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  1. Hi2011-2014Sid Sedd (pdf file)

    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…
  2. 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 …
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. www.uspreventiveservicestaskforce.org/home/getfilebytoken/caCcWa2a6jQGRyb7H8CkbU
    July 01, 2009 - visual condition compared with oph- thalmologic examination, and 1 study reported that geria- tricians correctly
  8. 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.
  9. 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
  10. 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
  11. 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…
  12. 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…
  13. 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…
  14. 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
  15. 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 …
  16. 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…
  17. 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…
  18. 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
  19. 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.
  20. 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

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