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hcup-us.ahrq.gov/db/state/siddist/HI2011-2014SID_SEDD.pdf
December 15, 2016 - As part of the on-going HCUP quality management program, we discovered a problem with the
identification of Medicare patients in the 2011–2014 Hawaii State Inpatient Databases (SID) and
State Emergency Department Databases (SEDD). The purpose of this notification is to provide
a description of the issue and instruc…
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www.ahrq.gov/hai/patient-safety-resources/cli-checklist/index.html
February 01, 2024 - Central Line Insertion Care Team Checklist
This checklist provides sequential critical steps that have shown to reduce central line-associated infections.
Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been …
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www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…
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hcup-us.ahrq.gov/db/state/siddist/IncorrectPayerMappings_IntramuralFiles.pdf
January 01, 2011 - The following States, years, and databases have the HCUP data element(s) for expected payer
(PAY1 and PAY2, if available) incorrectly assigned.
Hawaii 2011–2014 SID and SEDD
Kentucky 2008 SID
Texas 2004–2011 SID
The Hawaii SID and SEDD were corrected in 2017, but there are no plans to correct the
Kent…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - Strategy 2: Communicating to Improve Quality (Tool 3)
Appendix D. Ambulatory Surgery Center Checklist Template
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Ambulatory Surgery Checklist
Preop
Before Patient Enters Room
Nurse, Anesthesia Professional, and Patient Review:
· Patient identificatio…
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hcup-us.ahrq.gov/db/state/siddist/2015NJSIDSASDSEDDDNR081608.pdf
June 01, 2018 - The 2015 HCUP Central Distributor State Inpatient Databases (SID), State Ambulatory Surgery
and Services Databases (SASD), and State Emergency Department Databases (SEDD) for
New Jersey were recreated in June 2018 to correct information in the data element containing
information about the patient’s Do Not Resuscitat…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/caCcWa2a6jQGRyb7H8CkbU
July 01, 2009 - visual condition compared with oph-
thalmologic examination, and 1 study reported that geria-
tricians correctly
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digital.ahrq.gov/sites/default/files/docs/data-visualization-qas-10192022.pdf
October 19, 2022 - You
correctly point out that we must be mindful of all levels of potential patient anxiety.
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - A correctly labeled follow-up chest x-ray showed persistent pneumothorax on the patient's left and the
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - In cases in which the trigger correctly identifies an adverse event, causative factors can be determined
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - bowel obstruction caused by reversing the colon loops during laparoscopic surgery, is preventable by correctly
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - Tool: Cross-Monitoring
Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors. It allows individuals and teams to take steps to correct the issue before harm or injury to the patient occurs. As one example, e-ICUs have proven the value of having remote staff cross-monitoring …
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hcup-us.ahrq.gov/db/state/siddist/2010_2011ARSIDCDDoc071414.pdf
January 01, 2010 - The HCUP Central Distributor State Inpatient Databases (SID) for Arkansas 2010 and 2011
contain incorrect expected payer information for two hospitals in 2010 (exactly 4 percent of all
discharges) and five hospitals in 2011 (about one percent of all discharges). The 2010 and 2011
AR SID have been recreated with corr…
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Study
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.
Citation Text:
Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…
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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - Ensuring that you know what medicines your patients are taking and that they are taking them correctly
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - Correctly complete the Tracking Record for Improving Patient Safety.
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www.ahrq.gov/patient-safety/reports/hotline/lessons5.html
May 01, 2016 - Visitors to the home page may—correctly or incorrectly—determine that the hotline does not meet their