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Showing results for "failures".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37299/psn-pdf
    June 13, 2011 - Mother claims hospital error kept her from newborn daughter. June 13, 2011 Barbella M. Drug Topics. October 8, 2007. https://psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter This article reports how a failure to perform medication reconciliation during patient transfer led to a mother b…

  2. Atrial-Fibrillation Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation_executive.pdf
    June 01, 2013 - 1 Comparative Effectiveness Review Number 119 Treatment of Atrial Fibrillation Executive Summary Background Definition and Impact of Atrial Fibrillation Atrial fibrillation (AF) is a supraventricular tachyarrhythmia (any tachycardic rhythm originating above the ventricular tissue) and is characterized by unc…

  3. Delivery Hospitalizations Involving Preeclampsia and Eclampsia, 2005-2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb222-Preeclampsia-Eclampsia-Delivery-Trends.pdf
    December 01, 2016 - Delivery Hospitalizations Involving Preeclampsia and Eclampsia, 2005-2014 1 April 2017 Delivery Hospitalizations Involving Preeclampsia and Eclampsia, 2005–2014 Kathryn R. Fingar, Ph.D., M.P.H., Iris Mabry-Hernandez, M.D., M.P.H., Quyen Ngo-Metzger, M.D., M.P.H., Tracy Wolff, M.D., M.P.H., C…

  4. Linking patients' records across organizations while maintaining anonymity. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/citation/linking-patients
    January 01, 2023 - Linking patients' records across organizations while maintaining anonymity. Citation Kijsanayotin B, Speedie SM, Connelly DP. Linking patients' records across organizations while maintaining anonymity. AMIA Annu Symp Proc 2007 Oct 11:1008. Link http://www.ncbi.nlm.nih.gov/pubmed/18694107 …

  5. Synthesis of a database test bed for evaluating record linkage algorithms. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/citation/synthesis-database
    January 01, 2023 - Synthesis of a database test bed for evaluating record linkage algorithms. Citation Connelly DP, Kijsanayotin B, Speedie SM. Synthesis of a database test bed for evaluating record linkage algorithms. AMIA Annu Symp Proc 2007 Oct 11:917. Link http://www.ncbi.nlm.nih.gov/pubmed/18694017 Pr…

  6. Improving access to clinical information in an emergency department: a qualitative study. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/citation/improving-access
    January 01, 2023 - Improving access to clinical information in an emergency department: a qualitative study. Citation Kijsanayotin B, Du J, Theera-Ampornpunt N, et al. Improving access to clinical information in an emergency department: a qualitative study. AMIA Annu Symp Proc 2008 Nov 6:1003. Link http://www.nc…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36891/psn-pdf
    August 31, 2011 - Prioritizing threats to patient safety in rural primary care. August 31, 2011 Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8. https://psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care The authors describe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36094/psn-pdf
    February 12, 2014 - Learning from Disasters: A Management Approach. Third ed. February 12, 2014 Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029. https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed This book provides a discussion of how organizations can learn from failur…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41123/psn-pdf
    February 08, 2012 - Patient Safety. February 8, 2012 Bagian JP. Health care and patient safety: The failure of traditional approaches - how human factors and ergonomics can and MUST help. Human Factors and Ergonomics in Manufacturing & Service Industries. 2011;22(1). doi:10.1002/hfm.20261. https://psnet.ahrq.gov/issue/patient-safety-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34606/psn-pdf
    July 06, 2011 - Operating at the sharp end: the complexity of human error. July 6, 2011 Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. https://psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error The authors provide an introduction to system…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41179/psn-pdf
    February 29, 2012 - High fidelity simulation as a research tool. February 29, 2012 Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001. https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool This review explores simulation as a met…

  12. Creating a large database test bed with typographical errors for record linkage evaluation. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/citation/creating-large
    January 01, 2023 - Creating a large database test bed with typographical errors for record linkage evaluation. Citation Theera-Ampornpunt N, Kijsanayotin B, Speedie SM. Creating a large database test bed with typographical errors for record linkage evaluation. AMIA Annu Symp Proc 2008 Nov 6:1153. Link http://www…

  13. Cap 4 Decvars

    cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_4_DecVars.html
    July 25, 2018 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults Eligibility Inclusion Criterion Exclusion Criterion   Decision Variables   patients with CURB-65 scores ≥2 Rec_1: Cond_1: DV_1 septic shock requiring vasopressors Rec_2: …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72510/psn-pdf
    November 25, 2020 - ‘No one is listening to us’. November 25, 2020 Yong E. The Atlantic. November 13, 2020. https://psnet.ahrq.gov/issue/no-one-listening-us Stressful working conditions are known to increase the potential for medical mistakes. This article shares the perspectives of acute care staff about the emotional and physical t…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50720/psn-pdf
    December 04, 2019 - Flu shot mix-up at Oklahoma facility leaves 10 hospitalized December 4, 2019 The Associated Press. NBC News. November 8, 2019. https://psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized Patients at residential care facilities are particularly vulnerable to harm from medication errors. This …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36058/psn-pdf
    September 28, 2010 - Testing a classification model for emergency department errors. September 28, 2010 Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9. https://psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors The inves…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40845/psn-pdf
    October 12, 2011 - The nurse's role in the causation of compensable injury. October 12, 2011 Painter LM, Dudjak LA, Kidwell KM, et al. The Nurse's Role in the Causation of Compensable Injury. J Nurs Care Qual. 2011;26(4):311-319. doi:10.1097/ncq.0b013e31820f9576. https://psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury …

  18. Disposition of Comments for Comparative Effectiveness Review 133 Transitional Care Interventions To Prevent Readmissions for People With Heart Failure (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_disposition-comments.pdf
    May 27, 2014 - Disposition of Comments for Comparative Effectiveness Review 133 Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Comparative Effectiveness Research Review Disposition of Comments Report Research Review Title: Transitional Care Interventions To Prevent Readmissions for …

  19. Effectiveness of Isosorbide Dinitrate and Hydralazine in Racial/Ethnic Subgroups With Heart Failure | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/congestive-heart-failure-medicines/research

  20. Making Healthcare Safer IV: Failure to Rescue—Rapid Response Systems | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/mhs4-failure-rescue/protocol
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