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Showing results for "failures".

  1. Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. | PSNet

    psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
    May 18, 2022 - Study Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. Citation Text: Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…

  2. Designing and Implementing Medicaid Disease and Care Management Programs | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/index.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engaging Stakeholders in a Care Management Program …

  3. Physician satisfaction with transition from CPOE to paper-based prescription. | PSNet

    psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
    January 06, 2018 - Study Physician satisfaction with transition from CPOE to paper-based prescription. Citation Text: Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…

  4. Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
    March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident’s chart for a suspected catheter-associated urinary tract infection (CAUTI). The form combines the resident’s health asses…

  5. Health technology, quality and safety in a learning health system. | PSNet

    psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
    February 09, 2022 - Commentary Health technology, quality and safety in a learning health system. Citation Text: Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383. Copy Citation Format: …

  6. A blueprint for leadership during COVID-19. | PSNet

    psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19
    December 15, 2021 - Commentary A blueprint for leadership during COVID-19. Citation Text: Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  7. Organizational factors that promote error reporting in healthcare: a scoping review. | PSNet

    psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
    June 01, 2022 - Review Organizational factors that promote error reporting in healthcare: a scoping review. Citation Text: Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. Copy…

  8. Mitigating the July effect. | PSNet

    psnet.ahrq.gov/issue/mitigating-july-effect
    August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  9. AHRQ Quality Indicators™ Pediatric Quality Indicators (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
    April 01, 2022 - AHRQ Quality Indicators™ Pediatric Quality Indicators AHRQ Quality Indicators™ Pediatric Quality Indicators Assess quality of hospital care for children, at the hospital level and across a community Pediatric Qua…

  10. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. | PSNet

    psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
    April 03, 2017 - Slideset Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Citation Text: Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…

  11. Patient Health Questionnaire (PHQ-9) (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/sDvjG49sFm7t3f3CnZUuFw
    October 04, 2005 - Patient Health Questionnaire (PHQ-9) PATIENT HEALTH QUESTIONNAIRE (PHQ-9)DATE:NAME:Over the last 2 weeks, how often have you beenbothered by any of the following problems? Not at all Severaldays More thanhalf thedays Nearlyevery day(use "ⁿ" to indicate your answer) 0 1 2 3Little interest or pleasure in doing things1.…

  12. Developing a measure of value in health care. | PSNet

    psnet.ahrq.gov/issue/developing-measure-value-health-care
    February 10, 2021 - Commentary Developing a measure of value in health care. Citation Text: Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. Copy Citation Format: DOI Google Scholar BibTe…

  13. Development of the ICU safety reporting system. | PSNet

    psnet.ahrq.gov/issue/development-icu-safety-reporting-system
    May 27, 2011 - Study Development of the ICU safety reporting system. Citation Text: Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. Copy Citation Save Save to your library Print Download PD…

  14. Debiasing health-related judgments and decision making: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
    January 04, 2010 - Review Debiasing health-related judgments and decision making: a systematic review. Citation Text: Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. Copy Citation Forma…

  15. USA, MN, Minneapolis | Digital Healthcare Research

    digital.ahrq.gov/location/usa-mn-minneapolis
    January 01, 2023 - USA, MN, Minneapolis Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions Description This research will develop and test novel approaches for using electronic health record metadata to characterize and evaluate hospital dis…

  16. Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet

    psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
    March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. Citation Text: Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…

  17. Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. | PSNet

    psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
    July 24, 2013 - Review Emerging Classic Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. Citation Text: Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of…

  18. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings
    July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

  19. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta
    December 08, 2021 - Review Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Citation Text: Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analy…

  20. Afraid in the hospital: parental concern for errors during a child's hospitalization. | PSNet

    psnet.ahrq.gov/issue/afraid-hospital-parental-concern-errors-during-childs-hospitalization
    April 21, 2011 - Study Classic Afraid in the hospital: parental concern for errors during a child's hospitalization. Citation Text: Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's hospitalization. J Hosp Med. 2009;41(9):…
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