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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND-0376-140408.pdf
November 06, 2013 - , demographics (e.g., elderly,
homelessness, race/ethnicity, gender), and co-morbidities (e.g., co-occurring … o demographics (e.g., elderly, homelessness, race/ethnicity, gender),
o comorbidities (e.g., co-occurring … o demographics (e.g., elderly, homelessness, race/ethnicity, gender),
o comorbidities (e.g., co-occurring
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
January 01, 2023 - Uses
To determine forces that may prevent change from occurring. … THE RESTRAINING FORCES that inhibit the actions occurrence, or diminish the chances of the problem occurring
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effectivehealthcare.ahrq.gov/sites/default/files/epstein.pdf
January 01, 2011 - www.effectivehealthcare.ahrq.gov/index.cfm) �
o Naturally-‐occurring … collaborative cognition
o Regarding values, goals, perspectives, preferences
• Affective
o Naturally-‐occurring … wavelength”) – and
intentional promotion of
connection, trust, empathy
• Motor
o Naturally-‐occurring … stride with”) – and intentional use of non-‐verbal
communication
• Organizational
o Naturally-‐occurring
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effectivehealthcare-admin.ahrq.gov/sites/default/files/epstein.pdf
January 01, 2011 - www.effectivehealthcare.ahrq.gov/index.cfm) �
o Naturally-‐occurring … collaborative cognition
o Regarding values, goals, perspectives, preferences
• Affective
o Naturally-‐occurring … wavelength”) – and
intentional promotion of
connection, trust, empathy
• Motor
o Naturally-‐occurring … stride with”) – and intentional use of non-‐verbal
communication
• Organizational
o Naturally-‐occurring
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psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
May 03, 2023 - Patient Safety data, this retrospective study characterized patient safety events related to COVID-19 occurring … October 24, 2018
Review of reported adverse events occurring among the homeless veteran
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hcup-us.ahrq.gov/reports/statbriefs/sb191-Hospitalization-Mental-Substance-Use-Disorders-2012.pdf
January 01, 2012 - more M/SUDs in the past 12 months.2
Further, an estimated 8.4 million U.S. adults suffer from co-
occurring … /SUD-related inpatient stay
M/SUD
diagnosis
No M/SUD
diagnoses
MD
alone
SUD
alone
Co-occurring … Among these 8,594,000 stays, two-thirds included an
MD diagnosis without a co-occurring SUD diagnosis … Stays involving a SUD alone
(without a co-occurring MD diagnosis) and stays involving co-occurring M … In 2012, 808,800 inpatient stays involved co-occurring M/SUD conditions with either a mental or a
substance
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www.ahrq.gov/news/newsroom/case-studies/ktcoe10.html
October 01, 2014 - of the goals of Alabama's new performance improvement project is to reduce the number of deliveries occurring … demonstrates how hard it is to define the circumstances around early delivery, especially when it's occurring
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
July 06, 2022 - Safety Reporting System (PA-PRS), this study characterized healthcare-associated infections (HAIs) occurring … Researchers found that HAIs occurring at long-term care facilities decreased, but it is unknown whether
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psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
February 24, 2021 - Patient safety incidents occurring in prehospital care settings are gaining increasing attention . … The authors identified an average of 5.9 patient safety incidents per 100 records/transports/patients occurring
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psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
March 10, 2021 - In this study, patient deaths occurring within 7 days of ED discharge were analyzed to determine if the … April 27, 2022
Analysis of risk factors for patient safety events occurring in the emergency
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - or three of the contributing factors from above and discuss how you will prevent these factors from occurring … or three of the contributing factors from above and discuss how you will prevent these factors from occurring
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psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
August 04, 2021 - This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes … June 15, 2022
Root cause analyses of reported adverse events occurring during gastrointestinal
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pbrn.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - National Academy of Medicine report that elevated awareness of longstanding risks and patient harms occurring … inaugural report consisted of 50 patient safety practices in eight categories encompassing commonly occurring
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pcmh.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - National Academy of Medicine report that elevated awareness of longstanding risks and patient harms occurring … inaugural report consisted of 50 patient safety practices in eight categories encompassing commonly occurring
-
hcup-us.ahrq.gov/reports/statbriefs/sb191-Hospitalization-Mental-Substance-Use-Disorders-2012.jsp
June 01, 2015 - more M/SUDs in the past 12 months. 2 Further, an estimated 8.4 million U.S. adults suffer from co-occurring … diagnoses alone (i.e., without SUD diagnoses), SUD diagnoses alone (i.e., without MH diagnoses), co-occurring … Among these 8,594,000 stays, two-thirds included an MD diagnosis without a co-occurring SUD diagnosis … Stays involving a SUD alone (without a co-occurring MD diagnosis) and stays involving co-occurring M/ … In 2012, 808,800 inpatient stays involved co-occurring M/SUD conditions with either a mental or a substance
-
psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
September 27, 2016 - This study examined the impact of safety climate and team processes on patient safety events occurring … The authors analyzed 858 transfers occurring over a 4-week period and assessed safety climate and team
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psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
July 27, 2016 - This case study describes the use of root cause analysis t o investigate a critical incident occurring … Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring
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www.psoppc.org/psoppc_web/publicpages/commonFormatsHV2.0
March 31, 2025 - They also pertain to both inpatient and outpatient procedures occurring in a hospital.
… They also pertain to both inpatient and outpatient procedures occurring in a hospital.
… They also pertain to both inpatient and outpatient procedures occurring in a hospital.
… Supplemental Posted on: 03/31/2025, 94 KB
Perinatal
A Perinatal event involves an adverse outcome occurring … They also pertain to both inpatient and outpatient procedures occurring in a hospital.
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/folic-acid-supplementation-prevent-neural-tube-defects
July 22, 2021 - NTDs
Interventions
Folic acid supplementation, with or without food fortification or naturally occurring … micronutrients (e.g., multivitamins, iron) in combination with folic acid
Food fortification only
Naturally occurring
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psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
August 26, 2020 - June 23, 2021
Review of reported adverse events occurring among the homeless veteran … June 16, 2009
Root cause analyses of reported adverse events occurring during gastrointestinal