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Showing results for "failures".

  1. Tool: SSA (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
    January 01, 2017 - Tool: SSA Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…
  2. hcup-us.ahrq.gov/reports/statbriefs/sb83.pdf
    December 01, 2009 - Statistical Brief #83: Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #83 December 2009 Highlights • In 2007, rates of potentially preventable hos…
  3. psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - SPOTLIGHT CASE Unintended Consequences of CPOE Citation Text: Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNot…
  4. psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - Duplicate Therapies in Retail Pharmacy Citation Text: Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX E…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
    March 01, 2016 - IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool B.2b IQI, PSI, AND PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Guidance for Using the Windows QI Software and an Example of Output for On…
  6. www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
    July 01, 2022 - to quality and safety personnel for further review if missed opportunities can be linked to system failures
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
    July 01, 2022 - to quality and safety personnel for further review if missed opportunities can be linked to system failures
  8. digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement/annual-summary/2011
    January 01, 2011 - Using Precision Performance Measurement to Conduct Focused Quality Improvement - 2011 Project Name Using Precision Performance Measurement to Conduct Focused Quality Improvement Principal Investigator Baker, David Organization Northwestern University Funding Mechanism…
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
    April 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case April 2006 Is the “Surgical Personality” a Threat to Patient Safety? Source and Credits This presentation is based on the April 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary …
  10. www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    May 01, 2025 - Making Healthcare Safer IV A Continuous Updating of Patient Safety Harms and Practices Making Healthcare Safer reports I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors. However, threats to patient safety are still emerging and evolving in a dynamic wor…
  11. www.uspreventiveservicestaskforce.org/home/getfilebytoken/5newnV_sfH4xnGCbpoh4Ma
    Evidence Gaps Research Taxonomy Table: Primary Care Behavioral Counseling Interventions to Support Breastfeeding 1 Evidence Gaps Research Taxonomy Table Research to Address Evidence Gaps in Preventive Services for the USPSTF Topic: Primary Care Behavioral Counseling Interventions to Support Breastfeeding …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33592/psn-pdf
    December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current re…
  13. www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/cardiovascular-disease-enhanced-risk-assessment-non-traditional-risk-factors
    April 25, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Research Plan Enhanced Risk Assessment for Cardiovascular Disease: Coronary Artery Calcium Scoring April 25, 2024 Recommendations made by the USPSTF are…
  14. digital.ahrq.gov/population/individuals-chronic-care-needs
    January 01, 2025 - Individuals with Chronic Care Needs Developing and evaluating SEE-Diabetes: A patient-centered educational decision Support System for Diabetes care. Citation Narindrarangkura P, Dejhansathit S, Khan U, Day M, Boren SA, Simoes EJ, Kim MS. Developing and evaluating SEE-Diabetes…
  15. hcup-us.ahrq.gov/toolssoftware/comorbidity/comoanaly_01.txt
    December 08, 2004 - /***************************************************************/ /* Title: CREATION OF COMORBIDITY VARIABLES */ /* */ /* PROGRAM: COMORADM */ /* …
  16. hcup-us.ahrq.gov/toolssoftware/comorbidity/comoanaly_2003.txt
    January 01, 2003 - /***************************************************************/ /* Title: CREATION OF COMORBIDITY VARIABLES */ /* */ /* PROGRAM: COMORADM */ /* …
  17. digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care
    January 01, 2023 - Impact of Health Information Technology on Clinical Care Project Final Report ( PDF , 108.05 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 AH…
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_disposition-comments.pdf
    October 01, 2010 - In fact, 9% (9/103) of the THERMOCOOL subjects were adjudicated as chronic failures solely due to use
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
    July 01, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 2: Trends in Priorities of the Heckler Report National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics 1 Report of the Secretary’s Task Force on Black and…
  20. psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - ambulatory patient safety, including missed and delayed diagnosis, adverse drug events, and monitoring failures