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www.ahrq.gov/hai/tools/abate/skills.html
March 01, 2022 - Adherence and Skills Assessment
This toolkit provides documents for assessing whether staff are adhering to the decolonization protocol. These documents include self-administered survey questions for patients to describe their bathing experience, as well as staff skills assessment questions for peer or supervis…
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psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
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psnet.ahrq.gov/node/40469/psn-pdf
May 20, 2019 - Error Reduction in Health Care: A Systems Approach to
Improving Patient Safety, Second edition.
May 20, 2019
Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402.
https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-
edition
Error Reduction in H…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - About the Toolkit Development
Toolkit for Improving Perinatal Safety
Background
Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…
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hcup-us.ahrq.gov/reports/infographics/HCUP-hospital-readmission-infographic-final.pdf
July 15, 2014 - HCUP-hospital-readdmission-infographic-34-51-12-Final(s)
Medicare
Medicaid
Privately Insured
Uninsured
Medicaid
Medicare
Privately Insured
Uninsured
30-DAY READMISSION RATES TO U.S. HOSPITALS
*Readmissions were for all causes and did not necessarily include the same procedure or diagnosis as the original adm…
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - An adverse event is any injury caused by medical management rather than the underlying
disease.3 Research
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - submit an online report of any situation that created a near miss for an adverse event or actually caused
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Assumptions about
who treats NSTIs and who was responsible for this patient caused unprofessional initial
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - patient experience scores, as well as better outcomes on quality measures in
general.11,12 The pandemic caused
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Third Internal Consensus Definitions Task Force defined sepsis as life-threatening organ dysfunction caused
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - There also may be the inhibition caused by fear of blame ( 8 ), or perhaps high levels of embarrassment
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - had limited experience placing procedure orders, the distinction between a PICC and a TDC might have caused
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - The patient had a bruised upper airway, which caused her some discomfort, but she otherwise recovered
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digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-qa-012518.pdf
January 25, 2018 - Will you pursue looking at error rates caused by
this?
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hcup-us.ahrq.gov/reports/natstats/his96/table1d.htm
January 01, 1996 - 0.4 44.5 59.2
13.1 Infective arthritis and osteomyelitis
(except that caused
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - Severe Sepsis: Examples of End-Organ Dysfunction Caused by Infection or Secondary to SIRS
Associated
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - There also may be the inhibition caused by fear of blame (8), or perhaps
high levels of embarrassment
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - Or the expressed concern
by the mother may have caused the clinician to rethink his initial assessment
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - to mitigate these risks, capturing the benefits of
these new technologies while reducing the harm caused
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - Errors may also be caused by a lack of adequate history
provided to the radiologist and limited communication