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Showing results for "death".

  1. Bar-coded Medication Administration | Digital Healthcare Research

    digital.ahrq.gov/bar-coded-medication-administration
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49464/psn-pdf
    December 27, 2020 - Lap Burn October 1, 2004 Ball K. Lap Burn. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lap-burn The Case A woman was scheduled for an elective diagnostic laparoscopy for dysfunctional uterine bleeding. After accessing the abdomen with the trocar without complication, the surgeon inserted the laparoscope…

  3. Established Child Health Care Quality Measures--Title V of the Social Security Act | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-5.html
    November 01, 2017 - Established Child Health Care Quality Measures--Title V of the Social Security Act Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Contents Child Measures Included Users Comparisons and Trends Ben…

  4. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
    December 01, 2009 - Spotlight Case [MONTH] 2003 Spotlight Case Standard Deviations Source and Credits This presentation is based on the December 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James E. Sabin, MD Harvard Medical School; Harvard Pilgrim Heal…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33657/psn-pdf
    September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix September 1, 2007 Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix Perspective There is a slumbe…

  6. New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/946.html
    February 01, 2025 - New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment Issue Number 946 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. February 18, 2025 AHRQ Stats: Transportation Access Among Adults About 6 percent of U.S. adults reported that a lack…

  7. How Well Do You Know AHRQ? Quizzes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/how-well-do-you-know-ahrq-quizzes.pdf
    September 01, 2024 - How Well Do You Know AHRQ? Quizzes Are you an AHRQ-o-phile? 1. Which of the following groups does not use AHRQ’s knowledge, tools and data to make informed health decisions? a. Health systems b. Healthcare professionals c. Chefs d. Policymakers …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33586/psn-pdf
    December 15, 2024 - Alert Fatigue December 15, 2024 Alert Fatigue. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/alert-fatigue PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…

  9. EvidenceNow Executive Summary - North Carolina Cooperative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
    November 01, 2017 - EvidenceNow Executive Summary - North Carolina Cooperative North Carolina Cooperative North Carolina EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37030/psn-pdf
    June 23, 2017 - A series of anesthesia-related maternal deaths in Michigan, 1985-2003. June 23, 2017 Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985- 2003. Anesthesiology. 2007;106(6):1096-1104. https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36917/psn-pdf
    September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. September 1, 2011 Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the Danish…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40404/psn-pdf
    February 10, 2015 - The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. February 10, 2015 Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year--and aim to do even better.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43602/psn-pdf
    October 15, 2014 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Com…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35023/psn-pdf
    March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45301/psn-pdf
    April 22, 2017 - Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. April 22, 2017 Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44466/psn-pdf
    September 16, 2015 - Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. September 16, 2015 Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a re…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43667/psn-pdf
    November 12, 2014 - Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. November 12, 2014 Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45898/psn-pdf
    August 16, 2017 - Estimating hospital-related deaths due to medical error: a perspective from patient advocates. August 16, 2017 Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364. http…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47054/psn-pdf
    July 19, 2018 - A target to achieve zero preventable trauma deaths through quality improvement. July 19, 2018 Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. https://psnet.ahrq.gov/issue/target-achi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36037/psn-pdf
    June 25, 2009 - Preventable deaths in patients admitted from emergency department. June 25, 2009 Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5. https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department The authors re…
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