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Showing results for "failures".

9321. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
      January 01, 2017 - Organ and system failures were defined as described in the Methods section. 1.

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33789/psn-pdf
      August 01, 2015 - pecking order relative to medication errors, wrong-site procedures, and/or communication and teamwork failures

9323. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
      June 01, 2023 - impact of perceived diagnostic errors. 25 If we now parse out cases involving perceived diagnostic failures

9324. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
      March 13, 2013 - This means telling patients’ stories, not just sharing statistics, when discussing successes and failures

9325. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - Combine this prevention strategy with a spirit of continuous learning from successes and failures, and

9326. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - education; process change allowing institution-based reporting for adverse outcomes deemed to be system failures

9327. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
      January 01, 2024 - that “Following serious unanticipated outcomes, including those that are clearly caused by systems failures

9328. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
      August 01, 2021 - Contextual errors and failures in individualizing patient care: A multicenter study.

9329. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit Eduard E. Vasilevskis, MD; E. Wesley Ely, MD, MPH; Robert S. Dittus, MD, MPH | December 1, 2012  Also Read a Conversation View more articles from the same authors. …

9330. Kidney-Stone-Prevention Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/kidney-stone-prevention_research-protocol.pdf
      June 15, 2011 - 1 Source: www.effectivehealthcare.ahrq.gov Published Online: June 15, 2011 Evidence-based Practice Center Systematic Review Protocol Recurrent Nephrolithiasis in Adults: A Comparative Effectiveness Review of Preventive Medical Strategies I. Background and Objectives for the Systematic Review …

9331. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
      January 01, 2024 - AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process TITLE PAGE Project Title: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process Principal Investigator: Anjali Joseph, PhD, EDAC Tea…

9332. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
      January 01, 2024 - Final Progress Report: Accountability and Health Safety – A Statewide Approach Revised FINAL PROGRESS REPORT 5U18HS011918-03 TITLE: Accountability and Health Safety – A Statewide Approach PRINCIPAL INVESTIGATOR: Ke…

9333. Ccscategorynames(Fulllabels) (pdf file)
      hcup-us.ahrq.gov/toolssoftware/ccs10/CCSCategoryNames(FullLabels).pdf
      January 19, 2017 - SINGLE-LEVEL CCS DIAGNOSIS CATEGORIES SINGLE-LEVEL CCS DIAGNOSIS CATEGORY LABELS 1 Tuberculosis 2 Septicemia (except in labor) 3 Bacterial infection; unspecified site 4 Mycoses 5 HIV infection 6 Hepatitis 7 Viral infection 8 Other infections; including parasitic 9 Sexually transmitted infections (not HIV or hepatiti…

9334. Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
      January 01, 2025 - Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) 1. Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) Principal Investigator and Team Members/Organization: Min J. Joo, MD, MPH, Department of Medicine, College of Medi…

9335. Screening for Preeclampsia US Preventive Services Task Force (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Y5p8ZXy2ydg_VZMUfxbJ-6
      April 25, 2017 - Screening for Preeclampsia US Preventive Services Task Force Copyright 2017 American Medical Association. All rights reserved. Screening for Preeclampsia US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force IMPORTANCE Preeclampsia affects approximately 4% of pregnancies in th…

9336. Value of Technology to Transfer Discharge Information (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015084-graumlich-final-report-2007.pdf
      January 01, 2007 - Value of Technology to Transfer Discharge Information Grant Final Report Grant ID: 5R01HS015084 Value of Technology to Transfer Discharge Information Inclusive Dates: 09/01/04 – 08/31/07 Principal Investigator: James F. Graumlich, MD Team Members: Nancy L. Novotny, PhD candida…

9337. HCUP_methods_series_cover.ai (pdf file)
      hcup-us.ahrq.gov/reports/methods/2004-05.pdf
      January 01, 2004 - HCUP_methods_series_cover.ai 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: hcu…

9338. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - More than 80% were considered due to system failures. … Both Dovey’s and Bhasale’s systems accepted only anonymous errors, so no follow-up analysis of system failures

9339. Kidney-Disease-Medicine Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-disease-medicine_executive.pdf
      January 01, 2012 - 1 Comparative Effectiveness Review Number 37 Chronic Kidney Disease Stages 1–3: Screening, Monitoring, and Treatment Executive Summary Objectives This systematic review evaluates the evidence regarding the potential benefits and harms of: (1) screening adults for early-stage chronic kidney disease (CKD stages…

9340. Medicare-Medication-Use Research (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/medicare-medication-use_research.pdf
      April 01, 2014 - Medication use among Medicare beneficiaries with medical and psychiatric conditions, 2009-2011 Medication Use in Medicare Data Points #19 Within the Medicare population, the major- ity of beneficiaries who have a psychiatric diagnosis also have one or more medical diagnoses. Use of multiple medications is common …