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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - The operative note mentioned no visible injury upon entry into the abdominal cavity, but there were extensive
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - clinical signs of persistent neuromuscular block are subtle, and anesthesia care providers without extensive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - In Phase I, leaders plan and prepare the staff to adopt the initiative with an
extensive multilevel
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - Contributing Factors
The contributing factors list
in the UTCCRS was
developed in an extensive
consensus-building
-
hcup-us.ahrq.gov/reports/statbriefs/sb139.pdf
July 25, 2012 - A hierarchical algorithm
assigns the most extensive procedure (review order of procedures presented
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - AHRQ Safety Program for Surgery: Final Report
HAIs
Healthcare-
Associated
Infections
PREVENT
CUSP
AHRQ Safety Program
for Surgery
Final Report
AHRQ Safety Program for Surgery
Final Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
Contract …
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - TAKEheart’s Module 4 provides an extensive
overview of key data issues you will need to address to succeed … Sometimes this can be challenging and require extensive
programming or even additional data entry.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
July 01, 2024 - However, because of extensive challenges with EHRs reporting QI data, the practices engaged in the
ACC … Experienced PFs
The PFs are highly experienced and collaborative, and have extensive experience working … However, because of extensive
EHR challenges outlined in section 3.1.1, the practices engaged in the … Experienced PFs
The PFs are highly experienced and collaborative, and have extensive experience working
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - The
iterative process for developing these recommendations involves extensive support from a
Technical … The creation of recommendations for design features of consumer reporting systems was
driven by extensive … They said that consumers can report extensive information about patient safety events, including
details … and with the alternative model that includes analysis at the local level,
although there was less extensive … After extensive discussions, the TEP recommended that consumer reporting systems have
two purposes.
-
www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - The
iterative process for developing these recommendations involves extensive support from a
Technical … The creation of recommendations for design features of consumer reporting systems was
driven by extensive … They said that consumers can report extensive information about patient safety events, including
details … and with the alternative model that includes analysis at the local level,
although there was less extensive … After extensive discussions, the TEP recommended that consumer reporting systems have
two purposes.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ear-infection_disposition-comments.pdf
May 04, 2013 - The extensive nature of the review I am afraid is a problem-
the lengthy nature will make it hard to … However, we suspect that power was low
given the relatively small, heterogeneous samples and extensive … power was low for many of these
studies, given the relatively small and
heterogeneous samples and the extensive
-
effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1512.pdf
December 01, 2015 - PULMONARY with "Discussions" in Exec Summary
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 13: Pulmonary Disease, Including Asthma
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers L…
-
psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - SPOTLIGHT CASE
How Do Providers Recover From Errors?
Citation Text:
West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar Bi…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
August 01, 2023 - Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review
Comparative Effectiveness Review
Number 258
Diagnostic Errors in the Emergency
Department: A Systematic Review
Evidence Summary
Main Points
• Overall diagnostic accuracy in the emergen…
-
psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc
June 1, 2016
In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
Editor's note: Dr. Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based
system tha…
-
psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - Spotlight
Missed Opportunities for Suicide
Risk Assessment
Source and Credits
• This presentation is based on the November 2019 AHRQ WebM&M
Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Glen Xiong, MD & Debra Kahn, MD
○ Editors in Chief, AHRQ We…
-
psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble
Citation Text:
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar …
-
www.ahrq.gov/sites/default/files/2024-11/kowozer-report.pdf
January 01, 2024 - Final Progress Report: Mortality Assessment in Lung Cancer Resection
Final Progress Report
Mortality Assessment in Lung Cancer Resection
University of Virginia
July 1, 2009 – June 30, 2014
Principal Investigator: Benjamin D. Kozower, MD, MPH
Project Officer: Kay Anderson, PhD
I would like to …
-
www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference
FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker)
Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference
Principal Investigator: David E. Newman-Toker
Tea…
-
psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - Peripheral IV in Too Long
September 1, 2012
Fang C-T. Peripheral IV in Too Long. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/peripheral-iv-too-long
Case Objectives
Appreciate the complications associated with peripheral intravenous (IV) catheters.
Describe the optimal sterile technique that should be us…