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Showing results for "failures".

4941. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…

4942. A Tailored, Bilingual Multimedia Intervention to Improve Medication Management for Older Adults | Digital Healthcare Research
      digital.ahrq.gov/tailored-bilingual-multimedia-intervention-improve-medication-management-older-adults
      January 01, 2023 - A Tailored, Bilingual Multimedia Intervention to Improve Medication Management for Older Adults Your browser does not support inline frames. Please go to https://youtu.be/Njahg5irzbc to view the video. Principal Investigator: Kate L. Lapane (Grant No. R18 HS017281) [10 min., 29 sec.] The d…

4943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43491/psn-pdf
      January 01, 2015 - The systems approach to medicine: controversy and misconceptions. December 9, 2014 Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…

4944. Slides from eAAPTraining Presentations for Final Implementation Report | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-asthma-care-integrated-safety-net-through-commercially-available-1
      January 01, 2023 - Slides from eAAPTraining Presentations for Final Implementation Report Citation Brottman, GM. Incorporating the electronic Asthma Action Plan (e-AAP) into Patient Care. PDF Brottman, GM. Incorporating the electronic Asthma Action Plan (e-AAP) into Patient Care. Project Name …

4945. Technology solutions to support care continuity in home care: a focus group study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/development-dashboards-provide-feedback-home-care-nurses/citation/technology
      January 01, 2023 - Technology solutions to support care continuity in home care: a focus group study. Citation Dowding DW, Russell D, Onorato N, et al. Technology solutions to support care continuity in home care: a focus group study. J Healthc Qual 2017 Sep 1. doi: 10.1097/JHQ.0000000000000104. PMID: 28885241. Li…

4946. Exhibit 4.2 Costs for the Most Frequent Principal Diagnoses by Body System
      hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_4_2b.jsp
      January 01, 2006 - Exhibit 4.2 Costs for the Most Frequent Principal Diagnoses by Body System Average Annual Growth in Total Inflation-adjusted Costs for the Most Expensive Circulatory Conditions,* 1997-2006 CIRCULATORY SYSTEM CONDITIONS AVERAGE ANNUAL GROWTH 1997-2003 2003-2006 Coronary atherosclerosis (c…

4947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48031/psn-pdf
      May 22, 2019 - In harm's way. May 22, 2019 Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037. https://psnet.ahrq.gov/issue/harms-way This commentary recommends that health care structure the work environment to address conditions that allow for failure. The authors discuss how increased…

4948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44732/psn-pdf
      December 09, 2015 - Over-the-counter medicines' benefits and dangers. December 9, 2015 Brody JE. New York Times. November 30, 2015. https://psnet.ahrq.gov/issue/over-counter-medicines-benefits-and-dangers Over-the-counter medications are often convenient and cost-effective for patients. This newspaper article discusses how patients' …

4949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37599/psn-pdf
      January 01, 2009 - Improving process while changing practice: FMEA and medication administration. March 12, 2008 Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…

4950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35951/psn-pdf
      June 14, 2011 - Errors in thyroid gland fine-needle aspiration. June 14, 2011 Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4. https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration This AHRQ–funded study used roo…

4951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45517/psn-pdf
      March 01, 2017 - A lost voice. March 1, 2017 Baker M. Seattle Times. February 10, 2017. https://psnet.ahrq.gov/issue/lost-voice Reporting on an incident involving a patient who died after a surgery, this news article discusses potential contributing factors in the incident such as concurrent surgeries and failure to consider patie…

4952. Facts and Figures Exhibit 2.3
      hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit2_3.jsp
      January 01, 2008 - Facts and Figures Exhibit 2.3 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

4953. Archived: Published Comment - Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat?: Chronic Obstructive Pulmonary Disease (COPD): Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/published-comment---will-recommendations-against-spirometry-make-chronic-obstructive-pulmonary-disease-harder-to-treat/chronic-obstructive-pulmonary-disease-copd-screening-2008
      November 15, 2008 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Published Comment - Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat? Chronic Obstructive Pulmonary Disease (COPD): Scree…

4954. Final Research Plan: Hepatitis C Virus Infection in Adolescents and Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hepatitis-c-screening
      December 21, 2017 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Hepatitis C Virus Infection in Adolescents and Adults: Screening December 21, 2017 Recommendations made by the USPSTF are independent of the U.S. governmen…

4955. Improving Safety and Quality of Emergency Care Using Machine Learning-Based Clinical Decision Support at Triage | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-emergency-care-using-machine-learning-based
      September 30, 2023 - Improving Safety and Quality of Emergency Care Using Machine Learning-Based Clinical Decision Support at Triage Project Description Research Story The use of an emergency department triage tool informed by machine learning algorithms that is integrated into the electronic…

4956. Tool 5 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/phone-roleplay.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 5 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

4957. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
      February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Overview of the Comprehensive Unit-based Safety Program…

4958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33587/psn-pdf
      June 15, 2024 - Missed Nursing Care June 15, 2024 Missed Nursing Care. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/missed-nursing-care PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

4959. Tool 5 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/phone-roleplay.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 5 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

4960. Emergency room providers' perceptions of MyChart's My Emergency Data: findings from a focus group study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/citation/emergency-room
      January 01, 2023 - Emergency room providers' perceptions of MyChart's My Emergency Data: findings from a focus group study. Citation Potthoff S, Du J, Speedie S, et al. Emergency room providers' perceptions of MyChart's My Emergency Data: findings from a focus group study. AMIA Annu Symp Proc 2007 Oct 11:1082. Lin…