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Showing results for "reason".

161. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet
     psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
     June 09, 2010 - Citation Text: Carthey J, de Leval MR, Reason JT. … Twitter Linkedin Copy URL June 24, 2015 Carthey J, de Leval MR, Reason … Cite Citation Citation Text: Carthey J, de Leval MR, Reason

162. Module-3-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
     February 09, 2022 - Individualized treatment plan updated monthly Coordinator decides best match and makes referral Document reason … ➢ Call to be made to patient post-discharge Completion ➢ “Drop out” without follow-up ➢ Assuming reason … Follow-up plan for patient that “drops-out” ➢ Changing verbiage of follow-up conversation to determine reason … (s) for non-return – can staff correct this reason Redesign and Implement New Workflow Demonstrate

163. Statistical Brief #93: Hospital Stays for Patients with Diabetes, 2008 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb93.pdf
     August 09, 2010 - ■ Diabetes was the most common principal diagnosis, or reason for hospital admission among patients … for hospitalization of patients with diabetes Table 2 shows diabetes as the most common principal reason … or coexisting reason for hospitalization. … or coexisting reason for hospitalization. … or coexisting reason for hospitalization.

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49764/psn-pdf
     June 01, 2016 - scenario described above, the referring ED physician did not appropriately communicate the specific reason … referring physician must communicate clearly with the consultant so that the consultant understands the reason … The central reason for the consultation request needs to be clearly stated and understood in order for … One study showed that the referring physician and the consultant disagreed about the primary reason … Take-Home Points The referring physician is responsible for clearly stating the reason for the consultation

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49420/psn-pdf
     October 01, 2003 - Parents were advised the reason for the referral was so that he could get a "blood test" performed. … The third error was due to a failure of the ED to adequately question the family’s reason for arrival … Health care providers should establish a system to provide patients with a written description of the reason … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … Reason JT. Human error. New York: Cambridge University Press; 1990. 6. Leape LL.

166. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
     December 01, 2017 - —James Reason, Human Error, 1990 1 Slide 8: Source of Defects Adverse event reporting systems … Adapted from Reason J. Human Error. … Y-axis begins with "minor reason why defect occurred" and moves to "major reason why defect occurred. … Good target for intervention is marked in the far upper quadrant ("occurs often" and "major reason why … Slide 48: References Reason, James.  Human error . Cambridge university press, 1990.

167. Question Builder | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/questions/question-builder/online.html
     June 09, 2025 - Whatever the reason for your visit, it is important to be prepared.

168. Section2 4 (pdf file)
     hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section2_4.pdf
     January 01, 2007 - Diabetes with Chronic Complications Comorbidities 5 are chronic disorders that are not the primary reason … different from secondary conditions, as secondary conditions may be directly related to the principal reason

169. Right? Left? Neither! | PSNet
     psnet.ahrq.gov/web-mm/right-left-neither
     November 16, 2022 - James Reason has developed a powerful explanatory model to understand adverse events that occur by the … Reason has referred to this framework for understanding adverse events as the “Swiss Cheese Model.”( … This patient was subjected to spinal anesthesia for no reason. … Reason J. Managing the risk of organizational accidents. … Reason J. Human error: models and management. BMJ. 2000;320:768-770. [go to PubMed] 7.

170. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
     September 01, 2017 - returns) 16 Resident Days (including bed holds) 900 Total Residents 15   Reason … 3 Total Residents 18 0 4 3 3 0 0 2 Table 6 (continued)   Reason

171. Communication Measures: Home Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures3.html
     June 01, 2018 - Note: Patients receiving hospice care and those who had "maternity" as the primary reason for receiving … Note: Patients receiving hospice care and those who had "maternity" as the primary reason for receiving

172. Overview of Emergency Department Visits in the United States, 2011 - Statistical Brief #174
     hcup-us.ahrq.gov/reports/statbriefs/sb174-Emergency-Department-Visits-Overview.jsp
     June 01, 2014 - For adults aged 45-84 years, septicemia (infection in the bloodstream) was the most frequent reason for … 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 … 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

173. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
     September 01, 2017 - Are any patterns seen with reason for transfer this month compared with previous months? … Did every resident transferred for a respiratory reason receive oxygen within 24 hours of transfer time … It displays the following: ED Visit (date and discharge diagnosis) Reason for Transfer (cardiac … What is the most frequent reason for hospitalization for the facility, for each nursing unit? … In addition, for each reason for transfer and potentially preventable diagnosis, the percentage of the

174. Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb308-hospital-sepsis-2019-2021.pdf
     January 01, 2021 - These stays include hospitalizations in which sepsis was the reason for the stay (i.e., principal diagnosis … stay, average hospital cost, and in-hospital mortality rates) are reported only when sepsis was the reason … complication of the stay, other conditions such as cancer, pneumonia, or heart failure may be the reason … total hospital cost, and in-hospital mortality rate were based only on hospitalizations in which the reason … The proportion of inpatient stays in which sepsis was the reason for the inpatient stay varies by patient

175. Racial and Ethnic Differences in Inpatient Stays Involving Sepsis, 2016–2021 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb309-sepsis-race-2016-2021.pdf
     January 01, 2021 - cost, in- hospital mortality rate, and discharge disposition) are reported only when sepsis was the reason … complication of the stay, other conditions, such as cancer, pneumonia, or heart failure, may be the reason … Notes: Average length of sepsis stay was based on stays in which sepsis was the reason for the stay ( … Notes: Average total hospital cost for sepsis stays were based on stays in which sepsis was the reason … Sepsis as the reason for the inpatient stay For this Statistical Brief, outcomes (average length of

176. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet
     psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
     September 20, 2023 - One reason: doctors don't take them seriously. … One reason: doctors don't take them seriously.

177. To LP or Not LP | PSNet
     psnet.ahrq.gov/web-mm/lp-or-not-lp
     February 01, 2018 - Parents were advised the reason for the referral was so that he could get a "blood test" performed. … The third error was due to a failure of the ED to adequately question the family’s reason for arrival … Health care providers should establish a system to provide patients with a written description of the reason … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … Reason JT. Human error. New York: Cambridge University Press; 1990. 6. Leape LL.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - James Reason has developed a powerful explanatory model to understand adverse events that occur by the … Reason has referred to this framework for understanding adverse events as the “Swiss Cheese Model.”( … This patient was subjected to spinal anesthesia for no reason. … Reason J. Managing the risk of organizational accidents. … Reason J. Human error: models and management. BMJ. 2000;320:768-770. [go to PubMed] 7.

179. Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet
     psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
     September 06, 2023 - Was their race a reason? … One reason: doctors don't take them seriously.

180. Schiff, Gordon David | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/schiff-gordon-david
     January 01, 2023 - Incorporating indications into medication ordering--time to enter the age of reason … Incorporating indications into medication ordering--time to enter the age of reason.