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Showing results for "incidents".

  1. Recommendation: Prevention of Acquisition of HIV: Preexposure Prophylaxis | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/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 Final Recommendation Statement Prevention of Acquisition of HIV: Preexposure Prophylaxis August 22, 2023 Recommendations made by the USPSTF are independent of the U.S. g…

  2. Surveillance Report: CER 30: Comparative Effectiveness of Pain Management for Hip Fracture (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain_surveillance.pdf
    July 08, 2015 - Surveillance Report: CER 30: Comparative Effectiveness of Pain Management for Hip Fracture AHRQ Comparative Effectiveness Review Surveillance Program CER #30: Comparative Effectiveness of Pain Management Interventions for Hip Fracture …

  3. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
    March 12, 2008 - literature,17, 18 HealthPartners system quality data indicated that the vast majority of our clinic incidents … were related to prescriptions, but only a handful of reported incidents were associated with actual … Patient safety concerns were identified through a review of the clinic quality incidents, observations

  4. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-update_executive.pdf
    June 01, 2011 - Layout 1 Background Almost 75 million American adults— approximately one-third—have hypertension. The prevalence of hypertension increases with advancing age such that more than half of people 55 to 74 years old and approximately three-fourths of those age 75 years and older are affected. In addition to being the pr…

  5. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet

    psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
    January 29, 2021 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. Citation Text: Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.. PSNet [internet]. Rockville (MD): Agency for He…

  6. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
    October 28, 2020 - SPOTLIGHT CASE Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis Citation Text: Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846169/psn-pdf
    March 15, 2023 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. March 15, 2023 Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/…

  8. Classics and Emerging Classics | PSNet

    psnet.ahrq.gov/classics
    August 01, 2023 - Classics and Emerging Classics To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…

  9. The Forgotten Turn | PSNet

    psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - SPOTLIGHT CASE The Forgotten Turn Citation Text: Barbour S. The Forgotten Turn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  10. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statement: …

  11. Monitoring Ventilator-Associated Events Module 2

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 01, 2017 - Monitoring Ventilator-Associated Events Module 2 Monitoring Ventilator-Associated Events AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-26-EF January 2017 Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this sessio…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867379/psn-pdf
    January 01, 2025 - Implementation of electronic triggers to identify diagnostic errors in emergency departments. December 18, 2024 Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.1001/jamainternmed.2024.6214. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38411/psn-pdf
    December 16, 2014 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. December 16, 2014 Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. https://psnet.ahrq.gov/issue/reengine…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46537/psn-pdf
    January 24, 2019 - Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. January 24, 2019 Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Billion Annually. Health Aff (Millwood). 2018;37(4):662-669. doi:10.1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46995/psn-pdf
    January 01, 2021 - Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. April 18, 2018 Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and Advanced Practice …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44374/psn-pdf
    August 12, 2015 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37. doi:10.21…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39143/psn-pdf
    February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. February 14, 2011 Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39213/psn-pdf
    October 03, 2017 - Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. October 3, 2017 Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9. h…
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