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Showing results for "failures".

6721. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13E: Serious Mental Illness Subpopulation Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicator…

6722. Intimidation: a concept analysis. | PSNet
      psnet.ahrq.gov/issue/intimidation-concept-analysis
      May 20, 2020 - Review Intimidation: a concept analysis. Citation Text: Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-6198.2009.00162.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

6723. The systems approach to medicine: controversy and misconceptions. | PSNet
      psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
      June 24, 2020 - Commentary The systems approach to medicine: controversy and misconceptions. Citation Text: Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. Copy Citation Format: DOI Googl…

6724. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
      January 14, 2011 - Commentary Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. Citation Text: Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22…

6725. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/archive.html
      July 01, 2018 - Clinical Practice Guidelines Archive The National Guideline Clearinghouse™ taken down on July 16, 2018, because federal funding though AHRQ was no longer available to support them. Please visit AHRQ's Guidelines and Measures (GAM) microsite to find information about its legacy guidelines and measures cleari…

6726. AHRQ-Funded Research Supports Clinicians’ Work | Digital Healthcare Research
      digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
      January 01, 2018 - AHRQ-Funded Research Supports Clinicians’ Work Research funded by AHRQ aims to support clinicians and other healthcare professionals in providing health services. The projects highlighted below share the goal of improving the experience of health professionals who use health IT. The fe…

6727. Home Health Care | Digital Healthcare Research
      digital.ahrq.gov/type-care/home-health-care
      January 01, 2023 - Home Health Care A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Description This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching tec…

6728. Medication, allergy, and adverse drug event discrepancies in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
      July 13, 2022 - Study Medication, allergy, and adverse drug event discrepancies in ambulatory care. Citation Text: Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. Copy Citation Format: Google S…

6729. Use Simulation To Adopt and Adapt Best Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
      July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Use Simulation To Adopt and Adapt Best Practices Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Prac…

6730. When good doctors go bad: a systems problem. | PSNet
      psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
      November 02, 2014 - Commentary When good doctors go bad: a systems problem. Citation Text: Leape L. When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6731. From tragedy to advocacy. | PSNet
      psnet.ahrq.gov/issue/tragedy-advocacy
      October 05, 2016 - Newspaper/Magazine Article From tragedy to advocacy. Citation Text: DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

6732. Tool 5: Portfolio Design
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
      June 02, 2025 - Tool 5: Portfolio Design Tool 5: Portfolio Design Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital. Purpose: To facilitate the formulation of you…

6733. Tool 3: Hospital Inventory (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
      June 02, 2025 - Tool 3: Hospital Inventory Tool 3: Hospital Inventory Tool Purpose Readmission reduction efforts at your hospital have likely proliferated over the past several years, and many of these efforts may have developed in isolation from each other. The purpose of this tool is to prompt a comprehensive inventory of all r…

6734. Why your TeamSTEPPS program may not be working. | PSNet
      psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
      February 14, 2024 - Commentary Why your TeamSTEPPS program may not be working. Citation Text: Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

6735. Staying safe: simple tools for safe surgery. | PSNet
      psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
      August 02, 2015 - Commentary Staying safe: simple tools for safe surgery. Citation Text: Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6736. Safety for all: integrated design for inpatient units. | PSNet
      psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
      June 01, 2016 - Newspaper/Magazine Article Safety for all: integrated design for inpatient units. Citation Text: Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. Copy Citation Save Save to your library …

6737. EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived | PSNet
      psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
      November 20, 2019 - Newspaper/Magazine Article EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Citation Text: EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Arditi L. Peoples Public Radio. December 3, 2019. …

6738. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …

6739. Sustaining and Spreading Surgical Safety Improvements: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
      December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustaining and Spreading Surgical Safety Improvements Slide 2: Learning Objectives After this session, you will be able to– Define sus…

6740. Perioperative Staff Safety Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
      December 01, 2017 - Perioperative Staff Safety Assessment AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…