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Showing results for "failures".

7761. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
      January 01, 2017 - Presentation: Program Overview Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-43-EF January 2017 Evidence Behind PAD ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Ob…

7762. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
      October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Section 3: Selecting and Targeting Populations for a Care Management Program Previous Page Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Plannin…

7763. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

7764. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Two: Design of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Par…

7765. Standardized Library of Lung Cancer Outcome Measures (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lung-cancer.pdf
      August 01, 2021 - Standardized Library of Lung Cancer Outcome Measures Research White Paper Standardized Library of Lung Cancer Outcome Measures Research White Paper Standardized Library of Lung Cancer Outcome Measures Prepared for: Agency for Healthcare Research and Quality U.S. Dep…

7766. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
      September 28, 2016 - Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration Victor J Dzau, MD President, National Academy of Medicine AH…

7767. Statistical Brief #20
      hcup-us.ahrq.gov/reports/statbriefs/sb20.jsp
      December 20, 2006 - Statistical Brief #20 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

7768. HCUP Statistical Brief #20: Obese Patients in U.S. Hospitals, 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb20.pdf
      December 01, 2006 - HCUP Statistical Brief #20: Obese Patients in U.S. Hospitals, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #20 December 2006 Highlights In 2004, there were 1.7 million hospital stays during which obesity was noted, accountin…

7769. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet
      psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study
      August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

7770. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. | PSNet
      psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology
      November 18, 2020 - Study Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Citation Text: Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.101…

7771. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. | PSNet
      psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
      July 16, 2015 - Study Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. Citation Text: Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …

7772. Diagnostic accuracy of a large language model in pediatric case studies. | PSNet
      psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
      May 25, 2016 - Study Diagnostic accuracy of a large language model in pediatric case studies. Citation Text: Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750. Copy Cit…

7773. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. | PSNet
      psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
      September 23, 2020 - Commentary The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Citation Text: Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Ann Emerg M…

7774. Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. | PSNet
      psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
      July 02, 2019 - Study Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. Citation Text: Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…

7775. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet
      psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
      July 31, 2024 - Study Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. Citation Text: Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to hi…

7776. Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet
      psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
      December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

7777. Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. | PSNet
      psnet.ahrq.gov/issue/bedside-computer-vision-moving-artificial-intelligence-driver-assistance-patient-safety
      December 01, 2021 - Commentary Emerging Classic Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. Citation Text: Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to P…

7778. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet
      psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
      March 24, 2019 - Study Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. Citation Text: Huang Y-C, Chang J-S, Lai Y-C, et al. Importance of prevention and early intervention of adverse events in pediatric cardi…

7779. Effects of learning climate and registered nurse staffing on medication errors. | PSNet
      psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
      February 15, 2011 - Study Effects of learning climate and registered nurse staffing on medication errors. Citation Text: Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc. Copy Citation Format: …

7780. From box ticking to the black box: the evolution of operating room safety. | PSNet
      psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
      October 29, 2017 - Commentary From box ticking to the black box: the evolution of operating room safety. Citation Text: Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. Copy Citation …