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Total Results: 4,590 records

Showing results for "incident".

4101. 050-Dec-Implementation-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
      October 01, 2024 - After a later incident involving an emergency plumbing bill, the team distributes another huddle document

4102. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
      July 01, 2023 - Williams promptly put her at unnecessary risk. 64 Next time a similar incident occurs, I will require

4103. Intervention INC: Interactive Nutrition Comics for Urban Minority Youth - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024117-leung-final-report-2018.pdf
      January 01, 2018 - Body Mass Index and Incident Type 1 and Type 2 Diabetes in Children and Young Adults: A Retrospective

4104. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
      April 01, 2013 - One of them, what’s called the Josie King video that we share with all our team members, was an incident

4105. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
      April 01, 2013 - keeping that line for long-term use so it goes to a PICC line, would that be considered a separate incident

4106. Understanding Complex Clinical Decision Tasks for Better Health Information Technology System Design - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r36hs023349-islam-final-report-2015.pdf
      January 01, 2015 - have used “Combinatorics” of CTA, which involved utilizing the Critical Decision Method with critical incident

4107. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - learn from our mistakes Use the Learn from a Defect tool for any defect you identify Staff concern, incident

4108. CPOE Implementation in ICUs - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
      January 01, 2009 - laboratory, medication and patient symptom triggers potentially associated with adverse drug events; incident

4109. Recommendation: Unhealthy Drug Use: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/drug-use-illicit-screening
      June 09, 2020 - A longitudinal study of risk factors for incident drug use in adults: findings from a representative

4110. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

4111. Statistical Brief #143: Emergency Department Visits for Dental-Related Conditions, 2009 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb143.pdf
      March 01, 2012 - Statistical Brief #143: Emergency Department Visits for Dental-Related Conditions, 2009 1 November 2012 Emergency Department Visits for Dental- Related Conditions, 2009 Krystle Seu, M.H.A., Kendall K. Hall, M.D., M.S, Ernest Moy, M.D. Introduction Tooth decay is one of the most prevalent…

4112. Statistical Brief #139: Emergency Department Visits and Hospital Admissions for Kidney Stone Diseases, 2009 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb139.pdf
      July 25, 2012 - Statistical Brief #139: Emergency Department Visits and Hospital Admissions for Kidney Stone Diseases, 2009 1 July 2012 Emergency Department Visits and Hospital Admissions for Kidney Stone Disease, 2009 Gregory Foster, MPH, MA; Carol Stocks, M.H.S.A., R.N; Michael S. Borofsky, MD Introducti…

4113. HCUP Statistical Brief #22: Hospital Stays for Cervical Cancer, 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb22.pdf
      January 01, 2007 - HCUP Statistical Brief #22: Hospital Stays for Cervical Cancer, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res January 2007 Hospital Stays for Cervical Cancer, 2004 Mirjana Milenkovic, M.A., C. Allison Russo, M.P.H., and Anne Elixhauser, Ph.D. Introduction Cervical cancer is…

4114. Screening for Genital Herpes - Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/_7ajXPWanAmoL_YtR72qFo
      March 01, 2005 - Screening for Genital Herpes - Recommendation Statement screening tests for HSV antibody does not reduce transmission of HSV to newborn infants. Women who develop primary HSV infection during pregnancy have the highest risk for transmitting HSV infection to their infants. Because these women are initially seronegativ…

4115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

4116. Archived: Folic Acid to Prevent Neural Tube Defects: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/folic-acid-to-prevent-neural-tube-defects-preventive-medication-2009
      May 15, 2009 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Folic Acid to Prevent Neural Tube Defects: Preventive Medication May 15, 2009 Recommendations made by the USPSTF are independe…

4117. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 4. Results and Key Findings Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapt…

4118. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
      July 01, 2023 - Labor and Delivery Unit Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Describe the rationale for the use of c…

4119. State Documentation of Racial and Health Disparities to Inform Strategic Action: Summary
      hcup-us.ahrq.gov/reports/race/stand_alone_r_e_rpt.jsp
      May 01, 2016 - State Documentation of Racial and Health Disparities to Inform Strategic Action: Summary An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Con…

4120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72911/psn-pdf
      March 15, 2021 - The Impact of Communication on Medication Errors March 15, 2021 Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors The Case   A 93-year-old man with a history of chronic systolic heart failure…