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Showing results for "incident".

8901. Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/pickering-report.pdf
      January 01, 2025 - Final Progress Report: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness Title of Project: Acute Care Learning Laboratory - Reducing Threats to Diagnostic Fidelity in Critical Illness Principal Investigator and Team Members: Principal Investigator: Brian Pickering, MB,…

8902. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
      January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery Citation Text: Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…

8903. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determine Surgical Site Infection Rates (continued) Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive S…

8904. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
      January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers Adaptation and pilot implementation of a validated, electronic real-time clinical decision support tool for the care of pne…

8905. A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention among Hospitalized Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs028511-held-final-report-2024.pdf
      January 01, 2024 - A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention among Hospitalized Patients - Final Report 2024 A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention among Ho…

8906. App-D-Opioid-Chronic-Pain-Surveillance-Report-2 (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-2.xlsx
      September 30, 2015 - Appendix Table D-1. RCTs Table D-1. Randomized controlled trials Author, Year Study Design Duration Setting Country Eligibility Criteria Interventions Sample Characteristics Screened Eligible Randomized Analyzed Results Adverse Events and Withdrawals Due to Adverse Events Sponsor Quality Hruschak, 2021 RCT Duration:…

8907. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - October 8, 2016 Physician perception of hospital safety and barriers to incident reporting

8908. Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/g2bEcQW6ae_NTFZ9KUxT_t
      August 24, 2021 - Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement Clinical Review & Education (Reprinted) JAMA | US Preventive Services Task Force | RECOMMENDATION STATEMENT Screening for Prediabetes and Type 2 Diabetes US Preventive Services Task Force Recommendation Sta…

8909. Final Evidence Summary: Hepatitis C Virus Infection in Adolescents and Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/hepatitis-c-screening
      March 02, 2020 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Evidence Summary Hepatitis C Virus Infection in Adolescents and Adults: Screening March 02, 2020 Recommendations made by the USPSTF are independent of the U.S. govern…

8910. Research Spotlights - Archives
      hcup-us.ahrq.gov/reports/spotlights_archive.jsp
      December 01, 2019 - Research Spotlights - Archives An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

8911. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. | PSNet
      psnet.ahrq.gov/issue/chronology-medication-errors-nurses-accumulation-stresses-and-ptsd-symptoms
      September 23, 2020 - Study Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. Citation Text: Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. Issues Ment Health Nurs. 2005;26(8):873-86. Copy Citation …

8912. Attitudes and practices related to clinical alarms. | PSNet
      psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
      April 18, 2018 - Study Attitudes and practices related to clinical alarms. Citation Text: Funk M, Clark T, Bauld TJ, et al. Attitudes and practices related to clinical alarms. Am J Crit Care. 2014;23(3):e9-e18. doi:10.4037/ajcc2014315. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

8913. An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. | PSNet
      psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
      July 09, 2014 - Study An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. Citation Text: Kalenderian E, Walji MF, Tavares A, et al. An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. J Am Dent Assoc.…

8914. As industry automates, adverse events continue to haunt caregivers. | PSNet
      psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
      February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…

8915. Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. | PSNet
      psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-orders-means-computerised-physician
      July 05, 2013 - Study Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. Citation Text: Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in p…

8916. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet
      psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
      July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…

8917. National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
      November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

8918. Physical and verbal violence against health care workers. | PSNet
      psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
      December 23, 2016 - Sentinel Event Alerts Physical and verbal violence against health care workers. Citation Text: Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

8919. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-how-rapid-response-teams-affect-nurse-team-and-system
      May 20, 2019 - Study Nurses' perceptions of how rapid response teams affect the nurse, team, and system. Citation Text: Williams DJ, Newman A, Jones CB, et al. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. J Nurs Care Qual. 2011;26(3):265-72. doi:10.1097/NCQ.0b01…

8920. Potential medication dosing errors in outpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
      July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. Citation Text: McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…