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Total Results: over 10,000 records

Showing results for "incidents".

6321. Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet
      psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
      June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…

6322. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. | PSNet
      psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
      February 23, 2011 - Study Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. Citation Text: Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. B…

6323. Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet
      psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
      June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

6324. Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
      March 29, 2010 - Review Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. Citation Text: Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care fac…

6325. Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. | PSNet
      psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
      September 09, 2020 - Study Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. Citation Text: Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…

6326. Tjdzc7Rzm3Wzcdhfc4Sjhq (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/TjDzC7rzm3WzCDHFC4sJhQ
      June 01, 2015 - Screening for Type 2 Diabetes Mellitus: A Systematic Review for the U.S. Preventive Services Task Force Shelley Selph, MD, MPH; Tracy Dana, MLS; Ian Blazina, MPH; Christina Bougatsos, MPH; Hetal Patel, MD; and Roger Chou, MD Background: Screening for type 2 diabetes mellitus could lead to earlier identification and tr…

6327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39129/psn-pdf
      November 25, 2009 - How to avoid falling victim to a hospital mistake. November 25, 2009 Cohen E. https://psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake This news story describes an incident of patient misidentification and offers tips to help patients confirm their care during a hospitalization. https://psnet.ahrq.g…

6328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40246/psn-pdf
      February 23, 2011 - Global Patient Safety Alerts. February 23, 2011 Canadian Patient Safety Institute; CPSI. https://psnet.ahrq.gov/issue/global-patient-safety-alerts This Web site provides access to incident reports with the aim of stimulating innovation and driving patient safety improvement efforts. https://psnet.ahrq.gov/issue/g…

6329. Module 5: Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docx
      May 01, 2017 - Module 5: Component Kit Visual Management Board Component Kit Contents 1. Why Have a Visual Management Board? 2 2. Tips for Using a Visual Management Board 2 3. Plan-Do-Study-Act “Ramp”: Learn To Use a Visual Management Board 2 4. Visual Management Board Example: Elements You Can Use (Figure 1) 4 5. Connections to …

6330. Module 5: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
      May 01, 2017 - Module 5: PowerPoint Presentation Management Practices for Sustainability Module 5: Visual Management AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-4-EF May 2017 | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 A Frontline Management System To Promote Safety Standard Work * Qu…

6331. Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/home-heart-failure-hf-care-comparing-patient-driven-technology-models
      January 01, 2023 - Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models Project Final Report ( PDF , 74.16 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent …

6332. Archived: Final Research Plan: Colorectal Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan54/colorectal-cancer-screening-june-2016
      April 17, 2014 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Research Plan Colorectal Cancer: Screening April 17, 2014 Recommendations made by the USPSTF are independent of the U.S. government. They should not be con…

6333. Draft Research Plan: BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/brca-related-cancer-risk-assessment-genetic-counseling-testing
      January 18, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Research Plan BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing January 18, 2024 Recommendations made by the USPSTF are indepe…

6334. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - When designing the MSR spreadsheet, relevant categories for reported incidents had to be selected for

6335. Archived: Evidence Summary: Lung Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary4/lung-cancer-screening-december-2013
      July 30, 2013 - for negative findings on screening LDCT, and sensitivity is typically determined by considering new incidents

6336. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
      February 01, 2010 - Spotlight Case July 2008 Spotlight Case Adolescent Diabetes: A Routine Visit? Source and Credits This presentation is based on the February 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…

6337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49726/psn-pdf
      March 01, 2015 - Two Wrongs Don't Make a Right (Kidney) March 1, 2015 DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney Case Objectives Review the current definition of wrong-site surgery. Describe the incidence of wrong-site surgery, and the…

6338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865570/psn-pdf
      April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner April 10, 2024 https://psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive- approach-data Summary North American Partners…

6339. Mixup Beyond the Medication Label | PSNet
      psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
      June 01, 2014 - Mixup Beyond the Medication Label Citation Text: Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

6340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36397/psn-pdf
      December 22, 2010 - The day Joy died. December 22, 2010 Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3. https://psnet.ahrq.gov/issue/day-joy-died This author shares his experience as a young physician dealing with the aftermath of a medical error and how the incident affected his practice, his personal relat…