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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - This new system
permits pilots to report incidents to their own companies with the same
limited immunity … Errors,
incidents and accidents in anaesthetic practice.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary16/coronary-heart-disease-screening-using-non-traditional-risk-factors-2009
October 15, 2009 - Share to Facebook
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archived
Final Evidence Summary
Coronary Heart Disease: Screening Using Non-Traditional Risk Factors
October 15, 2009
Recommendations made by the USPSTF are independent of …
-
psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Intraoperative Awareness during Rhinoplasty
1
Source and Credits
This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Christian Bohringer MBBS and Jaijeet Toor MD
AHRQ WebM&M Edit…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/kidney-disease-medicine_research-protocol.pdf
November 01, 2010 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: July 28, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Screening for and Management of Chronic Kidney
Disease Stages 1-3
I. Background and Objectives for the Systematic Review
T…
-
www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/cervical-cancer-screening-adults-adolescents
December 10, 2024 - Share to Facebook
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Print
in progress
Draft Recommendation Statement
Cervical Cancer: Screening
December 10, 2024
Recommendations made by the USPSTF are independent of the U.S. government. They s…
-
psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Recommendations for preventing similar incidents include use of barcoding verification, automated dispensing
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/diabetes-mellitus-screening-1996
January 01, 1996 - Share to Facebook
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Print
archived
Final Recommendation Statement
Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Screening, 1996
January 01, 1996
Recommendations made by the USPSTF are ind…
-
psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - Hiding in Plain Sight
August 1, 2009
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/hiding-plain-sight
The Case
A 65-year-old woman presented to an emergency department (ED) with 48 hours of nontraumatic left lower
back pain and general malaise. She was diagnosed with a …
-
psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee
Arthroplasty.
July 28, 2021
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
The Case
A 61-year-old male patient weighing 57…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Slide Presentation
Slide 1: How To Measure Pressure Injury Rates and Prevention Practices
ADD Hospital Name Here
Module 5
Slide 2: Basic Quality Improvement Principle
If you can’t measure it, you can’t improve it.
Image: Pu…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - How To Measure Pressure Injury Rates and Prevention Practices
How To Measure
Pressure Injury Rates
and Prevention Practices
ADD Hospital Name Here
Module 5
1
Basic Quality Improvement Principle
If you can’t measure it, you can’t improve it.
2
2
Quality Improvement Principle
Pressure injury rates and preven…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
June 01, 2010 - In addition, the tool collects limited information regarding numbers of critical incidents. … injuries, allegations of abuse, allegations of neglect, medication errors, consumer behaviors, and other incidents
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - stressed that, while reporting of patient safety events may often be associated with hospital-based incidents … Although reporting of patient safety events is often associated with hospital-based incidents, these
-
www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
January 01, 2024 - o Aviation does not use the same model for after incidents. … at the personal factors of the healthcare leaders and
what contributes to handling/failing to handle incidents
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - exchange progress and offer assistance
CAUTI Team Unit Meetings
Quarterly
Perform analysis of CAUTI incidents … Catheter alternatives are used on a regular basis
Infection Control reports less investigation of CAUTI incidents
-
psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - 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 and
-
psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - Managing the aftermath of critical incidents: meeting the needs of health-care providers and
patients
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/skin-cancer-screening-2001
April 01, 2001 - Share to Facebook
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Print
archived
Final Evidence Summary
Skin Cancer: Screening, April 2001
April 01, 2001
Recommendations made by the USPSTF are independent of the U.S. government. They should n…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_surveillance.pdf
January 30, 2013 - Source: www.effectivehealthcare.ahrq.gov
Published online: January 30, 2013
i
CER # 35:
Comparative Effectiveness of Terbutaline Pump for the Prevention of
Preterm Birth
Original release date:
September, 2011
Surveillance Report (1st Assessment/cycle 1):
May, 2012
Surveillance Report (2nd…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/preterm-birth-terbutaline-pump_surveillance.pdf
January 30, 2013 - Source: www.effectivehealthcare.ahrq.gov
Published online: January 30, 2013
i
CER # 35:
Comparative Effectiveness of Terbutaline Pump for the Prevention of
Preterm Birth
Original release date:
September, 2011
Surveillance Report (1st Assessment/cycle 1):
May, 2012
Surveillance Report (2nd…