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Showing results for "incidents".

  1. Collaborative Modeling of U.S. Breast Cancer Screening Strategies (pdf file)

    www.uspreventiveservicestaskforce.org/Home/GetFile/1/16255/collabmodelingbc/pdf
    December 01, 2015 - Collaborative Modeling of U.S. Breast Cancer Screening Strategies Technical Report Collaborative Modeling of U.S. Breast Cancer Screening Strategies Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 Prepared by: Writi…

  2. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-ovarian-contraceptives_research-protocol.pdf
    March 13, 2012 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: March 13, 2012 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Oral Contraceptive Use for the Primary Prevention of Ovarian Cancer Amendment Date(s) if applicabl…

  3. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
    January 01, 2024 - In particular, metrics must go beyond the reported number of incidents and consider the level of participation … (e.g., % of employees reporting incidents during a month), time (e.g., lag between when an incident

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - Such simulators can be calibrated to the needs of the team; some can recreate incidents that provoke … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45965/psn-pdf
    April 19, 2017 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017 Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862998/psn-pdf
    February 21, 2024 - Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. February 21, 2024 Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42804/psn-pdf
    December 11, 2013 - The costs of developing, implementing, and operating a safety learning system in community practice. December 11, 2013 O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):211-8. doi:10.1097/PTS.000000000…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43722/psn-pdf
    November 26, 2014 - Reporting medication errors: residents with diabetes. November 26, 2014 Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617. https://psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36947/psn-pdf
    September 09, 2011 - The safety of warfarin therapy in the nursing home setting. September 9, 2011 Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. https://psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting The anticoagulant warfarin is co…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46362/psn-pdf
    January 01, 2021 - Making patient safety event data actionable: understanding patient safety analyst needs. October 4, 2017 Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400. https:/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862127/psn-pdf
    February 07, 2024 - Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. February 7, 2024 Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Curr Probl Surg. 2024;61(1):10142…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43147/psn-pdf
    July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. July 19, 2017 Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. doi:10.1097/01.AOG.0000444442.04111.c6. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36068/psn-pdf
    September 28, 2010 - Getting doctors to report medical errors: project DISCLOSE. September 28, 2010 King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392. https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose This …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60684/psn-pdf
    January 01, 2021 - Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. July 15, 2020 Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial Ethn Health Disparities. 2021;8(2)…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45515/psn-pdf
    November 16, 2016 - The alarming reality of medication error: a patient case and review of Pennsylvania and national data. November 16, 2016 da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Med Perspect. 2016;6(4):31758. doi:10…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853438/psn-pdf
    September 13, 2023 - In search of an international multidimensional action plan for second victim support: a narrative review. September 13, 2023 Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv Res. 2023;23(1):816. doi:10.118…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837307/psn-pdf
    June 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. June 1, 2022 McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring th…

  20. Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
    January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Grant Final Report Grant ID: 5R18HS017016 Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Inclusive Dates: 09/01/07 - 06/30/10 Principal Investigator: Andrew E. W…
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