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Showing results for "failures".

6781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49498/psn-pdf
      January 01, 2006 - An Ounce of Prevention January 1, 2006 Kucher N. An Ounce of Prevention. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/ounce-prevention Case Objectives Assess risk for venous thromboembolism (VTE) in hospitalized patients List recommended strategies for VTE prevention for various risk groups Identify pat…

6782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49455/psn-pdf
      July 01, 2004 - The Worst Headache July 1, 2004 Edlow JA. The Worst Headache. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/worst-headache The Case A 48-year-old woman with a history of migraine headaches and hypertension presented to her outpatient clinic with a 4-day history of headache. While shopping 4 days earlier, …

6783. Teaching Implementation Coaching for Culture Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
      February 01, 2024 - Teaching Implementation Coaching for Culture Change Coaching Objectives and Overview Display Slide 42, “Coaching for Culture Change,” as you transition to the culture section. Present Slide 43, “Objectives,” after you complete the implementation planning section. Note that executing a plan requires subs…

6784. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 5. How do we measure our pressure ulcer rates and practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are …

6785. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
      January 01, 2017 - Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Manageme…

6786. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Shoulder Dystocia Labor and Delivery Unit Safety—Shoulder Dystocia Purpose of the tool: This tool describes the key perinatal safety elements related to the saf…

6787. Module 1: Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
      February 01, 2023 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide Module 1: Overview Previous Page Next Page Table of Contents Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Module 1: Overview Module 2: Urinary Catheter Maintenance Module 3: Conversations Around Device Necessit…

6788. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

6789. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - Spinal Epidural Abscess Citation Text: Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

6790. The Integration of Hospitalists into U.S. Academic Medical Centers
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
      March 07, 2014 - The Integration of Hospitalists into U.S. Academic Medical Centers Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship 1 CAPT Arjun Srinivasan, MD Associate Director for Healthcare Associated Infection Prevention Programs Division of Healthcare Quality Promotion Scott Flanders, MD Professor of Med…

6791. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 5. How do we measure our pressure ulcer rates and practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are …

6792. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
      June 02, 2025 - AHRQ Quality Indicators Prioritization Worksheet Example AHRQ Quality Indicators Toolkit Tool C.2 Volume of Cases at Risk Cost of Single Event Total Cost Cost To Implement Penalties and Incentives Proxies for Cost Strategic Alignment External Mandates Public Perception Executive- Level Support …

6793. The Worst Headache | PSNet
      psnet.ahrq.gov/web-mm/worst-headache
      July 01, 2016 - The Worst Headache Citation Text: Edlow JA. The Worst Headache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6794. Sb8 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb8.pdf
      May 01, 2006 - HEALTHCARE COST AND UTILIZATION PROJECT Agen Res 8 May 2006 One o hospit the tre related and ne Injury percen stays, private percen uninsu for me abuse times insure Three condit ization pertain infants and ot tions. infecti the top Mood and dr of the reason among Hospit and as that ca outpat …

6795. Statistical Brief #8
      hcup-us.ahrq.gov/reports/statbriefs/sb8.jsp
      May 01, 2006 - Statistical Brief #8 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

6796. Draft - Primary Hypofractionated Radiation Therapy for Localized Prostate Cancer: Appendix D3 Tables (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypofractionated-radiation-therapy-draft-appendix-d3.xlsx
      January 01, 2025 - Draft - Primary Hypofractionated Radiation Therapy for Localized Prostate Cancer: Appendix D3 Tables Table D-3. Outcomes Author, year Key Questions Intervention Arm Group Control Arm Group Outcome domain Outcome domain comment Overall survival Prostate cancer-specific survival Prostate cancer-specific survival commen…

6797. Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
      January 01, 2015 - Among ambulatory patients, safety problems included missed and delayed diagnosis,(8) failures of monitoring … 10 monitoring failures … Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action

6798. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
      January 01, 2011 - performance metric against which to measure improvement, (2) separate medication errors and system failures … patients from the many that do not, and (3) accurately direct interventions toward preventing those failures … be continued without adequate outpatient monitoring (e.g., oral anticoagulants); and communication failures

6799. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
      January 01, 2025 - when patients’ diagnostic test results are not acted upon in a timely fashion, diagnostic delays and failures … often ensue; (2) monitoring for high-risk subpopulations: failures of monitoring for patients receiving … multifactorial, it is clear that lack of timely identification of test results contributes to diagnostic failures

6800. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Perspectives on Safety Annual Perspective Impact of System Failures … Perspectives on Safety Annual Perspective Impact of System Failures