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ce.effectivehealthcare.ahrq.gov/questions/resources/going-home/index.html
November 01, 2020 - ________________________
____________________________________________________________________
Reason … ________________________
____________________________________________________________________
Reason … ________________________
____________________________________________________________________
Reason … ________________________
____________________________________________________________________
Reason … ________________________
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Reason
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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
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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
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section1_3.pdf
January 01, 2008 - e
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Hospital Stays for Males and Females by Major Reason … Pregnancy and childbirth was the reason for 1 out of every 5 female hospitalizations (4.7 million
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section1_3.pdf
January 01, 2007 - e
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Hospital Stays for Males and Females by Major Reason … Pregnancy and childbirth was the reason for more than 1 out of every 5 female hospitalizations (
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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.
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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.
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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
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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.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - , or
medication
history
Follow-up report about behavioral therapy
11 Documentation of medical reason … themselves or others)
Note Prescription documentation or medication list
12 Documentation of system reason
-
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.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-1-slides.pdf
March 19, 2017 - For that reason,
warfarin needs to be dosed and monitored extremely carefully. … Slide 27
• Situation
– the reason for your call in 10-15 seconds
In SBAR, the situation is … a quick, 5-to-10-second summary of the reason for the
communication. … objective data
In SBAR, the situation is a quick, 5-to-10-second summary of the reason for the … s assessment of the problem
In SBAR, the situation is a quick, 5-to-10-second summary of the reason
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pcmh.ahrq.gov/talkingquality/explain/communicate/introduce.html
November 01, 2018 - Explain and Motivate Use
Limits of Numbers and Graphs
Key Information Upfront
Reason … Also in "Communicating Key Information Upfront"
Give People a Reason To Look at the Report
Provide