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Showing results for "failures".

  1. Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
    July 06, 2022 - Study Emerging Classic Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. Citation Text: McGarry BE, Grabowski DC, Barnett ML. Severe staffing and personal protective equipment shortages faced by nurs…

  2. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

    psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
    November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

  3. Healthcare in a land called PeoplePower: nothing about me without me. | PSNet

    psnet.ahrq.gov/issue/healthcare-land-called-peoplepower-nothing-about-me-without-me
    March 18, 2019 - Commentary Classic Healthcare in a land called PeoplePower: nothing about me without me. Citation Text: Delbanco T, Berwick D, Boufford JI, et al. Healthcare in a land called PeoplePower: nothing about me without me. Health Expect. 2001;4(3):144-50. Copy Cit…

  4. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
    November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

  5. The potential for leveraging machine learning to filter medication alerts. | PSNet

    psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts
    July 22, 2020 - Study The potential for leveraging machine learning to filter medication alerts. Citation Text: Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292. Copy Ci…

  6. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. | PSNet

    psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
    April 21, 2021 - Study Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. Citation Text: Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …

  7. Decision Support to Improve Dental Care for Medically Compromised Patients - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients/annual-summary/2012
    January 01, 2012 - Decision Support to Improve Dental Care for Medically Compromised Patients - 2012 Project Name Decision Support to Improve Dental Care for Medically Compromised Patients Principal Investigator Fricton, James Organization HealthPartners Institute Funding Mechanism PA…

  8. Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status

    hcup-us.ahrq.gov/reports/natstats/rn4.htm
    November 01, 1998 - Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status Below is a summary of HCUP-3 Research Note 4 (AHCPR Pub. No. 97-0006), which is available from the AHCPR Publications Clearinghouse. Call toll free 800-358-9295…

  9. C2 Prioritization Worksheet Example (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
    June 02, 2025 - C2 Prioritization Worksheet Example AHRQ Quality Indicators Toolkit Prepared by RAND and UHC for AHRQ Tool C.1 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- Lev…

  10. Quality Oral Health Care through Health Information Technology - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/quality-oral-health-care-through-health-information-technology/annual-summary/2010
    January 01, 2010 - Quality Oral Health Care through Health Information Technology - 2010 Project Name Quality Oral Health Care through Health Information Technology Principal Investigator Austein-Casnoff, Cheryl Organization National Opinion Research Center at the University of Chicago …

  11. Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet

    psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals
    July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks in hospitals. Citation Text: Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. Copy …

  12. Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. | PSNet

    psnet.ahrq.gov/issue/health-care-professionals-perceptions-unprofessional-behaviour-clinical-workplace
    November 03, 2021 - Study Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. Citation Text: Dabekaussen KFAA, Scheepers RA, Heineman E, et al. Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. PLoS ONE. 2023;18(1):e028044…

  13. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. | PSNet

    psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
    February 17, 2017 - Commentary ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Citation Text: Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…

  14. We are not there yet: a qualitative system probing study of a hospital rapid response system. | PSNet

    psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
    March 15, 2023 - Study We are not there yet: a qualitative system probing study of a hospital rapid response system. Citation Text: Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…

  15. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. | PSNet

    psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
    August 28, 2017 - Study Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Citation Text: Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…

  16. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet

    psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
    June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

  17. Task Force Issues Final Recommendation Statement on Screening for Hypertensive Disorders of Pregnancy (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hypertensive-disorders-pregnancy-final-rec-bulletin.pdf
    September 19, 2023 - Task Force Issues Final Recommendation Statement on Screening for Hypertensive Disorders of Pregnancy 1 www.uspreventiveservicestaskforce.org Task Force Issues Final Recommendation Statement on Screening for Hypertensive Disorders of Pregnancy All pregnant people should have their blood pressure measur…

  18. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. | PSNet

    psnet.ahrq.gov/issue/enabling-sustained-communication-patients-safe-and-effective-management-oral-chemotherapy
    October 14, 2020 - Study Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. Citation Text: Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…

  19. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. | PSNet

    psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
    June 18, 2014 - Study The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. Citation Text: Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…

  20. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. | PSNet

    psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
    August 19, 2020 - Study Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Citation Text: Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(…
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