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Showing results for "factor".

  1. 105-What-Are-The-4-Es-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI What Are the 4 Es? Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide What Are the 4 Es? SAY: This presentation reviews the 4 Es, a framework to guide the implementation…

  2. Cap 1 Recommendations

    cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_1_Recommendations.html
    January 01, 1970 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults         RECOMMENDATIONS             Recommendation Hospital admission decision. Imperative: Severity-of-illness scores, such as the CURB-65 criteria (confusion, uremia, respi…

  3. Critical Incident | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-incident
    January 01, 2023 - Critical Incident Description The critical incident method is utilized to identify a process, subprocess, or problem that can be fixed or enhanced. It can also be used to identify a source of a performance deficiency. The technique attempts to find information pertaining to organizational problems, an…

  4. Multi-Vari Chart | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/multi-vari-chart
    January 01, 2023 - Multi-Vari Chart Also Known As Multivariate chart Description A multi-vari chart shows both several sources of variation in addition to the most significant contributors to total variation. Uses When the output has a variable measurement. When attempting to identify the biggest…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44168/psn-pdf
    May 27, 2015 - The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. May 27, 2015 Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867438/psn-pdf
    January 08, 2025 - Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. January 8, 2025 Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the scope of teaching practical clini…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47524/psn-pdf
    June 19, 2019 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. June 19, 2019 Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…

  8. Midcoast Maine Patient Safety With IT Integration | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/midcoast-maine-patient-safety-it-integration
    January 01, 2023 - Midcoast Maine Patient Safety With IT Integration Project Description Project Details - Completed Grant Number P20 HS015170 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants …

  9. Halpern, Scott | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumhalp.html
    October 01, 2014 - Halpern, Scott Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Pennsylvania Grant Title: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Ca…

  10. Malouin, Rebecca | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummalouin.html
    October 01, 2014 - Malouin, Rebecca Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Michigan State University Grant Title: Defining and Building a Patient-Centered Medical Home Grant Number: …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43664/psn-pdf
    September 01, 2016 - Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. September 1, 2016 Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive ob…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38524/psn-pdf
    July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? July 13, 2009 Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841799/psn-pdf
    August 14, 2023 - Diagnostic Errors in the Emergency Department: A Systematic Review. December 21, 2022 Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022. AHRQ Publication No. 22(23)-EHC043. https://psnet.ahrq.gov/issue/diagnostic-errors-emergency-departme…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39143/psn-pdf
    February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. February 14, 2011 Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37462/psn-pdf
    January 06, 2017 - Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 6, 2017 Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56. doi:10.1016/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42693/psn-pdf
    December 23, 2016 - Preventing unintended retained foreign objects. December 23, 2016 Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects Sentinel event alerts are issued periodically by The Joint Commission to identify common …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38435/psn-pdf
    February 25, 2009 - Prescribing discrepancies likely to cause adverse drug events after patient transfer. February 25, 2009 Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc.2007.025957. https://psnet.ah…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40092/psn-pdf
    December 22, 2010 - The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010 Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. Chest. 2010;138(6):14…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47136/psn-pdf
    July 02, 2019 - Adherence to recommended electronic health record safety practices across eight health care organizations. July 2, 2019 Sittig DF, Salimi M, Aiyagari R, et al. Adherence to recommended electronic health record safety practices across eight health care organizations. J Am Med Inform Assoc. 2018;25(7):913-918. doi:1…
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