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Showing results for "factor".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837740/psn-pdf
    July 27, 2022 - Reducing near miss medication events using an evidence-based approach. July 27, 2022 Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38172/psn-pdf
    October 29, 2008 - Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. October 29, 2008 McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47850/psn-pdf
    March 27, 2019 - Medicines-related harm in the elderly post-hospital discharge. March 27, 2019 Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge Geriatric patients are particularly vulnerable to medication-related harm. This articl…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867179/psn-pdf
    January 01, 2025 - Implementation of a standardized tool for root cause analysis selection. November 20, 2024 Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291. https://psnet.ahrq.gov/issue/implementation-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. February 3, 2010 Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Info…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44707/psn-pdf
    February 09, 2016 - Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. February 9, 2016 Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44394/psn-pdf
    August 24, 2018 - Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. August 24, 2018 ISMP Safe Medicine. July/August 2015;13:1-3. https://psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take- help-eliminate-these Dispensing error…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866966/psn-pdf
    October 16, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. October 16, 2024 Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No. 24- 0010-9-EF https://psnet.ahrq.g…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764400/psn-pdf
    March 02, 2022 - A mixed methods evaluation of medication reconciliation in the primary care setting. March 2, 2022 Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882. https://psnet.ahr…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47338/psn-pdf
    September 19, 2018 - Avoidable sepsis infections send thousands of seniors to gruesome deaths. September 19, 2018 Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018. https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths Sepsis is a serious condition that can …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855431/psn-pdf
    January 01, 2024 - The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. November 15, 2023 Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201. doi:10.1177/0…

  12. Event Investigation and Analysis Guide: Appendix F | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix F Solutions Meeting Announcement Template On behalf of (insert executive sponsor name), we would like you to participate in our upcoming solutions meeting related to (describe safety event). The solutions meeting will take place at (time) (date) (location). …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43024/psn-pdf
    March 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.…

  14. Using Root Cause Analysis to Improve Quality and Performance | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
    February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes  (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…

  15. U.S. Preventive Services | Prevention TaskForce

    www.uspreventiveservicestaskforce.org/apps/index.jsp
    The Prevention TaskForce (formerly ePSS) application assists primary care clinicians to identify the screening, counseling, and preventive medication services that are appropriate for their patients. The Prevention TaskForce data is based on the current recommendations of the U.S. Preventive Services Task Force (USPS…

  16. Prevehosp-Reports-Ig (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - Rule 1: High risk based on prior hospital or ED visit AND an existing high-risk factor Criteria: … Resident has prior hospital or ED visits in last 90 days and at least one additional risk factor from … Polypharmacy is considered the use of 15 or more medications and is treated as a risk factor for hospital … This score can indicate the severity of the risk factor and the likeliness that this condition could

  17. Archived: Evidence Summary: Supplemental Screening in Women With Dense Breasts: Breast Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-supplemental-screening-in-women-with-dense-/breast-cancer-screening-january-2016
    January 11, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary: Supplemental Screening in Women With Dense Breasts Breast Cancer: Screening January 11, 2016 Recommendations made by the USPSTF are independent o…

  18. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
    June 30, 2025 - Patient safety problems are complex and rarely caused by one factor or component of a work system. … Aim 3: Labor costs were the major cost factor in caring for those with C. difficile.

  19. Hemophilia | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/health-topics/hemophilia

  20. Transparency of Reporting Requirements: Tympanostomy Tubes (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-tympanostomy_research-protocol.pdf
    September 02, 2016 - Transparency of Reporting Requirements: Tympanostomy Tubes Source: www.effectivehealthcare.ahrq.gov Published online: September 2, 2016 Evidence-based Practice Center Methodology Repor t Protocol Project Title: Transparency of Repor ting Requirements Repor t Topic: Tympanostomy Tubes I. Background Info…
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