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Showing results for "failures".

  1. Preventing CAUTIs in the ICU Setting

    www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
    September 01, 2015 - Preventing CAUTIs in the ICU Setting Preventing CAUTI in the ICU Setting Module 1: Overview AHRQ Safety Program for Reducing CAUTI in Hospitals AHRQ Pub No. 15-0073-4-EF September 2015 Learning Objectives At the end of this educational event, the participant will be able to— Describe the scope of catheter-associated…

  2. C1 Prioritization Matrix (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    June 02, 2025 - C1 Prioritization Matrix Prioritization Worksheet Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Prioritization Worksheet Example Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange Own Rate and National Benchmark Estima…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50827/psn-pdf
    January 22, 2020 - Becoming a high-reliability organization through shared learning of safety events January 22, 2020 Klenklen J. Patient Saf Qual HCare. December 19, 2019. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events High reliability organizations consistently examine wha…

  4. Rural Iowa Redesign of Care Delivery with EHR Functions - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions/final-report
    January 01, 2023 - Rural Iowa Redesign of Care Delivery with EHR Functions - Final Report Citation Crandall DK. Rural Iowa Redesign of Care Delivery with EHR Functions - Final Report. (Prepared by Mercy Medical Center North Iowa under Grant No. UC1 HS015196). Rockville, MD: Agency for Healthcare Research and Quality, …

  5. Improving Healthcare Quality With User-Centric Patient Portals - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-user-centric-patient-portals/final-report
    January 01, 2023 - Improving Healthcare Quality With User-Centric Patient Portals - Final Report Citation Ancker, J. Improving Healthcare Quality With User-Centric Patient Portals - Final Report. (Prepared by Weill Medical College of Cornell University under Grant No. K01 HS021531). Rockville, MD: Agency for Healthcare …

  6. Exhibit 4.1 Costs for the Most Frequent Diagnoses

    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_4_1B.jsp
    January 01, 2005 - Exhibit 4.1 Costs for the Most Frequent Diagnoses Exhibit 4.1 Costs for the Most Frequent Diagnoses Amount and Growth in Inflation-adjusted* Hospitalization Costs for Six of the Most Costly Cardiovascular Conditions,** 1998-2005 Year Costs in Millions Standard Errors in Millions Percent Growth…

  7. Enhancing Quality in Patient Care (EQUIP) Project - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project/final-report
    January 01, 2023 - Enhancing Quality in Patient Care (EQUIP) Project - Final Report Citation Rachman F. Enhancing Quality in Patient Care (EQUIP) Project - Final Report. (Prepared by Erie Family Health Center, Inc. under Grant No. UC1 HS015354). Rockville, MD: Agency for Healthcare Research and Quality, 2007. PD…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46836/psn-pdf
    February 21, 2018 - Drone delivery of medications: review of the landscape and legal considerations. February 21, 2018 Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Pharm. 2018;75(3):153-158. doi:10.2146/ajhp170196. https://psnet.ahrq.gov/issue/dr…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837590/psn-pdf
    June 29, 2022 - Diagnostic challenges in primary care: identifying and avoiding cognitive bias. June 29, 2022 Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. https://psnet.ahrq.gov/issue/diagnostic-challenges-p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44620/psn-pdf
    November 04, 2015 - Laboratory testing in general practice: a patient safety blind spot. November 4, 2015 Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37255/psn-pdf
    December 19, 2011 - Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. December 19, 2011 Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884-94. htt…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50839/psn-pdf
    January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. January 29, 2020 Lintern S. The Independent. January 15, 2020. https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak The Francis report is a primary example of a large-scale …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43955/psn-pdf
    December 04, 2016 - For Colorado mom, story of daughter's hospital death is key to others' safety. December 4, 2016 Daley J. Colorado Public Radio. February 17, 2015. https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety Patient and family stories of harm are increasingly promoted as a strategy to…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44161/psn-pdf
    December 19, 2018 - Among the elderly, many mental illnesses go undiagnosed. December 19, 2018 Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727- 31. doi:10.1377/hlthaff.2015.0314. https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed This commentary spot…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43390/psn-pdf
    July 30, 2014 - Hazards tied to medical records rush. July 30, 2014 Rowland C. https://psnet.ahrq.gov/issue/hazards-tied-medical-records-rush Government incentives have led to rapid development and adoption of electronic health records (EHRs). This newspaper article examines some of the unintended consequences of implementing ele…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42881/psn-pdf
    January 22, 2014 - Speaking up about the dangers of the hidden curriculum. January 22, 2014 Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073. https://psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum Relating an a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44428/psn-pdf
    November 20, 2015 - Test result communication in primary care: a survey of current practice. November 20, 2015 Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712. https://psnet.ahrq.gov/issue/test-result-co…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39237/psn-pdf
    April 14, 2011 - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. April 14, 2011 Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. BMC Med Inform…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45618/psn-pdf
    April 24, 2018 - Electronic detection of delayed test result follow-up in patients with hypothyroidism. April 24, 2018 Meyer AND, Murphy DR, Al-Mutairi A, et al. Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. J Gen Intern Med. 2017;32(7). doi:10.1007/s11606-017-3988-z. https://psnet.ahrq.gov…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60758/psn-pdf
    August 05, 2020 - Lessons learned from medical malpractice claims involving critical care nurses. August 5, 2020 Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341. https://psnet.ahrq.gov/issue/lessons-learned-medical…
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