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Showing results for "occurring".

3201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47117/psn-pdf
      November 16, 2018 - Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. November 16, 2018 Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf. 2018;3(3):e081. doi:10.1097/p…

3202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45293/psn-pdf
      February 01, 2017 - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. February 1, 2017 Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217. doi:1…

3203. Related Office of Inspector General (OIG) Reports | PSO
      pso.ahrq.gov/resources/oig-reports
      August 01, 2025 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Resources for Artificial Intelligence (AI) in …

3204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40707/psn-pdf
      March 11, 2013 - More than words: patients' views on apology and disclosure when things go wrong in cancer care. March 11, 2013 Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346. doi:10.1016/j.pec.2011.07.010…

3205. AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 5 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-5.pdf
      June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 5 5-1 Section 5: Creating Your Dissemination Plan Disseminating your evaluation findings will ensure that your evaluation has “real world” impact and that other HIE projects can benefit from your experiences and lessons. By incorporating …

3206. Swiss Cheese Model | PSNet
      psnet.ahrq.gov/taxonomy/term/3460
      August 11, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …

3207. Performing a Premortem Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.html
      October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Performing a Premortem Assessment Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Too…

3208. From Emergency to Community: Implementing a Social Needs Assessment and Referral Infrastructure using Health Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs026505-wallace-final-report-2020.pdf
      January 01, 2020 - The only technical difficulties occurring during data collection occurred due to wireless network interruptions … , primarily occurring during in the first two months of the intervention. … All such heuristics were noted as staff “judgment calls” occurring within moments of meeting the patient

3209. 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

3210. 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

3211. 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

3212. 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

3213. 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

3214. 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

3215. Cancer-Pancreas Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-pancreas_executive.pdf
      September 01, 2014 - The most commonly reported harms in such studies were pancreatitis (occurring in 0% to 3.7% of patients … ), postprocedural pain (occurring in 0.1% to 2.0% of patients), and bleeding/puncture/ perforation ( … occurring in 0% to 4.3% of patients).

3216. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - explore relationships between codes using the “Networks” functions in the software to identify co- occurring … Examining co-occurring codes allowed us to observe the inter-relatedness of codes/themes and derive

3217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867429/psn-pdf
      December 18, 2024 - by or on patients” and relevant financial relationships as “financial relationships in any amount occurring

3218. Trends in Hospitalizations With a Red Blood Cell Transfusion, 2000-2013 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb215-Red-Blood-Cell-Transfusions-Trends.pdf
      October 01, 2016 - 10 Figure 4 presents the distribution of stays with a red blood cell transfusion occurring … Hemodialysis was the second most frequent minor therapeutic procedure occurring with a red blood cell

3219. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - The overall PPVs equal the sum of PPV for AEs causing admission and AEs occurring in the hospital. … Complications occurring mainly in the course of labor and delivery Total % 22.2 98.7 Inpatient 34

3220. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - on frequencies of adverse events (outcomes) rather than process-level errors (or 1 behaviors) occurring … knowledge gained from the report, which might be a change in the system that prevents similar errors from occurring