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Showing results for "harms".

9441. Disposition of Comments Report for Pressure Ulcer Risk Assessment and Prevention (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
      May 08, 2013 - The Moore study on repositioning was not included in Table 15 because it did not report harms. … series addressed silicone border form in ICU patients but had no control group and didn't report harms … For preventive interventions, we only included observational studies for assessments of harms (KQ 4 … evaluate the clinical utility or predictive value of risk prediction instruments, or the benefits/harms … and to evaluate the benefits and harms of preventive interventions for pressure ulcers, in different

9442. Disposition of Comments_Technical Brief No. 45: Long COVID Models of Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/long-covid-disposition-comments.pdf
      January 01, 2022 - exertion causes crashes, post-exertional malaise, and lowering of baselines, there are predictable harms … At minimum, please acknowledge that harms are likely to occur, and harm outcomes should be carefully … The need for studies evaluating outcomes of long COVID models, which would include harms, is highlighted … Sinai are intentional about attempting to combat potential harms; for example, they are creating rooms … Harms were not described adequately in the literature.

9443. Methods Guide for Medical Test Reviews | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/collections/methods-guidance-tests

9444. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - same resonance in the patient safety field and being discussed as much as some of the other kinds of harms

9445. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
      psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
      May 26, 2021 - How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a

9446. Too Tight Control | PSNet
      psnet.ahrq.gov/web-mm/too-tight-control
      March 20, 2013 - SPOTLIGHT CASE Too Tight Control Citation Text: Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…

9447. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
      January 01, 2020 - Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx Spotlight Code Status vs. Care Status Source and Credits • This presentation is based on the December 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Rebe…

9448. Scisafetynotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
      June 02, 2025 - SAY: The “Understand the Science of Safety” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will provide a h…

9449. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
      August 25, 2015 - Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis Communication and Optimal Resolution (CANDOR) Toolkit Module 3 – Preparing for Implementation: Change Readiness and Gap Analysis Module 3 of the CANDOR Toolkit describes the critical ste…

9450. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
      August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study PATIENT SAFETY e Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study This page intentionally left blank. e Issue Brief 2…

9451. Toolkits | PSNet
      psnet.ahrq.gov/toolkits
      March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…

9452. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - SPOTLIGHT CASE Treatment Challenges After Discharge Citation Text: Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bib…

9453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33774/psn-pdf
      December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014 In Conversation With… Edward Kelley, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-edward-kelley-phd Editor's note: Edward Kelley, PhD, is Director of Service Delivery and Safety for the World Health Organization (WHO). He ha…

9454. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-469
      December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…

9455. When the Indications for Drug Administration Blur | PSNet
      psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
      May 26, 2021 - SPOTLIGHT CASE When the Indications for Drug Administration Blur Citation Text: Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation …

9456. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
      March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA Abstract Objective: We aimed to determine the effectiveness of team-based reporting, system…

9457. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

9458. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up Citation Text: Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

9459. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - What Makes a Good Checklist Anne Collins McLaughlin, PhD | October 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

9460. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD October 1, 2010  Also Read an Essay Citation Text: In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010.In Conversation with...Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Ag…