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Showing results for "incidents".

4941. Final Research Plan: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cervical-cancer-screening
      October 29, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Cervical Cancer: Screening October 29, 2015 Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an …

4942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45517/psn-pdf
      March 01, 2017 - A lost voice. March 1, 2017 Baker M. Seattle Times. February 10, 2017. https://psnet.ahrq.gov/issue/lost-voice Reporting on an incident involving a patient who died after a surgery, this news article discusses potential contributing factors in the incident such as concurrent surgeries and failure to consider patie…

4943. An analysis of patient safety incident reports associated with electronic health record interoperability. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/analysis
      January 01, 2023 - An analysis of patient safety incident reports associated with electronic health record interoperability. Citation Adams KT, Howe JL, Fong A, et al. An analysis of patient safety incident reports associated with electronic health record interoperability. Appl Clin Inform 2017; 8(2). Link http…

4944. Using incident reports to assess communication failures and patient outcomes. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/using
      January 01, 2023 - Using incident reports to assess communication failures and patient outcomes. Citation Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019 Jun;45(6):406-413. doi: 10.1016/j.jcjq.2019.02.006. …

4945. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
      August 01, 2022 - The analysis included 637 onsite incidents. … Successful remediation of patient safety incidents: A tale of two medication errors. … The “Seven Pillars” response to patient safety incidents: Effects on medical liability processes and … Notably, all incidents of unanticipated harm were eligible for the CRP, not only cases of serious harm … Further, incidents of shoulder dystocia and fetal distress decreased 50% (Santos, Ritter, Hefele, et

4946. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
      January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…

4947. Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
      January 01, 2024 - Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens 1 Project Title: Gastrointestinal Safety of Antithrombotic Drug Regimens Grant Number: 5RO1HSO25402-04 Principal Investigator: Neena S. Abraham, MD Team Members: Xiaoxi Yao, PhD Nilay Shah, PhD Peter Noseworthy, MD Jeph Herrin, Ph…

4948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865819/psn-pdf
      May 08, 2024 - Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). May 8, 2024 National Quality Forum. https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring Strong incident reporting systems are a foundational component for understanding preventable health care error. Th…

4949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42874/psn-pdf
      January 29, 2014 - Interdisciplinary Perspectives on Medical Error. January 29, 2014 J Public Health Res. 2013;2:e22-e33. https://psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error This special issue explores the challenges of advancing patient safety and highlights the value of interdisciplinary collaboration to achi…

4950. Archived: Vitamin D and Calcium to Prevent Fractures: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-and-calcium-to-prevent-fractures-preventive-medication-2013
      February 15, 2013 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Vitamin D and Calcium to Prevent Fractures: Preventive Medication February 15, 2013 Recommendations made by the USPSTF are indepe…

4951. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
      January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module 5: How To Measure Pressure Injury Rates and Prevention Practices Module Aim The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices. Module Goals The goals of …

4952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841199/psn-pdf
      December 07, 2022 - Press Play on Safety Conversations. December 7, 2022 Healthcare Excellence Canada. 2022. https://psnet.ahrq.gov/issue/press-play-safety-conversations After a patient safety incident, effective discussions are critical for healing and improvement. This website houses collections of materials to support constructive…

4953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43586/psn-pdf
      October 22, 2014 - Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. October 22, 2014 Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332. https://psnet.ahrq.gov/issue/e…

4954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41861/psn-pdf
      September 27, 2017 - Surgeon commitment to trauma care decreases missed injuries. September 27, 2017 Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. https://psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-inj…

4955. Risk and Safety Management in Infertility and Assisted Reproductive Technology. | PSNet
      psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology
      August 01, 2016 - Special or Theme Issue Risk and Safety Management in Infertility and Assisted Reproductive Technology. Citation Text: Risk and Safety Management in Infertility and Assisted Reproductive Technology. Fertil Steril. 2013;100:1497-1523.  Copy Citation Save …

4956. National Action Plan to Improve Health Literacy. | PSNet
      psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
      October 21, 2016 - Book/Report National Action Plan to Improve Health Literacy. Citation Text: National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.   Copy Citation Save Save to your library Pri…

4957. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
      January 01, 2024 - Furthermore, incident reports provide the so-called numerator of incidents, with little information

4958. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2012
      January 01, 2012 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home - 2012 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Principal In…

4959. Leapfrog Hospital Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals. | PSNet
      psnet.ahrq.gov/issue/leapfrog-hospital-safety-score-magnet-designation-and-healthcare-associated-infections-united
      July 27, 2022 - Study Leapfrog Hospital Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals. Citation Text: Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-Associated Infections in United States Hospitals…

4960. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. | PSNet
      psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
      October 14, 2020 - Study Emerging Classic Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. Citation Text: Rhee C, Baker M, Vaidya V, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical cent…