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www.uspreventiveservicestaskforce.org/home/getfilebytoken/rPyJKLWYZhmQ-Cc4pe2oMJ
April 01, 2023 - • The most common type of melanoma among Black persons occurs mostly on skin not frequently exposed
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/colorado
January 01, 2023 - Interfacing occurs via Web services.
Messages are in HL7 2.3.1 format.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - difficult for providers to make mistakes
Permit the detection and correction of errors before harm occurs … e.g., prevent malfunctioning or unintentional operation by reverting back to a safe state if failure occurs
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - findings indicated that verbal violence from patients (e.g., insults, threats, screaming, cursing) occurs … I think the most concerning, at least in the immediate sense, is the violence that occurs from patients … leaders will act on reported information, they are more likely to report workplace violence when it occurs … if they’re trained on organizational procedures and policies to address workplace violence when it occurs … in hospitals were from patients and families toward healthcare workers. 8 Horizontal violence that occurs
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - in hospitals were from patients and families toward healthcare workers. 8 Horizontal violence that occurs … findings indicated that verbal violence from patients (e.g., insults, threats, screaming, cursing) occurs … I think the most concerning, at least in the immediate sense, is the violence that occurs from patients … leaders will act on reported information, they are more likely to report workplace violence when it occurs … if they’re trained on organizational procedures and policies to address workplace violence when it occurs
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Catheter-Associated Urinary Tract Infections (CAUTI)
Infection of the urinary tract that occurs subsequent … Central Line-Associated Bloodstream Infections (CLABSI)
Infection of the blood stream that occurs subsequent … Obstetric Adverse Events (OBAE)
An adverse maternal or fetal outcome that occurs during labor and/or … Surgical Site Infections (SSI)
Infection that occurs prior to discharge and within 30 days following
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - The speed with which resolution occurs is important to the success of the effort. … When harm occurs, patients often express the desire to protect others from future events.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/folic-acid-suppl-draft-rec-bulletin.pdf
March 20, 2023 - This occurs early in
pregnancy, often before a person knows they are pregnant.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hormone-therapy-postmenopause-final-rec-bulletin.pdf
November 01, 2022 - There is some uncertainty about how much
menopause—which typically occurs around age 50—contributes
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_hospital.jsp
March 01, 2025 - This occurs when a hospital closed in a previous year or when the hospital does not report to the AHA
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
August 21, 2015 - timely communication with patients and/or families during their care, particularly when an adverse event occurs … The first disclosure communication occurs within 60 minutes after a CANDOR event has been identified, … The first followup communication usually occurs after the completion of the Event Investigation and Analysis
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - 71% of patients and caused severe neurological
outcome in the survivors.11,12
Aneurysmal rebleeding occurs … New post-operative stroke occurs in up to 11% of patients undergoing aneurysm clipping.14 To mitigate
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - standard
cardiac arrest or "code blue" teams, which are summoned only after cardiopulmonary arrest occurs
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digital.ahrq.gov/2018-year-review/research-summary/simple-mobile-application-key-patient-engagement-reporting-and
January 01, 2018 - processes to enhance and adapt the app in a primary care setting, where much of asthma disease management occurs
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www.ahrq.gov/news/newsroom/case-studies/ktcquips87.html
October 01, 2014 - project on updating both the medication profile left at a patient's house when a medication change occurs
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Importantly for institutions, it is not necessary to capture every incident or every near miss that occurs … undesirable, as in the case of repeated reporting of the same incident.(7)
Active clinical monitoring occurs … If a near
miss incident occurs commonly and has a high probability to cause great harm, it may take
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Shift
changeover occurs when two or more workers exchange mission-specific information, responsibility … Second, message failure occurs
when there is poor or non-existent transfer of information. … Third, reception failure occurs with
misinterpretation or late arrival of proper information.
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - subclavian vein placement.(6) However, it is more difficult to
control excessive bleeding when it occurs … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#figure
Arterial puncture occurs … attempts.(3,9)
Although pulsatile bright red blood is typically encountered when arterial puncture occurs
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digital.ahrq.gov/ahrq-funded-projects/enhancing-self-management-t2dm-automated-reminder-and-feedback-system
January 01, 2023 - Care Theme
Chronic Disease Management
Medication
Type 2 diabetes mellitus (T2DM) occurs
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - This significant source of error can cause injury and fatality, and occurs in all health care settings