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Showing results for "evaluated".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73498/psn-pdf
    July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error High-alert medication misadministration i…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74763/psn-pdf
    June 25, 2021 - FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. June 25, 2021 Silver Springs, MD: US Food and Drug Administration: June 25, 2021. https://psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated- recommendations-reprocessing Incomplete reproce…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43022/psn-pdf
    May 29, 2014 - Using simulation to improve root cause analysis of adverse surgical outcomes. May 29, 2014 Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. https://psnet.ahrq.gov/issue/using-sim…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43758/psn-pdf
    March 17, 2015 - A patient safety checklist for the cardiac catheterisation laboratory. March 17, 2015 Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. https://psnet.ahrq.gov/issue/patient-safety-checklist-card…

  5. 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36690/psn-pdf
    January 18, 2011 - The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. January 18, 2011 Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medicatio…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74850/psn-pdf
    February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five stars. February 16, 2022 Rau J. Kaiser Health News. February 8, 2022.  https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars Rating systems face challenges to accurately represent the safety and quality of patient ca…

  8. Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease | Agency for Healthcare Research and Quality

    www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
    January 01, 2021 - Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease Pompe disease is a rare condition that is identified in about 1 in 40,000 births. It occurs from a defect in the GAA gene leading to the accumulation of lysosomal glycogen and, depending on the form and severity, can result in c…

  9. Logan, Judith | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/logan-judith
    January 01, 2023 - Logan, Judith Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy - Final Report Citation Logan JR. Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy - Final Report. (Prepared by the Oregon Health & Science University under G…

  10. Cross, Dori | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/crossdori
    January 01, 2024 - Cross, Dori Digital supervision in the clinical learning environment: Characterizing teamwork in the electronic health record. Citation Cross DA, Weiner J, Olson APJ. Digital supervision in the clinical learning environment: Characterizing teamwork in the electronic health rec…

  11. Final Progress Report: Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
    January 01, 2024 - Many medications have not been evaluated for safety in pediatric use and are routinely prescribed off

  12. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
    June 01, 2023 - communication based on existing tools (e.g., DE-PASS, SBAR-DR) or newly developed tools can be implemented and evaluated

  13. Using Telehealth to Improve Quality and Safety (pdf file)

    digital.ahrq.gov/sites/default/files/docs/lesson/09-0012-ef-telehealth.pdf
    December 01, 2008 - Using Telehealth to Improve Quality and Safety Using Telehealth to Improve Quality and Safety Findings from the AHRQ Health IT Portfolio Ag ency for Healthcare Research and Quality A dvancing Excellence in Health Care www.ahrq.gov Health IT http://www.ahrq.gov Using Telehealth to Improve Quality and Saf…

  14. BLUEPRINT FOR A FUTURE DISTRIBUTED RESEARCH NETWORK (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-blueprint_research.pdf
    June 01, 2010 - BLUEPRINT FOR A FUTURE DISTRIBUTED RESEARCH NETWORK The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care program. It is a collaborative network of research centers that support the rapid development of new scientific information and anal…

  15. Layout 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Telehealth_Issue_Paper_Final_1.pdf
    December 01, 2008 - Layout 1 Using Telehealth to Improve Quality and Safety Findings from the AHRQ Health IT Portfolio gency for Healthcare Research and Quality dvancing Excellence in Health Care www.ahrq.govA A Health IT Using Telehealth to Improve Quality and Safety Findings from the AHRQ Health IT Portfolio Prepared for: Agen…

  16. Suicidal-Thoughts-Young-People-Amendement-May-2025 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-amendement-may-2025.pdf
    January 01, 2025 - Evidence-based Practice Center Systematic Review Protocol Project Title: Management of Suicidal Thoughts and Behaviors in Youth Initial Publication Date: May 2, 2024 Amendment Date(s): February 5, 2025, May 6, 2025 (Amendments Details-see Section VII) I. Background and Objectives for the Systematic Review …

  17. Management of Suicidal Thoughts and Behaviors in Youth (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-amendement.pdf
    February 05, 2025 - Management of Suicidal Thoughts and Behaviors in Youth Evidence-based Practice Center Systematic Review Protocol Project Title: Management of Suicidal Thoughts and Behaviors in Youth Initial publication date: May 2, 2024 Amendment date: February 5, 2025 I. Background and Objectives for the Systematic Revi…

  18. Management of Suicidal Thoughts and Behaviors in Youth (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-draft-protocol.pdf
    March 14, 2024 - Management of Suicidal Thoughts and Behaviors in Youth Evidence-based Practice Center Systematic Review Protocol Project Title: Management of Suicidal Thoughts and Behaviors in Youth I. Background and Objectives for the Systematic Review Suicide is a leading cause of death in young people and an escalating…

  19. Improving Healthcare Quality with User-Centered Patient Portals - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/k01hs021531-ancker-final-report-2018.pdf
    January 01, 2018 - Improving Healthcare Quality with User-Centered Patient Portals - Final Report 1. …

  20. Chronic Care Technology Planning Project (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
    January 01, 2005 - Chronic Care Technology Planning Project Grant Final Report Grant ID: 1P20HS014949-01 Chronic Care Technology Planning Project Inclusive Project Dates: 10/01/04 – 09/30/05 Principal Investigator: John M. Branscombe Jr., MSB Team Members: David Peterson, President/CEO Joy Barresi-Sauci…
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