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Showing results for "failures".

  1. effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief1-care-coordination.pdf
    April 01, 2021 - Rapid Evidence Product April 2021 Care Coordination and Care Plans for Transitions Across Care Settings Purpose The purpose of this topic development brief is to explore and scope the evidence on care coordination and care plans for transitions across care settings (“transitional care interventions”) i…
  2. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
    January 01, 2019 - Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report Using the electronic health record to identify children likely to suffer last-minute surgery cancellation Principal Investigator: J. “Nick” Pratap, MB Chir, MRCPCH, FRCA1 Team…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836941/psn-pdf
    April 27, 2022 - Post-Acute Transitional Services: Safety in Home-Based Care Programs April 27, 2022 McElroy V, Ordona RB, Bakerjian D. Post-Acute Transitional Services: Safety in Home-Based Care Programs. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs Backgr…
  4. psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018  Also Read an Essay Citation Text: In Conversation With… Matthew Weinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …
  5. www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
    January 01, 2025 - Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting Evaluating and Improving Present-On-Admission for Performance Reporting L. E lizabeth Goldman, MD, MCR, Principal Investigator Andrew Bindman, MD, Peter Bacchetti, PhD, Co-Investigators University of California, San …
  6. psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Post-Acute Transitional Services: Safety in Home-Based Care Programs Citation Text: McElroy V, Ordona RB, Bakerjian D. Post-Acute Transitional Services: Safety in Home-Based Care Programs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  7. www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Technical Interventions To Prevent CAUTI Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Ove…
  8. hcup-us.ahrq.gov/reports/statbriefs/sb262-Medicare-Advantage-Costs-2009-2017.pdf
    January 01, 2017 - Medicare Advantage Versus the Traditional Medicare Program: Costs of Inpatient Stays, 2009-2017 1 STATISTICAL BRIEF #262 August 2020 Brian J. Moore, Ph.D., and Lan Liang, Ph.D. Introduction Most individuals eligible for Medicare coverage administered through the Centers for Medicare & …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
    January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience 131 Quantitative and Qualitative Analysis of Medication Errors: The New York Experience Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Abstract Objectives: In June 2000, the New Yo…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety 269 The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety Ben-Tzion Karsh, Pascale Carayon, Maureen Smith, Kathleen Skibinski, Bruce Thomadsen, Patricia Flatley Brennan, Mary Ell…
  11. effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief1-care-coordination.pdf
    April 01, 2021 - Rapid Evidence Product April 2021 Care Coordination and Care Plans for Transitions Across Care Settings Purpose The purpose of this topic development brief is to explore and scope the evidence on care coordination and care plans for transitions across care settings (“transitional care interventions”) i…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…
  13. www.ahrq.gov/sites/default/files/2024-01/bolton-report.pdf
    January 01, 2024 - deaths and is thus a major safety concern.13,14,35,36 A relatively understudied source of response failures
  14. www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
    December 01, 2017 - Continue to engage in failures because you're going to continue to have them. … The turnaround like failure cycle can be tough, particularly when success and failures have occurred
  15. psnet.ahrq.gov/web-mm/weighing-surgical-safety
    August 04, 2021 - SPOTLIGHT CASE Weighing In on Surgical Safety Citation Text: Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar …
  16. psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - Slippery Slide Into Life Citation Text: Halamek LP. Slippery Slide Into Life. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  17. psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx Spotlight Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33742/psn-pdf
    December 01, 2012 - In Conversation With… Sharon K. Inouye, MD, MPH December 1, 2012 In Conversation With… Sharon K. Inouye, MD, MPH. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph Editor's note: Sharon K. Inouye, MD, MPH, one of the world's leaders in geriatrics research and innovatio…
  19. www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixa.html
    December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Appendix A: AHRQ/IHS Improving Health Care Delivery Data Project. Methods Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness…
  20. www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
    June 01, 2023 - Implementation Coaching If training and other implementation activities are methods for helping your organization effectively use TeamSTEPPS and its tools, coaching is a strategy for assisting individuals and teams through this process. This discussion of coaching provides information to: Define coaching an…