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Showing results for "failures".

  1. Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. | PSNet

    psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
    March 24, 2021 - Study Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. Citation Text: Balshi AN, Al-Odat MA, Alharthy AM, et al. Tele-Rapid Response Team (Tele-RRT): The effect of implementing …

  2. Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
    February 09, 2022 - Study Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. Citation Text: Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…

  3. Preventability and causes of readmissions in a national cohort of general medicine patients. | PSNet

    psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
    January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…

  4. The extent and importance of unintended consequences related to computerized provider order entry. | PSNet

    psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
    May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…

  5. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. | PSNet

    psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
    July 16, 2019 - Review Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Citation Text: Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…

  6. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
    July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

  7. Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-nc
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 2.07 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …

  8. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
    September 23, 2020 - Study The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Citation Text: Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…

  9. Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. | PSNet

    psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across
    November 16, 2022 - Study Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. Citation Text: Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Chec…

  10. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality

    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

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72586/psn-pdf
    December 23, 2020 - And communication failures often lead to patient harm, as they did in the care of this patient. 

  12. Nis 2008 Maskedstats Severity (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2008_MaskedStats_Severity.PDF
    January 01, 2008 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NIS 2008 - Severity File 10:20 Monday, May 24, 2010 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more info…

  13. Nis 2009 Maskedstats Severity (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2009_MaskedStats_Severity.PDF
    January 01, 2009 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NIS 2009 - Severity File 19:13 Monday, May 16, 2011 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more infor…

  14. Kid 2009 Maskedstats Severity (pdf file)

    hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2009_MaskedStats_Severity.PDF
    January 01, 2009 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: KID 2009 - Severity File 12:46 Wednesday, May 18, 2011 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more i…

  15. HIV Hospital Stays in the United States, 2006-2013 #206

    hcup-us.ahrq.gov/reports/statbriefs/sb206-HIV-Hospital-Stays-Trends.jsp
    June 01, 2016 - HIV Hospital Stays in the United States, 2006-2013 #206 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …

  16. HIV Hospital Stays in the United States, 2006–2013 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb206-HIV-Hospital-Stays-Trends.pdf
    November 01, 2015 - HIV Hospital Stays in the United States, 2006–2013 1 June 2016 HIV Hospital Stays in the United States, 2006–2013 Kevin C. Heslin, Ph.D., and Anne Elixhauser, Ph.D. Introduction Human immunodeficiency virus (HIV) is a global health problem, causing over 34 million deaths since the vi…

  17. Use of and access to health care by Medicare beneficiaries with diabetes: impact of diabetes type and insulin use, 2007-2011 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-medicare-use_research.pdf
    January 01, 2014 - Use of and access to health care by Medicare beneficiaries with diabetes: impact of diabetes type and insulin use, 2007-2011 Use of and access to health care by Medicare beneficiaries with diabetes: impact of diabetes type and insulin use, 2007-2011 Use of Diabetes Care Data Points # 18 In 2011, about 25 percent o…

  18. Archived: Hypertension: Screening, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/hypertension-screening-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Hypertension: Screening, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of the U.S. government. They s…

  19. 2016-07 (pdf file)

    hcup-us.ahrq.gov/reports/methods/2016-07.pdf
    January 01, 2016 - HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 5600 Fishers Lane Room 07W17B Mail Stop 7W25B Rockville, MD 20857 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahr…

  20. Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Health Care Needs (pdf file)

    digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
    February 20, 2014 - Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Health Care Needs Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Health Care Needs February 20, 2014 2:30 pm – 4:00 pm ET Moderator and Presenters Disclosures Moderator: Vera Rosen…
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