-
psnet.ahrq.gov/node/37367/psn-pdf
May 26, 2011 - Reasons provided by prescribers when overriding
drug–drug interaction alerts. … Reasons provided by prescribers when overriding drug-drug
interaction alerts. … https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts … https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
-
psnet.ahrq.gov/node/860716/psn-pdf
January 17, 2024 - This study
of NICU nurses sought to ascertain reasons for MAE and reasons for not reporting MAE. … The most
common reasons for MAE were inadequate staffing followed by look-alike drugs.
-
psnet.ahrq.gov/node/42749/psn-pdf
November 20, 2013 - Reasons for the persistence of adverse events in the era
of safer surgery?a qualitative approach. … Reasons for the persistence of adverse events in the era of safer
surgery--a qualitative approach. … https://psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach … https://psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
October 01, 2024 - Assessment>
Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
Write down potential reasons … Rate the reasons by level of concern from 1 to 5, where 1 is lowest. … Choose reasons with high levels of concern to discuss and develop action plans. … Determine the most likely reasons for failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
April 01, 2025 - Assessment
Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
Write down potential reasons … Rate the reasons by level of concern from 1 to 5, where 1 is lowest. … Choose reasons with high levels of concern to discuss and develop action plans. … Determine the most likely reasons for failure.
-
psnet.ahrq.gov/node/46619/psn-pdf
March 07, 2018 - Diagnostic error in stroke — reasons and proposed
solutions. … Diagnostic Error in Stroke-Reasons and Proposed Solutions. … https://psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
Stoke misdiagnosis … https://psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
https://psnet.ahrq.gov
-
psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
November 17, 2021 - Study
Assessing reasons for decreased primary care access for individuals on prescribed … Assessing reasons for decreased primary care access for individuals on prescribed opioids. … Assessing reasons for decreased primary care access for individuals on prescribed opioids.
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-fac-notes.html
December 01, 2017 - Projects can fail for many reasons, and the safe surgery project is no exception to this possibility. … A premortem encourages you to imagine that the project has failed and brainstorm the reasons that could … Slide 8: Premortem Exercise
Say:
In step two, consider the reasons that caused your project to … Brainstorm and document all of these reasons. … Slide 10: Premortem Exercise
Say:
In step four, prioritize the list of reasons why your safe surgery
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - Slide 6: Transfer Note
A transfer note provides a high-level summary of the reasons for transfer …
21
% Total reasons
Table (continued)
Reason for Transfer … 1
3
1
3
2
0
% Total reasons
5
14
5
14
10
0
Table (continued) …
% Total reasons
Table … Reasons for each transfer.
Potential preventable discharge diagnoses.
-
hcup-us.ahrq.gov/reports/statbriefs/sb2.pdf
February 01, 2006 - Statistical Brief #2: Reasons for Being Admitted to the Hospital through the Emergency Department, 2003 … blood
diseas
bleedi
and h
While
most f
were a
a larg
condit
throug
perce
gestiv
obstru
asthm
Reasons … Findings
Major reasons for admission to the hospital through the ED
Figure 1 shows the reasons for … Reasons for Being Admitted to the Hospital through the Emergency
Department, 2003. … Reasons for hospitalizations admitted
through the emergency department, 2003
Injuries
11.4% Digestive
-
psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems
May 29, 2019 - the more comprehensive information in the medical record, physicians found that clinicians' reported reasons … October 13, 2018
Reasons for computerised provider order entry (CPOE)-based inpatient … December 2, 2020
Structured override reasons for drug–drug interaction alerts in electronic
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem_facnotes.docx
December 01, 2017 - Projects can fail for many reasons, and the safe surgery project is no exception to this possibility. … A premortem encourages you to imagine that the project has failed and brainstorm the reasons that could … Slide 7
Premortem Exercise
SAY:
In step two, consider the reasons that caused your project to fail … Brainstorm and document all of these reasons. … Slide 9
Premortem Exercise
SAY:
In step four, prioritize the list of reasons why your safe surgery
-
psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Study
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients … Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study … Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study
-
psnet.ahrq.gov/node/38954/psn-pdf
September 16, 2009 - For all the right reasons.
September 16, 2009
Hagland M. … https://psnet.ahrq.gov/issue/all-right-reasons
This article discusses approaching computerized provider … https://psnet.ahrq.gov/issue/all-right-reasons
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/amermanslides.pdf
June 02, 2025 - Safety Culture
Safety Survey
Dawn Amerman
Manager
Dexter Pharmacy and Village Pharmacy II
Reasons … to talk to each other and to ask
questions without fear of repercussions.
44
Safety Survey
Reasons
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - There are many potential reasons to implement a pressure ulcer prevention program. … While we offer general reasons and statistics in the box below, local reasons or cases may be more tangible … Others in your hospital may have different reasons, so it is important to define the issues and reasons … Gather their input and begin to clarify the reasons for needed change. … Develop consensus on reasons this program needs to go forward.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - There are many potential reasons to implement a pressure ulcer prevention program. … While we offer general reasons and statistics in the box below, local reasons or cases may be more tangible … Others in your hospital may have different reasons, so it is important to define the issues and reasons … Gather their input and begin to clarify the reasons for needed change. … Develop consensus on reasons this program needs to go forward.
-
psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - Study
Differences of reasons for alert overrides on contraindicated co-prescriptions … Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department … Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department
-
digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii
January 01, 2023 - Quality measure exceptions are defined by the Physician Consortium for Performance Improvement® (PCPI) as reasons … overall objectives of this study were to assess the prevalence of exception reporting, document specific reasons … measures and 13,985 HF patients for three HF drug therapy performance measures, including exception reasons
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
June 02, 2025 - establish guidelines
They agree on a list of acceptable indications for UC use that are clearly identified
Reasons … The 3 R’s: Recheck, Revise, Review
Recheck: reasons for guideline noncompliance; identify opportunities