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Showing results for "failures".

5021. Implementing computerized physician order management at a community hospital | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/cchs-east-huron-hospital-cpoe-project/citation/implementing-computerized
      January 01, 2023 - Implementing computerized physician order management at a community hospital Citation Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008 Feb;34(2):74-84. Link http://www.ncbi.nlm.nih.gov/pubmed/183…

5022. Examples of Diagnosis Pages (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dxpages.pdf
      June 02, 2025 - Examples of Diagnosis Pages 1 Examples of Diagnosis Pages 2 3 4 5 6 Noncardiac Chest Pain Noncardiac chest pain is pain that is not caused by a heart problem. If your chest pain gets different or worse, call your doctor. Take your medicines as prescribed. …

5023. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - SPOTLIGHT CASE Delirium or Dementia? Citation Text: Rudolph JL. Delirium or Dementia?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

5024. Delayed Diagnosis of Mesenteric Ischemia | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
      March 31, 2021 - SPOTLIGHT CASE Delayed Diagnosis of Mesenteric Ischemia Citation Text: Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

5025. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
      September 27, 2023 - SPOTLIGHT CASE Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation Citation Text: Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. Rockville (MD): Agency for Health…

5026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50754/psn-pdf
      December 18, 2019 - "Do You Want Everything Done?": Clarifying Code Status December 18, 2019 Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status Disclosure of Relevant Financial Relationships: As a p…

5027. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
      September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …

5028. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
      June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 Video-Based Simulation: Facilitator Guide Mutual Support Task Assistance TeamSTEPPS Training Curriculum This page intentionally left blank. 3 Table of Contents SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4 TeamSTEPPS 4 V…

5029. Maternal Safety | PSNet
      psnet.ahrq.gov/primer/maternal-safety
      January 10, 2024 - Maternal Safety Citation Text: Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

5030. Tool 1: Readmission Data Analysis and Interpretation (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
      June 02, 2025 - Tool 1: Readmission Data Analysis and Interpretation Instructions Tool 1. Readmission Data Analysis and Interpretation Brief Description: A quantitative readmission analysis tool. Purpose: Analyze hospital administrative data to evaluate readmission patterns. Understanding readmission patterns is critical to design…

5031. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
      July 01, 2023 - PowerPoint Presentation Coaching Module 6 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Coaching Involve…

5032. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
      December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Slide Presentation Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality I…

5033. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
      July 01, 2023 - PowerPoint Presentation Coaching Module 6 of 8 SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Hospital AIM Team Leads SPPC-II SCRIPT Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Coaching Involve…

5034. Statistical Brief #145: Readmissions following Hospitalizations with Clostridium difficile Infections, 2009 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb145.pdf
      March 01, 2012 - Statistical Brief #145: Readmissions following Hospitalizations with Clostridium difficile Infections, 2009 1 December 2012 Readmissions Following Hospitalizations with Clostridium difficile Infections, 2009 Anne Elixhauser, Ph.D., Claudia Steiner, M.D., M.P.H., Carolyn Gould, M.D., M.S.C.R. Introduction …

5035. Statistical Brief #81: The Costs of End-of_Life Hospitalizations, 2007 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb81.pdf
      April 01, 2010 - Statistical Brief #81: The Costs of End-of_Life Hospitalizations, 2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #81 Highlights ■ Thirty-two percent of all deaths in the U.S. in 2007 were inpatient hospital deaths. ■ T…

5036. Telemedicine and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
      September 01, 2016 - Telemedicine and Patient Safety Stephen Agboola, MD, MPH, and Joseph Kvedar, MD | September 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. Rockv…

5037. Statistical Brief #103: Hospital Utilization among Oldest Adults, 2008 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb103.pdf
      December 01, 2010 - Statistical Brief #103: Hospital Utilization among Oldest Adults, 2008 1 From December 2010 Hospital Utilization among Oldest Adults, 2008 Lauren Wier, M.P.H., Anne Pfuntner, B.U.E.P., and Claudia Steiner, M.D., M.P.H. Introduction Between 2010 and 2030, the U.S. population age 65 and …

5038. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - In Conversation With… Reed V. Tuckson, MD September 1, 2016  Also Read an Essay Citation Text: In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016…

5039. Statistical Brief #146
      hcup-us.ahrq.gov/reports/statbriefs/sb146.jsp
      January 01, 2013 - Statistical Brief #146 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

5040. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
      February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…