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Showing results for "failures".

8661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks! March 27, 2024 Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…

8662. Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/lindenauer-report.pdf
      January 01, 2024 - Final Progress Report: Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative AHRQ Grant Final Progress Report Contextual Factors Associated with Implementation Effectiveness within a Quality Improvement Collaborative GRANT NUMBER: R18 HS18645-03 PRINCIPAL INVE…

8663. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
      September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…

8664. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
      September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…

8665. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…

8666. Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gandhi_22.pdf
      February 01, 2007 - Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record Tejal K. Gandhi, MD, MPH; Nancy L. Keating, MD, MPH; Matthew Ditmore; David Kiernan; Robin Johnson; Elisabeth Burdick, MS; Claus Ham…

8667. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - SPOTLIGHT CASE Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations Citation Text: Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

8668. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_executive.pdf
      July 01, 2009 - Layout 1 Background The Agency for Healthcare Research and Quality commissioned this report to review the evidence for the clinical effect and safety of radiofrequency (RF) catheter ablation for the management of atrial fibrillation (AF). AF is the most common sustained arrhythmia seen in clinical practice. Its prev…

8669. Statistical Brief #63: Hospital Stays for Lung Cancer, 2006 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb63.pdf
      November 01, 2008 - Statistical Brief #63: Hospital Stays for Lung Cancer, 2006 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #63 November 2008 Highlights There were over half a million hospitalizations related to lung cancer in 2006. Aggregate cos…

8670. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP; Euge…

8671. PSO Printable Lists | PSO
      pso.ahrq.gov/pso/delisted/printable-list
      December 17, 2008 - SHARE: Delisted PSOs Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons: Voluntary Relinquishment — the PSO chooses to voluntarily relinquish its status as a PSO. Failure to Seek Continued Listing — the 3-year listing period expires …

8672. Microsoft Word - 2007-06.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2007_06.pdf
      January 01, 2007 - Microsoft Word - 2007-06.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahrq…

8673. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
      January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A 2018 National Healthcare Quality and Disparities Report | A.6-1 APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES A.6. Disparities: Residence Location Measures included in Figure 128. Number and percentage of quality measures for wh…

8674. Learning from Primary Care Meaningful Use Exemplars - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
      January 01, 2014 - Learning from Primary Care Meaningful Use Exemplars - Final Report Title of Project: Learning from Primary Care Meaningful Use Exemplars Principal Investigator: Steven M. Ornstein, MD Team Members: Ruth Jenkins, PhD; Cara Litvin, MD; Lynne N…

8675. Microsoft Word - POA Methods 11_01.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2011_05.pdf
      January 01, 2011 - Microsoft Word - POA Methods 11_01.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email:…

8676. Nis 2010 Maskedstats Severity (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2010_MaskedStats_Severity.PDF
      January 01, 2010 - 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 2010 - Severity File 12:08 Wednesday, May 16, 2012 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements. For more i…

8677. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
      January 01, 2016 - Analysis of past failures can help you avoid making similar mistakes in implementing your initiative

8678. Anesthesia: A Weighty Issue | PSNet
      psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
      September 01, 2006 - Anesthesia: A Weighty Issue Citation Text: Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

8679. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
      June 01, 2013 - Spotlight Case July 2008 Spotlight Case Emergency Error 1 2 Source and Credits This presentation is based on the June 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London Editor, AHRQ WebM&M: Robe…

8680. Overriding Considerations | PSNet
      psnet.ahrq.gov/web-mm/overriding-considerations
      March 09, 2009 - Overriding Considerations Citation Text: Holtzman NA. Overriding Considerations. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…