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Showing results for "failures".

  1. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - system, allowing for smarter deployment of precious time and resources and concurrent remediation of failures
  2. hcup-us.ahrq.gov/reports/methods/2018-01.pdf
    January 01, 2018 - 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…
  3. digital.ahrq.gov/location/usa-tx-houston
    January 01, 2023 - USA, TX, Houston A Multi-Site Trial to Test Benefits of Adding a Personalized Risk Calculator to an Online Decision Aid for Left Ventricular Assist Device Description This research will implement a personalized and electronically integrated shared clinical decision support sy…
  4. Hunt_Panel_3 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/hunt_panel_3.pdf
    January 01, 2010 - Hunt_Panel_3 Slide  1: Addressing Health Disparities: Why Use Web 2.0? Yvonne M. Hunt, Ph.D., M.P.H. Cancer Prevention Fellow National Cancer Institute, Bethesda, MD Slide  2: Social Media  “Disparities” • Among those who use social media, use is hi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39116/psn-pdf
    April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician- reported errors. April 30, 2014 Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/archinternmed.2009.333. https://psnet.ahrq.gov/issue/diagnostic-err…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44026/psn-pdf
    November 03, 2015 - Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. November 3, 2015 Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high- risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43712/psn-pdf
    December 03, 2014 - How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. December 3, 2014 Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow- up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e005985. doi:10.1136/bmjopen-2014-00…
  8. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
    January 01, 2023 - Process Decision Program Chart Acronym PDPC Description The process decision program chart (PDPC) provides a systematic means of finding errors with a plan while it is being created. Once potential issues are found, preventive measures are developed, allowing the problems to either be avoided …
  9. integrationacademy.ahrq.gov/sites/default/files/2020-07/HbA1c.pdf
    January 01, 2020 - Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%) Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%) Measure Description: The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) whose most recent HbA1c level is <8.0% during the measurement year. Num…
  10. psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety
    February 24, 2025 - Special or Theme Issue The Future of Patient and Family Engagement in Quality and Patient Safety. Citation Text: The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  11. Har 2005 (pdf file)

    hcup-us.ahrq.gov/reports/annualreport/HAR_2005.pdf
    January 01, 2005 - Hcup facts and figures: StatiSticS on hoSpital-baSed care in the united StateS, 2005 taBLe Of cOntents highlightS .......................................................................................................................................................................................................…
  12. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
    March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation—Part 4 2014 National Healthcare Quality and Disparities Report Health Care of Residents of the U.S.-Mexico Border Slide 1 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of …
  13. hcup-us.ahrq.gov/reports/statbriefs/sb236-Atrial-Fibrillation-Hospital-Stays-Trends.jsp
    February 01, 2018 - Inpatient Stays Involving Atrial Fibrillation, 1998-2014 #236 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …
  14. hcup-us.ahrq.gov/reports/statbriefs/sb236-Atrial-Fibrillation-Hospital-Stays-Trends.pdf
    August 22, 2017 - Inpatient Stays Involving Atrial Fibrillation, 1998-2014 1 February 2018 Inpatient Stays Involving Atrial Fibrillation, 1998–2014 Elisabeth Kato, M.D., M.R.P., Quyen Ngo-Metzger, M.D., M.P.H., Kathryn R. Fingar, Ph.D., M.P.H., Kimberly W. McDermott, Ph.D., and Anne Elixhauser, Ph.D. Intro…
  15. hcup-us.ahrq.gov/reports/statbriefs/sb240-Co-occurring-Physical-Mental-Substance-Conditions-Hospital-Stays.pdf
    February 01, 2018 - Co-occurrence of Physical Health Conditions and Mental Health and Substance Use Conditions Among Adult Inpatient Stays, 2010 Versus 2014 1 June 2018 (Revised October 2018)* Co-occurrence of Physical Health Conditions and Mental Health and Substance Use Conditions Among Adult Inpatient Stays, 2010 Versus 2014 …
  16. effectivehealthcare.ahrq.gov/sites/default/files/related_files/case-management_executive.pdf
    January 01, 2013 - 1 Comparative Effectiveness Review Number 99 Outpatient Case Management for Adults With Medical Illness and Complex Care Needs Executive Summary Background Chronic diseases are the leading cause of illness, disability, and death in the United States.1 Providing medical care for chronic illness is often compl…
  17. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2023 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 PATIENT SAFETY Adverse Events Among Medicare Hospitalizations in 2021–2023 This page intentionally left blank. …
  18. hcup-us.ahrq.gov/toolssoftware/ccs/CCSCategoryNames_FullLabels.pdf
    October 07, 2016 - SINGLE-LEVEL CCS DIAGNOSIS CATEGORIES SINGLE-LEVEL CCS DIAGNOSIS CATEGORY LABELS 1 Tuberculosis 2 Septicemia (except in labor) 3 Bacterial infection; unspecified site 4 Mycoses 5 HIV infection 6 Hepatitis 7 Viral infection 8 Other infections; including parasitic 9 Sexually transmitted infections (not HIV or hepatiti…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852698/psn-pdf
    August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation August 30, 2023 https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and- diagnostic-accuracy Summary Addressing diagnostic errors to improve outcomes and patient safety h…
  20. psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - SPOTLIGHT CASE The Case of Mistaken Intubation Citation Text: Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX End…