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Showing results for "failures".

5641. Maskedstats Nis 2015Q4 Severity (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2015Q4_Severity.PDF
      November 08, 2017 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NIS 2015 Severity File, Q4 22:59 Wednesday, November 8, 2017 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For …

5642. Clostridium Difficile-Associated Disease in U.S. Hospitals, 1993-2005 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb50.pdf
      April 01, 2008 - Clostridium Difficile-Associated Disease in U.S. Hospitals, 1993-2005 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res April 2008 Highli The number o discharges wi than doubled 2005, a trend considerably s prior 8-year pe which the num increased by 7 CDAD primari elderly patient thi…

5643. Outcome Measure Framework Design Document (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/registry-of-patient-registries_research-2014.pdf
      January 01, 2014 - Outcome Measure Framework Design Document Effective Health Care Program Number 43 Research Reports Outcome Measure Framework Design Document Richard E. Gliklich, M.D. Michelle B. Leavy, M.P.H. Jannette Karl, M.B.A., P.M.P. Daniel M. Campion, M.B.A. Daniel Levy, M.S. May 2014 Research from the Developing Evid…

5644. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
      April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…

5645. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

5646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841469/psn-pdf
      December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. December 14, 2022 Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-mi…

5647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49568/psn-pdf
      September 01, 2008 - Failure to Latch September 1, 2008 Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/failure-latch The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to breastfeeding exclusively for 6 months. However, early br…

5648. Abdominal Aortic Aneurysm Screening | PSNet
      psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
      October 01, 2011 - SPOTLIGHT CASE Abdominal Aortic Aneurysm Screening Citation Text: Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX E…

5649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49687/psn-pdf
      August 21, 2013 - Emergency Error August 21, 2013 Symons NRA. Emergency Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/emergency-error Case Objectives State that emergency surgery is high risk and has high mortality. Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of …

5650. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
      November 01, 2019 - Identifying Targets for Improvement in Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Identifying Targets for Improvement in Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Number and Slid…

5651. Preventable Transfer to the Hospital | PSNet
      psnet.ahrq.gov/web-mm/preventable-transfer-hospital
      March 31, 2022 - Preventable Transfer to the Hospital Citation Text: Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar Bi…

5652. Alcohol-Misuse-Drug-Therapy Clinician (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_clinician.pdf
      February 01, 2016 - Pharmacotherapy for Adults With Alcohol Use Disorder (AUD) in Outpatient Settings Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and adverse effects of medications in adults with alcohol use disorder (AUD). The systematic revi…

5653. HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb3.pdf
      April 01, 2006 - HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res 3 April 2006 In 200 hospit pressu a 63 p years Patien accou hospit pressu those accou On av primar pressu days, by pat est for days) 85 yea In 200 were b …

5654. Statistical Brief #3
      hcup-us.ahrq.gov/reports/statbriefs/sb3.jsp
      April 01, 2006 - Statistical Brief #3 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

5655. Preterm-Birth-Terbutaline-Pump Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/preterm-birth-terbutaline-pump_surveillance.pdf
      January 30, 2013 - malfunctioned (2 percent, exact central CI: 0.5%, 10%).22 No infusion site infections or mechanical failures … malfunctioned (2 percent, exact central CI: 0.5%, 10%).22 No infusion site infections or mechanical failures

5656. Preterm-Birth-Terbutaline-Pump Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_surveillance.pdf
      January 30, 2013 - malfunctioned (2 percent, exact central CI: 0.5%, 10%).22 No infusion site infections or mechanical failures … malfunctioned (2 percent, exact central CI: 0.5%, 10%).22 No infusion site infections or mechanical failures

5657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - Individual-Level Factors Acknowledging the contribution of system-level failures, diagnostic error resulting

5658. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - Individual-Level Factors Acknowledging the contribution of system-level failures, diagnostic error

5659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50841/psn-pdf
      January 29, 2020 - indicates that most transfusions to the wrong patient occur as a result of potentially avoidable system failures

5660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41079/psn-pdf
      October 16, 2012 - Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. October 16, 2012 Aiken LH, Cimiotti JP, Sloane DM, et al. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011;49(12):1…