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Showing results for "addressed".

141. Prologue—Volume 2—Systems Thinking and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
     June 02, 2025 - We can be sure that Hippocrates and, centuries later, Florence Nightingale, addressed their dictum … brings with it its own conceptual challenges— Prologue 3 challenges that, if not recognized and addressed … Some of these questions are addressed in the sections on cognition and risk.

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39761/psn-pdf
     December 08, 2016 - narrative discusses how shame and embarrassment associated with near misses should be more effectively addressed

143. First Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/first-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
     December 01, 2011 - In this report, the USPSTF identifies the following high-priority evidence gaps that can be addressed … In this report, the USPSTF identifies the following high-priority evidence gaps that can be addressed

144. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - individual errors may occur before a patient is actually harmed.3 Thus, process measures need to be addressed … Errors Addressed by System Change Medical mistakes caused by latent errors, such as similar sounding … drug names or delays in treatment due to lack of staff, are best addressed by system change. … Advances in infection control often have been addressed by increasing hand hygiene among caregivers. … Infection Control Errors Infection errors are best addressed by targeting behaviors, such as hand washing

145. Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
     August 09, 2013 - Figure 1 shows the number of projects in each initiative that addressed each IOM priority area. … Each project addressed at least one IOM priority area. … In addition, some of the researchers addressed bar- riers to the effective use of CDS systems and other … Eight of the MCP projects also addressed this topic. … Several of the ASQ areas of interest were not substan- tively addressed.

146. Disseminating Adapted Diabetes Evidence to Clinicians Through a Patient Portal (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/rosenbloom.pdf
     December 19, 2014 - Study Populations Patients of the Vanderbilt University Medical Center Health Condition Addressed

147. Explain Key Health Care Facts Related to Your Quality Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/explain/share-info/facts.html
     January 01, 2023 - The particular conditions that are addressed by your ratings.

148. Layout 1 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-update_executive.pdf
     March 01, 2011 - In addition to questions about optimal glycemic control, recent studies have addressed concerns about … Few studies addressed microvascular outcomes of nephropathy, retinopathy, or neuropathy. … Key Question 3: Adverse Events and Side Effects This Key Question was addressed by 107 studies. … Insufficient No studies addressed the outcome of retinopathy. … Cancer Insufficient Few studies addressed the outcome of cancer.

149. A deadly epidural, delivered by a doctor with a history of mistakes. | PSNet
     psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
     January 24, 2024 - Active errors are evident when they occur, yet systemic weaknesses, if not addressed, allow them to

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40514/psn-pdf
     June 08, 2011 - practices, this article suggests that problems with organizational culture and provider behavior must be addressed

151. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
     October 01, 2014 - These two subscales need to be addressed in the care plan despite the overall score. … Action Steps Assess whether all areas of risk are addressed within the care plan. … Preventing heel pressure ulcers is a common problem that must be addressed in the care plans. … This is a unit or facility culture issue that needs to be addressed systemwide.

152. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
     October 01, 2014 - These two subscales need to be addressed in the care plan despite the overall score. … Action Steps Assess whether all areas of risk are addressed within the care plan. … Preventing heel pressure ulcers is a common problem that must be addressed in the care plans. … This is a unit or facility culture issue that needs to be addressed systemwide.

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37473/psn-pdf
     December 27, 2014 - A previous AHRQ WebM&M commentary addressed the issue of communication surrounding critical laboratory

154. U.S. inaction lets look-alike tubes kill patients. | PSNet
     psnet.ahrq.gov/issue/us-inaction-lets-look-alike-tubes-kill-patients
     September 01, 2008 - This article describes documented look-alike issues with medical equipment that have yet to be addressed

155. Privacy and Security Solutions for Interoperable Health Information Exchange / Massachusetts | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ma
     January 01, 2023 - Massachusetts' phase 2 project addressed the identification of consent requirements in a sequenced logical

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867041/psn-pdf
     October 30, 2024 - contained 3 to 113 questions, with an average of 21, which the authors state is likely too many to be addressed

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50852/psn-pdf
     January 29, 2020 - Countermeasures to address underlying causes are also addressed.

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73465/psn-pdf
     July 07, 2021 - Most errors described usability issues which should be considered and addressed to improve medication

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73088/psn-pdf
     March 31, 2021 - The authors suggest that medical errors and accidents be addressed from an organizational context with

160. Tool 9: Transitional Care Planning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
     July 28, 2016 - housing, transportation, and social support, can greatly affect the likelihood that those needs can be addressed … planners with a set of prompts to identify readmission risks and to take steps to ensure those risks are addressed