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Showing results for "failures".

5901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43452/psn-pdf
      August 20, 2014 - Electronic health record–related safety concerns: a cross- sectional survey. August 20, 2014 Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. https://psnet.ahrq.gov/issue/electronic-health…

5902. TeamSTEPPS Research/Evidence Base: TeamSTEPPS and Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/patients-families.html
      June 01, 2023 - TeamSTEPPS Research/Evidence Base: TeamSTEPPS and Patients and Families Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-25. Epub 2019/05/06. doi: 10.1016/j.ogc.2019.01.004. PMID: 31056124. Fancott C, Baker GR, Judd M, Humphrey A, Morin A. Sup…

5903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41526/psn-pdf
      April 05, 2013 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. April 5, 2013 Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Me…

5904. Microsoft Word - Table1-FY2008-V3_3.doc (pdf file)
      hcup-us.ahrq.gov/toolssoftware/comorbidity/Table1-FY2008-V3_3.pdf
      March 01, 2008 - Microsoft Word - Table1-FY2008-V3_3.doc Table 1. Changes Made to Comorbidity Software for FY2008, Version 3.3 The following changes were made to the Comorbidity Software for fiscal year 2008. This year includes ICD-9-CM and DRG V24 updates, as well as the addition of MS-DRG V25 codes for 2008. These changes are i…

5905. HCUPAnalysisCA2018Wildfires (pdf file)
      hcup-us.ahrq.gov/reports/ataglance/HCUPAnalysisCA2018Wildfires.pdf
      November 07, 2019 - HCUPAnalysisCA2018Wildfires Wildfires in California: Emergency Department Visits Around November 2018 We wish to acknowledge the HCUP Partner organization from the California Office of Statewide Health Planning and Development (OSHPD) that contributed to the HCUP State Databases used in this…

5906. Since their introduction in 20xx, DES have been shown in clinical trials to decrease TLR (… (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/coronary-stents-outcomes_research.pdf
      January 01, 2010 - Since their introduction in 20xx, DES have been shown in clinical trials to decrease TLR (… The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care program. It is a collaborative network of research centers that support the rapid development o…

5907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - Such efforts empower trauma teams to understand their previous failures, learn from previous successes

5908. Final Progress Report: Conference: Physician-Level Interventions: What Works to Improve Quality of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
      January 01, 2024 - especially given the tension between policymakers’ need for fast feedback about program successes and failures

5909. Right? Left? Neither! | PSNet
      psnet.ahrq.gov/web-mm/right-left-neither
      November 16, 2022 - The multiple communication failures suggest the need for a formal protocol to delineate precisely how

5910. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents 1 Project Title: Creating Learning Cultures Around Mistakes for Residents Timothy J. Hoff, PhD, Principal Investigator University at Albany, SUNY School of Public Health Henry Pohl, MD, Co-Investigator Joel Bartfield, MD, Co-Investi…

5911. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      September 01, 2017 - system-to-system interface changes, staff vacations or retirements, organizational leadership changes, CDS failures … ( 14 ), and hardware failures ( 15 ), to name just a few.

5912. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - SPOTLIGHT CASE A Lot of Pain (Medications) Citation Text: Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

5913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73128/psn-pdf
      July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021 https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications- and-enhances Summary The Hospital at Homesm program provides hospital-level care…

5914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

5915. Statistical Brief #151
      hcup-us.ahrq.gov/reports/statbriefs/sb151.jsp
      March 01, 2013 - Statistical Brief #151 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

5916. HCUP Statistical Brief #123: Components of Growth in Inpatient Hospital Costs, 1997-2009 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb123.pdf
      November 01, 2011 - HCUP Statistical Brief #123: Components of Growth in Inpatient Hospital Costs, 1997-2009 Agency for Healthcare HEALTHCARE COST AND Research and Quality UTILIZATION PROJECT STATISTICAL BRIEF #123 November 2011 Co…

5917. Assessing the Availability of the Preconception Component of High-Risk Obstetrical Services by Estimating the Use of Teratogenic Medications Before and During Pregnancy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-fullreport.pdf
      August 07, 2018 - X”) medications during potentially vulnerable periods before and during pregnancy as a marker for failures … teratogenic medications during potentially vulnerable periods before and during pregnancy as a marker for failures … Class X) medications during potentially vulnerable periods before and during pregnancy as a marker for failures

5918. Developing an Effective Care Coordination System Implementation Guide
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
      January 01, 2018 - for improvement Solicit feedback on what and how well things are working Discuss struggles and failures

5919. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - indicates that most transfusions to the wrong patient occur as a result of potentially avoidable system failures

5920. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-2007_executive.pdf
      January 01, 2007 - Layout 1 Background More than 65 million American adults— approximately one-third—have hypertension. The prevalence of hypertension increases with advancing age such that more than half of people 60-69 years of age and approximately three- fourths of those 70 years of age and older are affected. In addition to being…