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psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
November 18, 2015 - Citation Text:
Reason J. … Share
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April 6, 2011
Reason … Linkedin
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Citation Text:
Reason
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www.ahrq.gov/talkingquality/explain/support/explain-use.html
February 01, 2016 - Although helping people make a decision is often viewed as the primary reason for sharing comparative
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meps.ahrq.gov/survey_comp/data_elem_by_provider_year.shtml
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
June 01, 2012 - prior to medication prescription (Yes - 1/No - 2) ADHD Measure 2 Exclusion - Documentation of medical reason … harming themselves or others) (Yes - 1/No - 2) ADHD Measure 2 Exclusion - Documentation of system reason
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Citation Text:
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. … Share
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April 21, 2015
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/tobacco-narrative.pdf
December 31, 2018 - Denominator Exception
Documentation of medical reason(s) for not screening for tobacco use (Limited … Life Expectancy Value
Set)(Medical Reason Value Set)
Note: Exceptions only apply to the screening
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
June 01, 2012 - prior to medication prescription (Yes - 1/No - 2) ADHD Measure 2 Exclusion - Documentation of medical reason … harming themselves or others) (Yes - 1/No - 2) ADHD Measure 2 Exclusion - Documentation of system reason
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Transfer Note
Displays the following:
Transfer date and time
Transfer to location (hospital or ED)
Reason … of 2)
Resident Name:
Transfer Date:
Transfer Time: Transfer to:
Emergency Department
Hospital
Reason … name of the provider authorizing the transfer
The location the patient is being transferred to
The reason … for Transfer Reason for Transfer: Treatment Unavailable at Facility Authorized by: … for Transfer
Reason for Transfer: Treatment Not Available at Facility
Authorized by (primary care
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - A contributing factor that is a major reason and occurs commonly is a good target for intervention. … A factor that is not a major reason but commonly occurring may be low-hanging fruit and easier to tackle … A contributing factor that is a major reason but does not occur often offers a potential opportunity … A factor that falls in the category of being a minor reason for the defect and rarely occurs may not … Updated protocols were not a major contributor, as it was a minor reason with rare occurrence.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/careaffordability/qdr2015-chartbook-careaffordability.pptx
August 01, 2016 - time from 2002 to 2013:
People without a usual source of care who indicate a financial or insurance reason … Eliminated
For the measure people without a usual source of care who indicate a financial or insurance reason … Growing
For the measure people without a usual source of care who indicate a financial or insurance reason … of total family income
People without a usual source of care who indicate a financial or insurance reason … 2013, the percentage of people without a usual source of care who indicated a financial or insurance reason
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kawamoto-k-et-al-2005
January 01, 2005 - of clinician workflow," "no need for additional clinician data entry," "request documentation of the reason … "
"...systems that prompted clinicians to record a reason when not following the advised course of … more likely to succeed than systems that allowed the system advice to be bypassed without recording a reason … decision support systems should also provide periodic performance feedback, request documentation of the reason
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - Swiss Cheese Model
September 13, 2021
Anonymous (not verified)
Reason developed the "Swiss cheese … In fact, many of the systems problems discussed by Reason and others—poorly designed work schedules,
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hcup-us.ahrq.gov/reports/statbriefs/sb174-Emergency-Department-Visits-Overview.pdf
April 01, 2014 - Acute bronchitis was the most
common reason for admission to the same hospital after an ED visit for … among adults aged 85 years and older and the second most common reason among adults aged
65–84 years … Other cardiac conditions also were common: nonspecific chest pain was the second
most common reason … A mood disorders diagnosis was the most common reason for admission to the same hospital after
an ED … Nonspecific chest pain was the most common reason for ED visits that resulted in discharge for
adults
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool18.html
March 01, 2014 - List of Tools
Clinician Instructions
Patients often use "not enough time" as a reason … They may decide that their time is well spent on the activities they are doing and see no reason to change
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-14.html
November 01, 2014 - Horizon Hospital—Lakeview Healthcare
Rationale: Identified the reason for action.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_2.pdf
January 01, 2008 - Adjustment Disorders
2%
Anxiety Disorders
2%
All Other†
5%
Distribution of MHSA Discharges by Major Reason … for 44 percent of discharges, mood disorders (depression and bipolar disorders) was the most
common reason
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-lumbar-spondylolisthesis.pdf
March 01, 2021 - for the
intervention (e.g., adverse reaction to opioid is apnea; reason for intervention is apnea); … 2)
association is based on the stated reason for the intervention having a dueTo relationship to a … drug (e.g., reason for hospitalization = GI Bleed; GI Bleed is due to adverse reaction to NSAID);
and … 3) association is based on the stated reason for the intervention having a dueTo relationship
to an … “Adverse Reaction Caused by Drug” code (e.g., reason for hospitalization is ‘oral
hypoglycemic adverse
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lumbar-spondylolisthesis.pdf
March 01, 2021 - for the
intervention (e.g., adverse reaction to opioid is apnea; reason for intervention is apnea); … 2)
association is based on the stated reason for the intervention having a dueTo relationship to a … drug (e.g., reason for hospitalization = GI Bleed; GI Bleed is due to adverse reaction to NSAID);
and … 3) association is based on the stated reason for the intervention having a dueTo relationship
to an … “Adverse Reaction Caused by Drug” code (e.g., reason for hospitalization is ‘oral
hypoglycemic adverse
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-introducing.pdf
March 01, 2020 - GOING TO THE EMERGENCY ROOM
Thinking about this visit, what was the main
reason you went to the emergency … When you first arrived at the emergency room,
how long was it before someone talked to you
about the reason
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hcup-us.ahrq.gov/tech_assist/centdist/IndemnificationClause.pdf
August 01, 2023 - Recipient agrees that NORC shall not be liable to
Recipient for any reason whatsoever arising out of … Recipient agrees that FedPoint
shall not be liable to Recipient for any reason whatsoever arising out