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Showing results for "failures".

  1. hcup-us.ahrq.gov/reports/methods/2007_07.pdf
    January 01, 2007 - Microsoft Word - 2007_07.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…
  2. www.uspreventiveservicestaskforce.org/uspstf/recommendation/high-blood-pressure-in-adults-screening-monitoring-october-2015
    October 12, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement High Blood Pressure in Adults: Screening October 12, 2015 Recommendations made by the USPSTF are independent of the U.S. governm…
  3. www.uspreventiveservicestaskforce.org/uspstf/recommendation/diabetes-mellitus-type-2-in-adults-screening-2003
    February 04, 2003 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Diabetes Mellitus (Type 2) in Adults: Screening, 2003 February 04, 2003 Recommendations made by the USPSTF are independent of the…
  4. effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-urinary-retention_disposition-comments.pdf
    September 15, 2014 - Disposition of Comments for Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments Draft review available for public…
  5. www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
    April 01, 2013 - Conflict Resolution (Transcript) October 12, 2010 Operator: Good evening, ladies and gentlemen, and welcome to your CUSP content call. At this time all participants are in a listen-only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. If anyone should req…
  6. hcup-us.ahrq.gov/reports/statbriefs/sb259-Potentially-Preventable-Hospitalizations-2017.pdf
    January 01, 2017 - Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017 1 June 2020 Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017 Kimberly W. McDermott, Ph.D., and H. Joanna Jiang, Ph.D. Introduction Hospital care represents the largest component of U.S. he…
  7. hcup-us.ahrq.gov/reports/methods/2006_7.pdf
    January 01, 2006 - Microsoft Word - CaseforPOAIndicator_final_060806 _2_.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 P…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
    April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review the guide information when developing and implementing a systems approaching to event investigation and analysis. T…
  9. effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-literacy_research-protocol.pdf
    January 22, 2010 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: January 22, 2010 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Health Literacy Interventions and Outcomes: An Update of the Literac…
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
    October 01, 2011 - Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review Individualized Plans of …
  11. hcup-us.ahrq.gov/db/tools/HCUP_Formats.TXT
    December 28, 2023 - /* ============================================================================= Program : HCUP_Formats.txt …
  12. www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
    January 01, 2024 - Communication failures: An insidious contributor to medical mishaps.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74121/psn-pdf
    November 30, 2021 - alarm-related sentinel events including alarm fatigue (most common), as well as equipment malfunctions/failures
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
    June 02, 2025 - Slide 25 SAY: Adverse events are often system failures.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
    May 01, 2017 - and Teamwork | ‹#› AHRQ Safety Program for Ambulatory Surgery 6 Studies show that communication failures
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
    April 01, 2022 - · According to the Centers for Disease Control and Prevention, communication failures may account for
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49681/psn-pdf
    April 01, 2013 - As occurred in this case, multiple failures across the PN-use process are usually identified in retrospect
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
    June 02, 2025 - Thrive in a culture that punishes individuals for systemic failures.
  19. digital.ahrq.gov/sites/default/files/docs/citation/u18hs026883-jih-final-report-2024.pdf
    January 01, 2024 - The most time- consuming errors to fix were periodic, iOS failures that resulted in the iOS version of
  20. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
    April 01, 2018 - Finally, since "failures to inform patients or to document informing patients of abnormal outpatient