-
psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - The contributory factors in this event fall into the environmental category.
-
psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
Citation Text:
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - June 21, 2016
Evaluation of clinical practice guidelines on fall prevention and management
-
effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1412.pdf
December 01, 2014 - Fall-prevention design provides nonskid floor
surfaces, extra handrails, more aisle lighting, bedside … appropriate
Policies, procedures, and protocols: patient delirium, dementia, functional decline, fall … Further, in an effort to reduce fall risk and the time and energy devoted to cleaning
bedpans or changing
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
January 01, 2023 - The first project developed the Fall TIPS tool,
which decreased fall rates to 3.22/1,000 patient days … Patient feedback showed
that patients were more likely to believe they needed
a fall prevention plan … from falling, so the investigators
integrated the ABCs of harm into both the electronic
and paper Fall … bV_H1ruLmk6JsLgE3cn8fg/project-details/9348608
https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
May 01, 2024 - April 30, 2023)
o 1 systematic review, 5 studies
• Evidence Summary
o 3 studies examined PFE in fall … o Resources include toolkits on Fall Tailoring Interventions and Patient-Centered
Discharge and multiple
-
www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - One patient had the
chest tube fall out. … surgical masks
contaminating the surgical site; the sterile gown not “turned” or tied, causing it to
fall
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-modeling-report/breast-cancer-screening-2009
November 15, 2009 - Screening strategies that fall on this frontier are the most efficient (that is, no alternative exists … Benefits will always fall short of the projected results because adherence is not perfect. … Points that fall below the line are not considered as efficient as those on the line. … Points that fall below the line are not considered as efficient as those on the line.
-
digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Introduction.pdf
June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Workshop Introduction
Towards an Optimal
Health Care System
by 2016:
The contribution of Industrial & Systems Engineering
Knowledge, Methods and Tools
Patricia Flatley Brennan, RN, PhD, FAAN
Professor and Chair, Industrial …
-
digital.ahrq.gov/electronic-health-records
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
October 01, 2014 - How CUSP Enables Nurse Empowerment (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on November 15, 2011.
Contents
Slide 1. How CUSP Enables Nurse Empowerment
Slide 2. Presenters (continued)
Slide 3. CUSP Components
Slide 4. How is CUSP Different? It Empowers N…
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
Potential Measures
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Methodology
Potential Measures
Clinic…
-
psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - Reporting Patient Safety Events
March 15, 2025
Reporting Patient Safety Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/reporting-patient-safety-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in th…
-
www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/cognitive-impairment-older-adults
March 06, 2025 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
in progress
Draft Research Plan
Cognitive Impairment in Older Adults: Screening
March 06, 2025
Recommendations made by the USPSTF are independent of the U.S. government. …
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
July 31, 2025 - Evaluation of the SCALED (SCaling AcceptabLE cDs) Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention
Project Description
Publications
Research Story
A methodology for scaling patient-centered outcomes res…
-
hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompfl.jsp
August 01, 2006 - SASD File Composition - Florida
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
-
psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - The
error occurs when individuals fall victim to the flaws within the system and mistakes are made.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
June 01, 2017 - Problems raised in daily huddles fall into four rough groupings: (1) conformance with established protocols
-
psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Diagnostic Pitfalls
Diagnostic pitfalls are common “traps” that clinicians and teams fall into during
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-ok.pdf
April 01, 2015 - aspect of care that they think is
important; after that, the practice transformation and PCMH concepts fall