-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0310_05-13-2008.pdf
January 01, 2008 - What are the implications of certain PSG results in terms of serious clinical events occurring as
comorbidities
-
psnet.ahrq.gov/issue/safety-ems
March 14, 2018 - December 14, 2005
Root cause analyses of reported adverse events occurring during gastrointestinal
-
psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
May 07, 2014 - January 30, 2013
Medication errors occurring with the use of bar-code administration
-
psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
May 11, 2016 - December 1, 2010
Medication errors occurring with the use of bar-code administration
-
psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
May 07, 2018 - May 5, 2010
Medication errors occurring with the use of bar-code administration technology
-
psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - November 3, 2015
Medication errors occurring with the use of bar-code administration
-
psnet.ahrq.gov/issue/disclosing-medical-errors-patients-status-report-2007
June 01, 2004 - May 27, 2010
Managing the adverse event occurring during elective, ambulatory pediatric
-
psnet.ahrq.gov/issue/patient-safety-and-quality-pediatric-intensive-care-unit
October 06, 2011 - Copy Citation
Related Resources From the Same Author(s)
Preventable harm occurring
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berner-es-et-al-1999
January 01, 1999 - Other data also suggested that this prompting was occurring and that it was effective in aiding physicians
-
psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
April 11, 2011 - September 24, 2016
Systematic evaluation of errors occurring during the preparation of
-
preventiveservices.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
-
preventiveservices.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
-
ce.effectivehealthcare.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
-
cahps.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
-
healthcare411.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
-
monahrq.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
-
talkingquality.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
-
pbrn.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
-
pcmh.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
-
effectivehealthcare.ahrq.gov/products/mental-illness-adults-prisons/research-protocol
September 13, 2012 - include psychological counseling, treatment of trauma-related symptoms, integrated treatment for co-occurring … This is especially true for returning inmates with SMI and a co-occurring substance use disorder. … the comparative effectiveness of interventions provided to offenders with SMI with or without a co-occurring … Treating prison inmates with co-occurring disorders: an integrative review of existing programs. … Co-occurring disorders: Integrated Dual Disorder Treatment.