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Showing results for "failures".

5041. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
      February 26, 2025 - In Conversation with Timothy Vogus about 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 Essay View more articles from the same authors. Ci…

5042. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
      November 30, 2013 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Introduction to Preventable Hospital and ED Visits Reports Preventable Hospital and ED Visits Electronic Reports Electronic Reports Transfer Risk Report – High Risk Transfer Risk Report – Medium Ris…

5043. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - Minding the Gaps: Creating Resilience in Health Care Minding the Gaps: Creating Resilience in Health Care Christopher Nemeth, PhD; Robert Wears, MD; David Woods, PhD; Erik Hollnagel, PhD; Richard Cook, MD Abstract Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or …

5044. Ch 5-User-Guide-To-Ocer 130129 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ch_5-user-guide-to-ocer_130129.pdf
      January 01, 2012 - 59 Abstract This chapter discusses considerations for comparator selection in observational comparative effectiveness research (CER). Comparison groups should reflect clinically meaningful choices in real world practice and be chosen based on the study question being addressed. Recognizing the implications and pote…

5045. PHARMACO-EPIDEMIOLOGIC METHODS FOR A STUDY OF (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotic-medicine-mortality-elderly_research.pdf
      March 01, 2009 - PHARMACO-EPIDEMIOLOGIC METHODS FOR A STUDY OF The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care program. It is a collaborative network of research centers that support the rapid development of new scientific information and analyti…

5046. A Community-Shared Clinical Abstract to Improve Care - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/annual-summary/2010
      January 01, 2010 - A Community-Shared Clinical Abstract to Improve Care - 2010 Project Name A Community-Shared Clinical Abstract to Improve Care Principal Investigator Connelly, Donald Organization Fairview Health Services Funding Mechanism RFA: HS05-013: Limited Competition for AHRQ …

5047. Cardio-Hit Phase II | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/cardio-hit-phase-ii
      January 01, 2023 - Cardio-Hit Phase II Project Final Report ( PDF , 301.74 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report shoul…

5048. Filespecifications Kid 2009 Severity
      hcup-us.ahrq.gov/db/nation/kid/tools/stats/FileSpecifications_KID_2009_Severity.TXT
      January 01, 2009 - Data Set Name: KID_2009_SEVERITY Number of Observations: 3407146 Total Record Length: 124 Total Number of Data Elements: 40 Columns Description ======= =========== 1- 3 Database name 5- 8 Discharge year of data 10- 25 File name 27- 29 Data element number 31- 59 Data element name …

5049. Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet
      psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
      July 11, 2018 - Study Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? Citation Text: Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…

5050. Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. | PSNet
      psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre-study-examining
      August 26, 2020 - Study Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. Citation Text: Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a …

5051. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. | PSNet
      psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
      November 26, 2014 - Study Classic Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. Citation Text: Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortali…

5052. Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. | PSNet
      psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
      June 24, 2020 - Study Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. Citation Text: Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…

5053. Filespecifications Nis 2008 Severity
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/FileSpecifications_NIS_2008_Severity.TXT
      January 01, 2008 - Data Set Name: NIS_2008_SEVERITY Number of Observations: 8158381 Total Record Length: 130 Total Number of Data Elements: 40 Columns Description ======= =========== 1- 3 Database name 5- 8 Discharge year of data 10- 25 File name 27- 29 Data element number 31- 59 Data element name …

5054. Filespecifications Nis 2009 Severity
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/FileSpecifications_NIS_2009_Severity.TXT
      January 01, 2009 - Data Set Name: NIS_2009_SEVERITY Number of Observations: 7810762 Total Record Length: 130 Total Number of Data Elements: 40 Columns Description ======= =========== 1- 3 Database name 5- 8 Discharge year of data 10- 25 File name 27- 29 Data element number 31- 59 Data element name …

5055. Ff 2009 Exhibit2 5 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit2_5.pdf
      January 01, 2009 - 2.5 HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 29 EXHIBIT 2.5 Most Frequent Principal Diagnoses by Payer 1997 2009 1997 2009 All payers, total stays* 34,679 39,435 100% 100% 14% Medicare 12,618 14,708 100% 100% 17% ‡ Congestive heart failure 757 762 6% …

5056. Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
      August 20, 2018 - Study Classic Association of changing hospital readmission rates with mortality rates after hospital discharge. Citation Text: Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …

5057. Facts and Figures Exhibit 4.2
      hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_2.jsp
      January 01, 2009 - Facts and Figures Exhibit 4.2 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

5058. Upper Respiratory Tract Infection: The Common Cold (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
      September 01, 2022 - Upper Respiratory Tract Infection: The Common Cold Diagnosis • Upper respiratory tract infections or “the common cold” are caused by viruses and present with symptoms such as rhinorrhea, sneezing, sinus congestion, sore throat, cough, low-grade fever, headache, and fatigue. • The common cold occurs…

5059. Eliminating Preventable Harms During Pediatric Intubation | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
      July 01, 2025 - Grantee Profile Eliminating Preventable Harms During Pediatric Intubation Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…

5060. eHealth Records to Improve Dental Care for Patients with Chronic Illnesses - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/annual-summary/2010
      January 01, 2010 - eHealth Records to Improve Dental Care for Patients with Chronic Illnesses - 2010 Project Name eHealth Records to Improve Dental Care for Patients with Chronic Illnesses Principal Investigator Fricton, James Organization HealthPartners Institute Funding Mechanism RF…