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Showing results for "failures".

  1. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
    September 29, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: September 29, 2011 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Treatment Strategies for Women With Coronary Artery Disease …

  2. Evidence Report on the (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
    February 01, 2008 - Evidence Report on the Source: www.effectivehealthcare.ahrq.gov Published Online: August 06, 2010 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Venous Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery I. Background and Objectives for the …

  3. Evidence Report on the (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
    February 01, 2008 - Evidence Report on the Source: www.effectivehealthcare.ahrq.gov Published Online: August 06, 2010 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Venous Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery I. Background and Objectives for the …

  4. Archived: Evidence Summary: Child Maltreatment: Interventions | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/child-maltreatment-primary-care-interventions-november-2018
    November 27, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary Child Maltreatment: Interventions November 27, 2018 Recommendations made by the USPSTF are independent of the U.S. government. They should not be c…

  5. MAINTAIN AND EXPAND (pdf file)

    hcup-us.ahrq.gov/reports/methods/2011_01.pdf
    January 01, 2011 - MAINTAIN AND EXPAND HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahrq.gov …

  6. QDR 2014: Chartbook for Hispanic Health Care, Part 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
    July 01, 2015 - QDR 2014: Chartbook for Hispanic Health Care, Part 2 Chartbook on Health Care for Hispanics Part 2: Trends in Priorities of the Heckler Report 2014 National Healthcare Quality and Disparities Report | 9 PART 2: TRENDS IN PRIORITIES OF THE HECKLER REPORT Report of the Secretary’s Task Force on Black and Minority…

  7. Diagnostic Delay in the Emergency Department | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
    September 18, 2024 - Sepsis Management May 1, 2015 Inquiry into reporter's death finds multiple failures

  8. Specimen Almost Lost | PSNet

    psnet.ahrq.gov/web-mm/specimen-almost-lost
    September 21, 2022 - WebM&M Cases Delay in Malignancy Diagnosis Reflects Systemic Failures

  9. The Chronic Care Technology Project - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/final-report
    January 01, 2023 - The Chronic Care Technology Project - Final Report Citation Nashan G. The Chronic Care Technology Project - Final Report. (Prepared by Aroostook Medical Center under Grant No. UC1 HS016154). Rockville, MD: Agency for Healthcare Research and Quality, 2009. PDF The Chronic Care Technology …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35876/psn-pdf
    June 18, 2013 - External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. June 18, 2013 Toft B. London, UK; Crown Copyright: 2001. https://psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham- 4th-january-2001 This UK Department o…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39295/psn-pdf
    January 03, 2017 - The Veterans Affairs shift change physician-to-physician handoff project. January 3, 2017 Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71. https://psnet.ahrq.gov/issue/veterans-affairs-shift-change-physici…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44144/psn-pdf
    May 27, 2015 - Maintaining safety in the dialysis facility. May 27, 2015 Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility Failure to consider human factors and poor communication can contri…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39572/psn-pdf
    January 03, 2017 - The tangible handoff: a team approach for advancing structured communication in labor and delivery. January 3, 2017 Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient Saf. 2010;36(6):282-287, 241. https:…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47978/psn-pdf
    May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47749/psn-pdf
    June 19, 2019 - A simulation-based approach to training in heuristic clinical decision-making. June 19, 2019 Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision- making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084. https://psnet.ahrq.gov/issue/simulation-based-ap…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45363/psn-pdf
    September 14, 2016 - Effective perioperative communication to enhance patient care. September 14, 2016 Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care Poor team …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41491/psn-pdf
    June 27, 2012 - The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? June 27, 2012 Hofmann PB. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? Healthcare executive. 2012;27(3):64, 66…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61127/psn-pdf
    November 11, 2020 - Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened. November 11, 2020 Evans T. Indianapolis Star. October 30, 2020. https://psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it- happened Fentanyl is a high-alert medication that c…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39108/psn-pdf
    November 18, 2009 - Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. November 18, 2009 Singh H, Daci K, Petersen L, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543-2554. doi:10.1038/ajg.2009.324. https://psnet.a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46329/psn-pdf
    September 06, 2017 - Risk factors of missed colorectal lesions after colonoscopy. September 6, 2017 Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-af…
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