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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
View more articles from the same authors.
Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
November 09, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: November 9, 2011
Evidence-based Practice Center Systematic Review Protocol
Project Title: Critical Analysis of the Evidence for Patient Safety Practices
I. Background and Objectives fo…
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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Right Electrocardiogram, Wrong Patient
March 25, 2020
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
The Cases
Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
March 04, 2020 - The Hidden Harms of Hand Sanitizer
Citation Text:
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Slide 2: Learning Objectives
Image: This slide sh…
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
-
psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guide-editorial_methods.pdf
July 01, 2012 - Methods Guide for Medical Test Reviews - Editorial
E-1
Editorial
Methods Guide for Authors of Systematic Reviews
of Medical Tests:
A Collaboration Between the Agency for Healthcare
Research and Quality (AHRQ) and the Journal
of General Internal Medicine
Gerald W. Smetana, M.D., Beth Israel Deaconess…
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www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
January 01, 2024 - care physicians in the
U.S., which equates to 1 palliative care physician for every 11,000 Medicare deaths … In 2019, 44% of the deaths in the VA occurred in hospice beds. … There was a concurrent increase in ICU deaths from 40% in 2019 to
64% in 2021.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
January 01, 2019 - lever to address maternal morbidity and mortality, as research
suggests that one-half of maternal deaths … The causes of pregnancy-related deaths in the United States are as follows: cardiovascular
diseases … Many of these pregnancy-related deaths reflect complications and
conditions associated with women who … Maternal deaths and near misses are often preventable through improved quality and safety of
maternity … Preventability of pregnancy-related deaths. Results of a
state-wide review.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/insomnia_disposition-comments.pdf
December 30, 2015 - in every controlled trial (even if
there are no deaths): see Iannidis, Evans, Gotzsche,
...CONSORT … Does the strategy of this
review ignore deaths because no patient self-reported his
own death? … There were indeed deaths in these studies,
e.g., Ancoli-Israel et al., reference 108, which are not … We described specific adverse effects including
deaths in the text. … We have added any information on deaths and other
serious adverse events from Ancoli-Israel and other
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - Deaths: final data for 2010. Natl Vital Stat Rep . 2013;61(4):1-118.
… Cause-specific excess deaths associated with underweight, overweight, and obesity.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - the United States, closely trailing heart disease
and cancer.1, 2 In fact, at least 7,000 inpatient deaths … occur annually as a direct
result of medication errors in hospitals and 106,000 deaths occur each year
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hcup-us.ahrq.gov/reports/statbriefs/sb15.pdf
October 01, 2006 - Introduction
Breast cancer is second only to lung cancer as the leading cause of
cancer-related deaths
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hcup-us.ahrq.gov/reports/statbriefs/sb15.jsp
October 15, 2006 - Introduction
Breast cancer is second only to lung cancer as the leading cause of cancer-related deaths
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effectivehealthcare.ahrq.gov/sites/default/files/decide16final-mortality-risk-in-copd-pts-using-theophylline.pdf
December 01, 2009 - Unadjusted Outcomes by Treatment Group
Deaths Exacerbationsa Hospitalizationsa
N (%) HR (95% CI
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-management_research.pdf
December 01, 2009 - Unadjusted Outcomes by Treatment Group
Deaths Exacerbationsa Hospitalizationsa
N (%) HR (95% CI
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-immunotherapy_research-protocol.pdf
September 14, 2016 - The Role of Immunotherapy and the Management of Asthma: Systematic Review
Source: www.effectivehealthcare.ahrq.gov
Published online: September 14, 2016
Evidence-based Practice Center Systematic Review Protocol
Project Title: The Role of Immunotherapy and the Management of Asthma:
Systematic Review …