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Showing results for "failures".

9801. In Conversation With… Brian Jarman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
      March 01, 2015 - In Conversation With… Brian Jarman, PhD March 1, 2015  Also Read an Essay Citation Text: In Conversation With… Brian Jarman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy…

9802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD October 6, 2021 In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd Editor’s Note: Alison Stuebe, MD, MSc, is a…

9803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866261/psn-pdf
      July 10, 2024 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery July 10, 2024 Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/missed-compartment-syndrome…

9804. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
      August 03, 2020 - Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue Brief Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis This page intentionally left blank. e Issue Brief Telediagnosis for Acute Care: Implications …

9805. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
      psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
      January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk Citation Text: Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…

9806. Engaging-Caregivers-Appendix-B (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
      May 29, 2025 - Table B-1. Evidence Table Table B-1. Details of included studies Author, Year Study Design Country Setting/Transition Adult, Adolescent, or Pediatric Patients Inclusion/Exclusion Criteria Condition Caregiver Details Patient Age, Years (Mean, Unless Specified) Caregiver Age, Years (Mean, Unless Specified) Patient Fe…

9807. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. Citation Text: Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…

9808. HCUP Statistical Brief #35: Infections with Methicillin-Resistant Staphylococcus Aureus (MRSA) in U.S. Hospitals, 1993–2005 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb35.pdf
      July 01, 2007 - HCUP Statistical Brief #35: Infections with Methicillin-Resistant Staphylococcus Aureus (MRSA) in U.S. Hospitals, 1993–2005 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res July 2007 In 200 368,60 tions w resista stays than tr increa 1995. to 200 On av MRSA compa other s hospit doub…

9809. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
      psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
      March 03, 2021 - SPOTLIGHT CASE Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. Citation Text: Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…

9810. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
      psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
      January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon Citation Text: Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

9811. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD Abstract Objective: To explore the feasibility of a novel method for capturi…

9812. Statistical Brief #35
      hcup-us.ahrq.gov/reports/statbriefs/sb35.jsp
      July 01, 2007 - Statistical Brief #35 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

9813. Introduction (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-medicine-1_research.pdf
      February 01, 2009 - Introduction The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care Program. It is a collaborative network of research centers that support the rapid development of new scientific information and analytic tools. The DEcIDE network assists h…

9814. HCUP Statistical Brief #30: Hospital Stays for Prostate Cancer, 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb30.pdf
      May 01, 2007 - HCUP Statistical Brief #30: Hospital Stays for Prostate Cancer, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res May 2007 In 2004 princip than 81 overall hospita cancer From 1 of hosp prostat 30 per prostat ondary 8 perce men ar cer and other c Hospit prostat million the ave males…

9815. HCUP Statistical Brief #28: Procedures with the Most Rapidly Increasing Hospital Costs, 2000–2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb28.pdf
      April 01, 2007 - HCUP Statistical Brief #28: Procedures with the Most Rapidly Increasing Hospital Costs, 2000–2004 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #28 April 2007 Highlights From 2000 to 2004, overall hospital costs grew by 21.9 p…

9816. Antiseizure Medication Disorder | PSNet
      psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
      April 01, 2006 - SPOTLIGHT CASE Antiseizure Medication Disorder Citation Text: Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX En…

9817. Special Edition Perspective: Technology Responses to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
      August 31, 2020 - immediate attention, as well as ensuring there are options available to patients so that technical failures

9818. Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
      June 01, 2009 - success or failure of CDS automation may only be partially attributed to technical reasons; success and failures … are also often due to sociotechnical design failures, organizational misalignments, culture conflicts … J Am Med Inform Assoc 2007;14:542- Automation failures on tasks easily performed by 9. operators undermine

9819. Research Protocol: Diabetes Medications for Adults With Type 2 Diabetes: An Update Focused on Monotherapy and Add-On Therapy to Metformin (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-update-2015_research-protocol.pdf
      January 01, 2015 - Research Protocol: Diabetes Medications for Adults With Type 2 Diabetes: An Update Focused on Monotherapy and Add-On Therapy to Metformin Evidence-based Practice Center Systemat…

9820. Industrial and Systems Engineering and Health Care: Critical Areas of Research (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
      May 01, 2010 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Background Report Industrial and Systems Engineering and Health Care: Critical Areas of Research Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD…