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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - James Reason advises:
“Substitute the individual concerned, for someone else coming
from the same … The most common reason was
forgetfulness. … The Incident Decision Tree
399
Acknowledgments
We would like to thank Professor James Reason for … Reason J. Managing the risks of organizational
accidents. … Reason J, Hobbs A. Managing maintenance error: a
practical guide.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
July 01, 2022 - Select 1st Dose Reason for Refusal. … Select 2nd Dose Reason for Refusal. … Select 1st Additional Dose/Booster Reason for Refusal. … Select 1st Dose Reason for Refusal. … Select 2nd Dose Reason for Refusal.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/cg_3-0_overview.pdf
January 01, 2015 - 3.0
Item #
Adult
2.0
Item #
Adult
3.0
Question Wording
Adult
2.0
Question Wording
Reason … 3.0
Item #
Adult
2.0
Item #
Adult
3.0
Question Wording
Adult
2.0
Question Wording
Reason … 3.0
Item #
Adult
2.0
Item #
Adult
3.0
Question Wording
Adult
2.0
Question Wording
Reason … 3.0
Item #
Adult
2.0
Item #
Adult
3.0
Question Wording
Adult
2.0
Question Wording
Reason … 3.0
Item #
Adult
2.0
Item #
Adult
3.0
Question Wording
Adult
2.0
Question Wording
Reason
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapf.html
January 01, 2013 - Article Exclusion List with Reason for Exclusion
Appendix D.
-
psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - 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 for … Take-Home Points The referring physician is responsible for clearly stating the reason for the consultation
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hcup-us.ahrq.gov/reports/statbriefs/sb310-state-variation-sepsis-2021.pdf
January 01, 2021 - identified by any
diagnosis of sepsis on the medical record, i.e., principal diagnosis of sepsis (the
reason … complication of the stay, other
conditions such as cancer, pneumonia, or heart failure may be the reason … diagnosis, 2021
Notes: In-hospital mortality rates were based on stays in which sepsis was the reason … Sepsis as the reason for the inpatient stay
For this Statistical Brief, outcomes (in-hospital mortality … and percentage of hospital costs) are reported only when sepsis
was the reason for the inpatient stay
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
June 02, 2025 - The reason why I say this is I like to say that the team members all should have fundamental knowledge … The reason why you want to include all the different roles is that, if you skip a role and you leave … If for some reason you're leaving certain cases out of the equation, you want to make that clear here … The reason you want to keep it small is you want to keep the scope of the project small enough so that … The reason you want to do that is you want to test small.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
April 01, 2025 - Reason JT. Human Error . Cambridge, UK: Cambridge University Press; 1990. … Emanuel L, Berwick D, Conway J, Combes J, Hatlie M, Leape L, Reason J, Schyve P, Vincent C, Walton M. … Reason J. Human error: models and management. BMJ. 2000 Mar 18;320(7237):768-770.
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompape.html
January 01, 2013 - Article Exclusion List with Reason for Exclusion
Appendix D.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Psychologist James Reason categorized safety culture into four components. … people in direct contact with risks and hazards freely report their errors and near-misses
Just -- James Reason … Just – James Reason introduced the concept of Just Culture, which he describes as…
“What is needed is … Is there a rational reason?
How might we engage him?
-
www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysetsq-a.html
July 01, 2013 - That is the only reason. It does better with 0.95 and 0.05. Lee Green can explain why, I think. … This may be the reason why this issue arises with this software. … Marcus's Answer: One reason to identify necessary conditions is that they don't need to be included
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pso.ahrq.gov/pso/american-physician-partners-pso-llc
May 14, 2020 - Initial Listing: May 14, 2020 12:00 am
Effective Date and Time of Delisting: July 31, 2023 12:00 am
Reason
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pso.ahrq.gov/pso/emergency-medical-error-reduction-group-0
March 08, 2022 - Listing: March 8, 2022 12:00 am
Effective Date and Time of Delisting: March 29, 2023 12:00 am
Reason
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hcup-us.ahrq.gov/reports/statbriefs/sb162.jsp
September 01, 2013 - Highlights
Liveborn (newborn infant) remained the most common reason for hospitalization in … Congestive heart failure was the most common reason for hospitalization for adults aged 85 years and … older in 2011 and the second most common reason for adults aged 65–84 years. … A diagnosis of mood disorders was the most common reason for hospitalization among children aged 1–17 … Septicemia was a common reason for hospitalization among adults aged 45 years and older.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
June 02, 2025 - admission and
discharge times
N/A
4 Appropriateness of Red Cell
Transfusions
Documentation of reason … for transfusion (Occurrence
D)
The reason the provider believed an
Hgb test was required
Many be … A
4 Appropriateness of Red Cell
Transfusions
Date of Occurrence D The recorded date on which the reason … 4 How is the reason for an Hgb test documented in your EMR system?
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
June 02, 2025 - admission and
discharge times
N/A
4 Appropriateness of Red Cell
Transfusions
Documentation of reason … for transfusion (Occurrence
D)
The reason the provider believed an
Hgb test was required
Many be … A
4 Appropriateness of Red Cell
Transfusions
Date of Occurrence D The recorded date on which the reason … 4 How is the reason for an Hgb test documented in your EMR system?
-
meps.ahrq.gov/survey_comp/hc_survey/paper_quest/2011/CancerSAQ_En.pdf
January 01, 2011 - page 4
Some other reason?
13. … Some other reason?
➔ GO TO Question 36, page 4
14. … Other reason . . . . . . . . . . . . . . . . . . . . . … Yes,
a reason
N
o, not
a reason
If you answered ‘Yes’ to only one
reason in Question 79, GO … It became a reason to make
positive changes in my life
d.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-module-handouts.docx
July 01, 2023 - Failure Reason
What could have been the cause? … (enter here)
(enter here)
(enter here)
(enter here)
(enter here)
(enter here)
Success Reason
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
January 01, 2024 - when they choose not to
follow the guidance, called an “override reason.” … An example override reason from the source reasons related to this subdomain is
“per protocol.” 22 … Subdomain: Patient has a cultural or religious reason for not following the recommendation. … An example override reason from the source reasons
related to this subdomain is “Ride not available … This made it difficult to interpret the override
reason.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - data can be used in reporting:
Transfer date and time
Transfer to location (hospital or ED)
Reason … Transfer Date:
Transfer Time:
Transfer to:
|___| Emergency Department
|___| Hospital
Reason