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Showing results for "failures".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47882/psn-pdf
    May 01, 2019 - Impact of oncology drug shortages on chemotherapy treatment. May 1, 2019 Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment Drug shorta…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60194/psn-pdf
    April 01, 2020 - Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. April 1, 2020 Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5. http…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46201/psn-pdf
    September 27, 2017 - Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. September 27, 2017 Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow- up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus draining the swamp. July 5, 2017 Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47198/psn-pdf
    August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836984/psn-pdf
    April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. April 27, 2022 Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41116/psn-pdf
    May 24, 2012 - Variations in surgical outcomes associated with hospital compliance with safety practices. May 24, 2012 Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/j.surg.2011.12.001. https://psnet.ahr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42283/psn-pdf
    February 27, 2014 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? February 27, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ Theory Pract. 2014;19(1):43-51. d…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866156/psn-pdf
    June 20, 2024 - Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. June 20, 2024 Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41951/psn-pdf
    September 07, 2016 - The impact of drug shortages on children with cancer—the example of mechlorethamine. September 7, 2016 Metzger ML, Billett A, Link MP. The impact of drug shortages on children with cancer--the example of mechlorethamine. N Engl J Med. 2012;367(26):2461-2463. doi:10.1056/NEJMp1212468. https://psnet.ahrq.gov/issue/i…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38270/psn-pdf
    December 01, 2010 - Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. December 1, 2010 Oakbrook Terrace, IL: The Joint Commission; November 2008. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008 The quality of care delivered at US hospita…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47007/psn-pdf
    May 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45953/psn-pdf
    July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020 Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618. https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40020/psn-pdf
    September 20, 2011 - Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. September 20, 2011 Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 2010;363(20):1950-7. doi:10.1056/NEJMcp…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61022/psn-pdf
    October 14, 2020 - A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. October 14, 2020 Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. …

  16. Organizing Quality Measures To Reduce Information Overload | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/translate/organize/index.html
    March 01, 2016 - Organizing Quality Measures To Reduce Information Overload As the number of available quality measures grows, report designers face the challenge of providing a great deal of information without overwhelming the user. In addition, individual users of the report may be interested in different measures, so they n…

  17. CER 173 Executive Summary: Diabetes Medications for Adults With Type 2 Diabetes: An Update (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/diabetes-update-2015_executive.pdf
    January 01, 2015 - CER 173 Executive Summary: Diabetes Medications for Adults With Type 2 Diabetes: An Update 1 Comparative Effectiveness Review Number 173 Diabetes Medications for Adults With Type 2 Diabetes: An Update Executive Summary Condition and Therapeutic Strategies Type 2 diabetes affects more than 9.3 percent of the …

  18. Primary Care Interventions to Prevent Child Maltreatment: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/DPq7_eawq-Ts6XLowaTaNA
    November 27, 2018 - Primary Care Interventions to Prevent Child Maltreatment: Updated Evidence Report and Systematic Review for the USPSTF Primary Care Interventions to Prevent Child Maltreatment Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Meera Viswanathan, PhD; Jenifer Goldman Fraser, PhD, M…

  19. Methods – Applying HCUP Quality Indicators (pdf file)

    hcup-us.ahrq.gov/reports/methods/2017-03.pdf
    January 01, 2017 - Methods – Applying HCUP Quality Indicators HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 5600 Fishers Lane Room 07W17B Mail Stop 7W25B Rockville, MD 20857 http://www.hcup-us.ahrq.gov For Technical Assis…

  20. Exhibit 2.4 Average Length of Stay and Average Charges

    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_4.jsp
    January 01, 2005 - Exhibit 2.4 Average Length of Stay and Average Charges Exhibit 2.4 Average Length of Stay and Average Charges Inpatient Hospital Stays for Principal Diagnosis: Number of Discharges, Average Length of Stay and Average Charges, Ordered by Average Length of Stay, 2005 Principal Diagnosis CCS Conditio…
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