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Showing results for "failures".

  1. DNR in the OR and Afterwards | PSNet

    psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
    July 01, 2003 - DNR in the OR and Afterwards Citation Text: Lo B. DNR in the OR and Afterwards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  2. PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
    March 01, 2016 - PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool B.2b i PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE Guidance for Using the Windows QI Software and an Example of Output for One Hospital Note: T…

  3. Archived: Final Research Plan: Lipid Disorders in Children and Adolescents: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan151/lipid-disorders-in-children-screening-july-2016
    January 15, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Research Plan Lipid Disorders in Children and Adolescents: Screening January 15, 2015 Recommendations made by the USPSTF are independent of the U.S. governme…

  4. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
    December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers (continued) Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet …

  5. Stroke-Atrial-Fibrillation Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_executive.pdf
    August 01, 2013 - 1 Comparative Effectiveness Review Number 123 Stroke Prevention in Atrial Fibrillation Executive Summary Background Atrial Fibrillation and Stroke Atrial fibrillation (AF) is a common type of supraventricular tachyarrhythmia. While a supraventricular tachyarrhythmia is a tachycardic rhythm originating above t…

  6. Making Healthcare Safer IV: Summary of Findings on Patient Safety Practices and Ratings by a Technical Expert Panel, 2024-2025 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-patient-safety-practices-year-2.pdf
    May 01, 2025 - findings that continuous monitoring and early warning scores are key interventions for addressing failures

  7. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
    March 03, 2008 - The increased scrutiny of our data sources to support this rogram led to the recognition of failures

  8. Enhancing an EMR-Based Real-Time Sepsis Alert System Performance Through Machine Learning | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enhancing-emr-based-real-time-sepsis-alert-system-performance-through-machine
    January 01, 2023 - Enhancing an EMR-Based Real-Time Sepsis Alert System Performance Through Machine Learning Project Final Report ( PDF , 705.19 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necess…

  9. Differences between professionals' views on patient safety culture in long-term and acute care? A cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/differences-between-professionals-views-patient-safety-culture-long-term-and-acute-care-cross
    June 24, 2020 - Study Differences between professionals' views on patient safety culture in long-term and acute care? A cross-sectional study. Citation Text: Liukka M, Hupli M, Turunen H. Differences between professionals’ views on patient safety culture in long-term and acute care? A cross-sectional st…

  10. Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/implementing-and-improving-integration-decision-support-outpatient-clinical/annual-summary/2010
    January 01, 2010 - Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow - 2010 Project Name Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow Principal Investigator Doebbling, Bradley Organization Indiana…

  11. Ambulatory Electronic Medical Record and Shared Access - 2009 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
    January 01, 2009 - Ambulatory Electronic Medical Record and Shared Access - 2009 Project Name Ambulatory Electronic Medical Record and Shared Access Principal Investigator DeLuca, Michael Organization Sarah Bush Lincoln Health Center Funding Mechanism RFA: HS05-013: Limited Competitio…

  12. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. | PSNet

    psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot
    August 19, 2020 - Study Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. Citation Text: Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot stud…

  13. Trial of Decision Support to Improve Diabetes Outcomes - 2008 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/trial-decision-support-improve-diabetes-outcomes/annual-summary/2008
    January 01, 2008 - Trial of Decision Support to Improve Diabetes Outcomes - 2008 Project Name Trial of Decision Support to Improve Diabetes Outcomes Principal Investigator Cebul, Randall Organization Case Western Reserve University Funding Mechanism RFA: HS04-012: Demonstrating the Va…

  14. Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. | PSNet

    psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
    May 27, 2020 - Review Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Citation Text: Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a syst…

  15. Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit
    October 19, 2022 - Study Classic Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. Citation Text: Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curr…

  16. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
    March 10, 2021 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. Citation Text: Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…

  17. How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. | PSNet

    psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
    April 04, 2011 - Study How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. Citation Text: Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e0059…

  18. Impact of inpatient harms on hospital finances and patient clinical outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
    February 28, 2018 - Study Classic Impact of inpatient harms on hospital finances and patient clinical outcomes. Citation Text: Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.…

  19. Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet

    psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
    October 31, 2014 - Study Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. Citation Text: Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hosp…

  20. 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. | PSNet

    psnet.ahrq.gov/issue/matching-michigan-2-year-stepped-interventional-programme-minimise-central-venous-catheter
    April 29, 2015 - Study 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. Citation Text: Bion J, Richardson A, Hibbert P, et al. 'Matching Michigan': a 2-year stepped interventional programme to …
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