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Showing results for "incidents".

7341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35875/psn-pdf
      May 21, 2013 - Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. May 21, 2013 The Joint Commission. https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person- surgery According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approxi…

7342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852443/psn-pdf
      August 16, 2023 - Healthcare-associated infections in adult intensive care units: a multisource study examining nurses' safety attitudes, quality of care, missed care, and nurse staffing. August 16, 2023 Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care units: a multisource study examin…

7343. NICU Family Information Packet, Appendix B, Nephrocalcinosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Nephrocalcinosis Nephrocalcinosis Characteristics ■ Renal lithiasis in which calcium deposits form in the renal parenchyma and result in reduced kidney function and hematuria. ■ Seen with renal ultrasound, or occasionally on plain radiographs of the kidneys. ■ Resul…

7344. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle AHRQ Safety Program for Mechanically Ventilated Patients Ventilator-Associated Event Data Collection Tool Date __________ Month __________ Hospital __________ Unit __________ Use this tool to track your progress i…

7345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48083/psn-pdf
      August 07, 2019 - Missed diagnosis of cancer in primary care: insights from malpractice claims data. August 7, 2019 Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385. https://psnet.ahrq.gov/issue/mis…

7346. Key Subject Area Index | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

7347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47727/psn-pdf
      January 23, 2019 - Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019 Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…

7348. Key Subject Area Index | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

7349. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
      July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…

7350. Archived: Final Evidence Review: Ovarian Cancer: Screening, May 2004 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review79/ovarian-cancer-screening-2004
      May 15, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Review Ovarian Cancer: Screening, May 2004 May 15, 2004 Recommendations made by the USPSTF are independent of the U.S. government. They should …

7351. Archived: Abdominal Aortic Aneurysm: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening-february-2005
      February 15, 2005 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Abdominal Aortic Aneurysm: Screening February 15, 2005 Recommendations made by the USPSTF are independent of the U.S. government.…

7352. Approaches to Address Health Risks for Older Adults
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
      March 15, 2025 - Approaches to Address Health Risks for Older Adults National Center for Excellence in Primary Care 1 National Center for Excellence in Primary Care Research Presents Approaches to Address Health Risks for Older Adults January 16, 2025 Presented by: Lisa Kern, MD, MPH Alberta K. Tran, Ph.D., RN, CCRN Yu-J…

7353. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - SPOTLIGHT CASE Two Wrongs Don't Make a Right (Kidney) Citation Text: DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Schola…

7354. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-470
      December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

7355. Archived: Evidence Summary: Genital Herpes Infection: Serologic Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/genital-herpes-screening-november-2016
      December 20, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary Genital Herpes Infection: Serologic Screening December 20, 2016 Recommendations made by the USPSTF are independent of the U.S. government. They shoul…

7356. Medical Injury Identification Using Hospital Discharge Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
      January 01, 2003 - Medicine report To Err Is Human.1 That report called for mandatory reporting of serious patient safety incidents … and voluntary reporting of other errors or incidents.

7357. Evaluation and Integration of an Automatic Fall Prediction System - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2011
      January 01, 2011 - Evaluation and Integration of an Automatic Fall Prediction System - 2011 Project Name Evaluation and Integration of an Automatic Fall Prediction System Principal Investigator Kearns, William D. Organization University of South Florida Funding Mechanism PAR: HS08-269…

7358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33592/psn-pdf
      December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current re…

7359. Final Research Plan: Sexually Transmitted Infections: Behavioral Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/sexually-transmitted-infections
      May 01, 2025 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Final Research Plan Sexually Transmitted Infections: Behavioral Counseling May 01, 2025 Recommendations made by the USPSTF are independent of the U.S. gover…

7360. Evidence Summary: Prevention of Acquisition of HIV: Preexposure Prophylaxis | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/prevention-of-human-immunodeficiency-virus-hiv-infection-pre-exposure-prophylaxis
      August 22, 2023 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Evidence Summary Prevention of Acquisition of HIV: Preexposure Prophylaxis August 22, 2023 Recommendations made by the USPSTF are independent of the U.S. government. They sh…