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161. Management of Operating Room Critical Events. | PSNet
     psnet.ahrq.gov/issue/management-operating-room-critical-events
     March 27, 2024 - March 19, 2008 View More Related Resources WebM&M Cases … Inadequate ECG Oversight in Cardiac Surgery April 24, 2024 WebM&M Cases … Cardiac Arrests and Emergency Hysterectomy March 27, 2024 WebM&M Cases … Resulting in Death During Endoscopy February 28, 2024 WebM&M Cases … September 21, 2022 WebM&M Cases Sudden Collapse During

162. Appendix Table B-1. RCTs of Masks (xls file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/masks-appendix-table-b-1-version-1.xlsx
     April 09, 2020 - Household clusters: 105 Index cases: 105 Household contacts: 306 A: Surgical mask (n=52 index cases, … contacts A: 29 B: 25 Index cases A: 50 B: 45.3 Household contacts A: 50.7 B: 50.0 Index cases A: 29 … Index cases and household contacts Not reported, other than as part of interventions 9 days Index cases … B: No mask (n=122 index cases) Index cases in household Not reported, other than as part of interventions … contacts A: 50.7 B: 43.1 Index cases Current or ex-smoker A: 23.6 B: 21.3 Index cases (A vs.

163. Masks-Surveillance-2-Appendix-Table-A-1 (xls file)
     effectivehealthcare.ahrq.gov/sites/default/files/masks-surveillance-2-appendix-table-a-1.xlsx
     April 09, 2020 - Household clusters: 105 Index cases: 105 Household contacts: 306 A: Surgical mask (n=52 index cases, … contacts A: 29 B: 25 Index cases A: 50 B: 45.3 Household contacts A: 50.7 B: 50.0 Index cases A: 29 … Index cases and household contacts Not reported, other than as part of interventions 9 days Index cases … B: No mask (n=122 index cases) Index cases in household Not reported, other than as part of interventions … contacts A: 50.7 B: 43.1 Index cases Current or ex-smoker A: 23.6 B: 21.3 Index cases (A vs.

164. Masks-Appendix-Table-B-1-Version-2 (xls file)
     effectivehealthcare.ahrq.gov/sites/default/files/masks-appendix-table-b-1-version-2.xlsx
     April 09, 2020 - Household clusters: 105 Index cases: 105 Household contacts: 306 A: Surgical mask (n=52 index cases, … contacts A: 29 B: 25 Index cases A: 50 B: 45.3 Household contacts A: 50.7 B: 50.0 Index cases A: 29 … Index cases and household contacts Not reported, other than as part of interventions 9 days Index cases … B: No mask (n=122 index cases) Index cases in household Not reported, other than as part of interventions … contacts A: 50.7 B: 43.1 Index cases Current or ex-smoker A: 23.6 B: 21.3 Index cases (A vs.

165. Masks-Appendix-Table-B-1-Surveillance-Report (xls file)
     effectivehealthcare.ahrq.gov/sites/default/files/Masks-appendix-table-b-1-surveillance-report.xlsx
     April 09, 2020 - Household clusters: 105 Index cases: 105 Household contacts: 306 A: Surgical mask (n=52 index cases, … contacts A: 29 B: 25 Index cases A: 50 B: 45.3 Household contacts A: 50.7 B: 50.0 Index cases A: 29 … Index cases and household contacts Not reported, other than as part of interventions 9 days Index cases … B: No mask (n=122 index cases) Index cases in household Not reported, other than as part of interventions … contacts A: 50.7 B: 43.1 Index cases Current or ex-smoker A: 23.6 B: 21.3 Index cases (A vs.

166. New enteral connectors: raising awareness. | PSNet
     psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
     August 28, 2024 - September 22, 2021 WebM&M Cases No BP During NIBP … September 1, 2014 WebM&M Cases Liver Biopsy: Proceed … With Caution August 21, 2014 WebM&M Cases … November 14, 2012 WebM&M Cases Where's the Feeding Tube … December 14, 2005 WebM&M Cases Central Line Clot

167. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet
     psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
     July 02, 2019 - July 25, 2018 WebM&M Cases Staggered Sensitivity Results … March 1, 2007 WebM&M Cases Polypharmacy … August 17, 2011 WebM&M Cases Pocket Syringe Swap … April 12, 2011 WebM&M Cases Milliliters vs. … Milligrams December 1, 2010 WebM&M Cases Mother's

168. Deep-Rooting Your Data: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
     December 01, 2017 - Line chart of total number of cases, SSI infections, and the percentage of SSIs per quarter. … Line chart of total number of cases, SSI infections, and the percentage of SSIs per quarter. … Slide 9: Sample SSI Rate Report Image: Bar graph with total cases per quarter and total number of … Line includes the percentage of SSI cases per quarter. … Perception/acceptance of the data: SSI cases aggregated.

169. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
     psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
     September 25, 2019 - At our institution, the current standard turnaround time for uncomplicated, routine biopsy cases is 48 … studies suggest that quality assurance metrics are improved and fewer discrepant results occur when cases … In this case, only one bone pathologist was on staff due to the relatively low volume of bone cases. … Cases in which the two pathologists are not in agreement should be sent out for review by an extramural … September 6, 2023 WebM&M Cases Critical Echocardiogram

170. Security Lapse | PSNet
     psnet.ahrq.gov/web-mm/security-lapse
     December 18, 2019 - July 13, 2009 WebM&M Cases Do Not Disturb! … October 1, 2007 WebM&M Cases Check the Anesthesia … February 3, 2011 WebM&M Cases Do Not Disturb! … 1, 2006 WebM&M Cases Privacy Gone Awry May … in Fatal Error February 1, 2004 WebM&M Cases

171. Walton RT et al. 1997 "Evaluation of computer support for prescribing (CAPSULE) using simulated cases." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/walton-rt-et-al-1997
     January 01, 1997 - Walton RT et al. 1997 "Evaluation of computer support for prescribing (CAPSULE) using simulated cases … Evaluation of computer support for prescribing (CAPSULE) using simulated cases. … Interventions: Doctors prescribed for 36 simulated cases constructed from real consultations. … Main outcome measures: Percentage of cases where doctors ignored a cheaper, equally effective drug; prescribing … Doctors ignored a cheaper, equally effective drug in a median 50% (range 25%-75%) of control cases, compared

172. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet
     psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
     January 29, 2021 - History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 15, 2023 WebM&M Cases Open wider: Failure … to Arterial Thrombosis June 28, 2023 WebM&M Cases … December 2, 2020 WebM&M Cases The Inside of a Time Out … Safe November 1, 2006 WebM&M Cases Impatient

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73700/psn-pdf
     September 15, 2021 - Preliminary study of patient safety and quality use cases for ICD-11 MMS. … Preliminary study of patient safety and quality use cases for ICD- 11 MMS. … https://psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms The World … https://psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms https:

174. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pptx
     January 01, 2006 - Examining Observed Rates of Neonatal Blood Stream Infection Rate (NQI 3) Per 1,000 Cases Examining … 2.8000000000000001E-2 2.1021000000000001E-2 2.4250000000000001E-2 1.6417999999999999E-2 Per 1,000 Cases … Consider adding a descriptive title (e.g., “Decrease in expected cases compared to national average over … and calculation of expected rates 2.383E-2 2.383E-2 2.383E-2 2.383E-2 2.383E-2 2.383E-2 Per 1,000 Cases … 2010 2011 2012 2013 2014 2015 2016 2.383E-2 2.383E-2 2.383E-2 2.383E-2 2.383E-2 2.383E-2 Per 1,000 Cases

175. Medicines to Help Prevent Breast Cancer: Let's Talk About It (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/breast-cancer-risk-reduction-discussion-guide_3.pdf
     September 01, 2019 - Risk assessment tools estimate the number of breast cancer cases expected in a population; they are not … taking one of these medicines over 5 years, we would expect: Benefits Harms Breast Cancer 7 fewer cases … Tamoxifen* Raloxifene Aromatase Inhibitors 9 fewer cases 16 fewer cases 3 fewer cases 7 fewer cases … no difference** 26 more cases no difference no difference 5 more cases 7 more cases no difference … 4 more cases no difference no difference Fractures Cataracts Endometrial Cancer (cancer of the uterus

176. Medicines to Help Prevent Breast Cancer: Let's Talk About It (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/breast-cancer-risk-reduction-discussion-guide.pdf
     September 01, 2019 - Risk assessment tools estimate the number of breast cancer cases expected in a population; they are not … taking one of these medicines over 5 years, we would expect: Benefits Harms Breast Cancer 7 fewer cases … Tamoxifen* Raloxifene Aromatase Inhibitors 9 fewer cases 16 fewer cases 3 fewer cases 7 fewer cases … no difference** 26 more cases no difference no difference 5 more cases 7 more cases no difference … 4 more cases no difference no difference Fractures Cataracts Endometrial Cancer (cancer of the uterus

177. Discussion of medical errors in morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
     August 04, 2015 - AHRQ WebM&M offers an online version of such a conference with presentation of cases and expert commentaries … July 10, 2008 WebM&M Cases Which End Is Which? … Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … August 28, 2019 A multidisciplinary model for reviewing severe maternal morbidity cases … March 27, 2019 How common are cognitive errors in cases presented at emergency medicine

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848363/psn-pdf
     May 03, 2023 - percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases … percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases … This retrospective cohort study including over 87,000 surgical cases found that overlapping surgeries … increased in-hospital mortality, adverse events, or readmission rates when compared to nonoverlapping cases

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836830/psn-pdf
     March 30, 2022 - multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases … multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases … multi-disciplinary committee, the obstetric Quality and Peer Review Committee (OBQPRC), to review all cases … health-equity-and-maternal-health https://psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

180. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are elevated in 94-100% of cases. 7 … Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature. … Spinal epidural abscess: A report of 40 cases and review. Surg Neuro l 1992;38(3):225–31. … Spinal Epidural Abscess: A Series of 101 Cases. Am J Medicine 2017;130(12):1458–63. … Spinal Cord Ser Cases 2017;3(1):17013. Angtuaco EJC, McConnell JR, Chadduck WM, at el.