.gov/data_files/publications/st6/stat06.pdf
    January 01, 2001 - By 2000, this decline was no longer occurring. … between 1996 and 1999, the pattern for adults (age 18 to 64) was slightly different, with the decline occurring … In 2000, this decline was no longer occurring.

  20. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
    October 29, 2019 - Imaging studies of the head (CT or MR; Table IMG1) for the evaluation of atraumatic seizure (Table IMG2) occurring
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