-
psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - some
state regulatory agencies mandate RCAs after sentinel events and when significant patient harm occurs … Hindsight bias occurs
when people investigating a situation already know the outcome.
-
psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Decreased excretion of bilirubin in newborns occurs because it takes time to increase the activity of … Thus, the late anemia occurs due to ongoing hemolysis of the
remaining Rh+ cells and because the transfused
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - The vasodilatation that occurs in the splanchnic
bed leads to a lowering of mean arterial pressure and … If a patient develops a
large fall in blood pressure, as occasionally occurs, I would give vasopressor
-
psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Tracheo-esophageal fistula (TEF) occurs in approximately 1 in 1250 patients following tracheostomy.(1 … Finally, laryngotracheal stenosis occurs in approximately 1.7% of patients following tracheostomy, though
-
psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - into two distinct entities: positive and
negative.(5) Positive defensive medicine, as in this case, occurs … Negative defensive medicine occurs when
physicians curtail services to avoid high-risk patients or procedures
-
psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - and norovirus.( 6 )
Despite how risky health care worker presenteeism is for patients, it commonly occurs … and Knowledge
Like many threats to patient safety, the reasons why health care worker presenteeism occurs
-
psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - is not associated with increased risk of sudden death or all-cause mortality, particularly when it occurs … In the case of new-onset NSVT, NSVT that is increasing in frequency or duration, or NSVT that occurs
-
psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - When an error occurs in a situation where nurses may be manipulating a medication in a non-emergency
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/nhEwwYcy6qGYDmvs57XtTb
Potential Harms It is not certain whether
overdiagnosis occurs more often
with digital than with film
-
digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
January 01, 2010 - This low use of health information technology (IT) occurs at a time when the Nation is looking at health
-
digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
January 01, 2012 - ED-PCC collaboration occurs almost entirely between the physician and the poison control center, and
-
hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompme.jsp
August 01, 2006 - with a designation of "admitted as an inpatient" are retained in the SEDD, even though this rarely occurs
-
hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompga.jsp
December 01, 2016 - with a designation of "admitted as an inpatient" are retained in the SEDD, even though this rarely occurs
-
hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompfl.jsp
June 01, 2007 - with a designation of "admitted as an inpatient" are retained in the SEDD, even though this rarely occurs
-
hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompnc.jsp
August 01, 2012 - with a designation of "admitted as an inpatient" are retained in the SEDD, even though this rarely occurs
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/osteoporosis-screening-draft-rec-bulletin.pdf
July 08, 2024 - Screening is important because too often women don’t know they have
osteoporosis until after a fracture occurs
-
digital.ahrq.gov/sites/default/files/docs/page/2006Blevins_051211comp.pdf
June 06, 2006 - Accuracy
4
The Connecting for Health Model
for Health Information Sharing
• Sharing occurs via
-
hcup-us.ahrq.gov/reports/methods/2012_04.pdf
January 01, 2012 - Readmissions
Definition of Readmission (Numerator for Rate)
Qualifying Event First admission that occurs … Qualifying Event An unplanned inpatient admission for any cause to an acute care facility
that occurs … Qualifying Event An unplanned inpatient admission for any cause to an acute care facility
that occurs … If an admission occurs within the specified time from a preceding
admission but it does not qualify … for Rate)
Qualifying Event
An inpatient admission for any cause to an acute care facility that occurs
-
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/missing-data-registries-guide-3rd-ed-addendum-white-paper.pdf
February 01, 2018 - Item nonresponse, which occurs when a
participant completes a case report form (CRF) or survey without … one
registry were missing data for body mass index (BMI), an optional field.2 Item nonresponse also
occurs … Attrition of this nature occurs for many reasons,
including factors both related to the study objectives … the User’s Guide.1
A related concept to loss-to-followup is administrative right censoring, which occurs … when the
registry ends before an outcome of interest occurs for all subjects (which is typically the
-
digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Source: To Err is Human, Institute of Medicine
Active Failures
An error that occurs at the level