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Showing results for "failures".

  1. cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_1_Recommendations.html
    January 01, 1970 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults         RECOMMENDATIONS             Recommendation Hospital admission decision. Imperative: Severity-of-illness scores, such as the CURB-65 criteria (confusion, uremia, respi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38229/psn-pdf
    November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. November 18, 2016 Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39372/psn-pdf
    September 20, 2011 - Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? September 20, 2011 Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Am J Med. 2010;123(3):238-44. doi:10.1016/j.am…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44993/psn-pdf
    April 17, 2017 - Surgical patient safety outcomes in critical access hospitals: how do they compare? April 17, 2017 Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. https://psnet.ahrq.gov/issue/surgica…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39069/psn-pdf
    February 18, 2011 - Did duty hour reform lead to better outcomes among the highest risk patients? February 18, 2011 Volpp KG, Rosen AK, Rosenbaum PR, et al. Did duty hour reform lead to better outcomes among the highest risk patients? J Gen Intern Med. 2009;24(10):1149-55. doi:10.1007/s11606-009-1011-z. https://psnet.ahrq.gov/issue/d…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46856/psn-pdf
    June 20, 2018 - Visual acuity, literacy, and unintentional misuse of nonprescription medications. June 20, 2018 Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp170303. https://psnet.ahrq.gov/issu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39822/psn-pdf
    February 17, 2011 - The disclosure dilemma—large-scale adverse events. February 17, 2011 Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134. https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events Error disc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38455/psn-pdf
    January 02, 2017 - Clinical triggers: an alternative to a rapid response team. January 2, 2017 Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team A national cam…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43128/psn-pdf
    August 25, 2015 - Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. August 25, 2015 Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Surveillance: A Multimethod Approach …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854986/psn-pdf
    November 01, 2023 - Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. November 1, 2023 Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more reliable system to monitor test re…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45556/psn-pdf
    June 29, 2017 - Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. June 29, 2017 Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Ann Intern Med. 2017;166(5):324-331. doi:10.7326/M16-0185. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37484/psn-pdf
    April 01, 2010 - Using patient safety indicators to estimate the impact of potential adverse events on outcomes. April 1, 2010 Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87. doi:10.1177/107755870730961…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36699/psn-pdf
    March 28, 2011 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. March 28, 2011 Olsen S, Neale G, Schwab K, et al. Hospital staff should use more than one method to detect advers…
  15. www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3a.html
    July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Table 3a. Examples of Evaluation Measures for Self-management Support Programs for Common Chronic Conditions Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47602/psn-pdf
    January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. January 27, 2019 Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51. doi:10.1001/jamapediatrics.2018.3619. …
  18. www.ahrq.gov/research/findings/final-reports/stpra/stpraexh10.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 10. Probability variations used in the sensitivity analyses Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Ch…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. October 5, 2016 Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…
  20. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/trends.html
    June 01, 2018 - Chartbook on Care Coordination Trends in Care Coordination Measures Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoi…