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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38164/psn-pdf
    July 02, 2009 - A Compendium of Strategies to Prevent Healthcare- Associated Infections in Acute Care Hospitals. July 2, 2009 Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.   https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care- hospi…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. September 14, 2009 Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster rando…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40146/psn-pdf
    March 02, 2011 - Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. March 2, 2011 Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. P…

  4. Core Elements of Hospital Diagnostic Excellence (DxEx). | PSNet

    psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
    April 26, 2023 - Multi-use Website Core Elements of Hospital Diagnostic Excellence (DxEx). Citation Text: Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  5. Ahmad, Fahd A. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/ahmad-fahd
    January 01, 2023 - Ahmad, Fahd A. Implementation of Electronic Health Screening in Primary Care to Improve STI Testing - Final Report Citation Ahmad F. Implementation of Electronic Health Screening in Primary Care to Improve STI Testing – Final Report. (Prepared by Washington University under Gr…

  6. Washington University | Digital Healthcare Research

    digital.ahrq.gov/organization/washington-university
    January 01, 2023 - Washington University EnhanCed HandOffs (ECHO) Description This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patient-…

  7. Contact the PSO Program | PSO

    pso.ahrq.gov/contact
    February 01, 2025 - SHARE: More topics in this section Contact PSO Subscribe to Email Updates Contact the PSO Program AHRQ PSO Program Contact the AHRQ PSO Program for more information about the Patient Safety Act and Rule, PSO listing process,…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42590/psn-pdf
    August 02, 2015 - Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. August 2, 2015 Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173(22):2039-2…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46902/psn-pdf
    August 20, 2018 - Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. August 20, 2018 Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. BMJ Qual Saf. 2018;27(9…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43115/psn-pdf
    December 18, 2014 - Multistate point-prevalence survey of health care- associated infections. December 18, 2014 Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. https://psnet.ahrq.gov/issue/multistate-point…

  12. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
    January 01, 2005 - produced that depicts a device-related adverse event and demonstrates why it is important to report such incidents … They will be asked to report all device related incidents, including “close-calls” through the facilities

  13. Low on the Totem Pole | PSNet

    psnet.ahrq.gov/web-mm/low-totem-pole
    October 01, 2003 - SPOTLIGHT CASE Low on the Totem Pole Citation Text: Wachter R. Low on the Totem Pole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  14. The Inside of a Time Out | PSNet

    psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - The Inside of a Time Out Citation Text: Feldman DL. The Inside of a Time Out. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  15. Double Trouble | PSNet

    psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - SPOTLIGHT CASE Double Trouble Citation Text: Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  16. Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
    January 01, 2013 - Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report Grant Final Report Grant ID: R18HS018183 Medication Reconciliation Technology to Improve Quality of Transitional Care Inclusive Project Dates: 09/30/09 – 07/31/13 Principal Investigator: Michael Weiner Team Member…

  17. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet

    psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
    January 29, 2021 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. Citation Text: Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…

  18. Statewide Implementation of Electronic Health Records | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records
    January 01, 2023 - Statewide Implementation of Electronic Health Records Project Final Report ( PDF , 67.36 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 the views of AHRQ. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846768/psn-pdf
    March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. March 29, 2023 Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery The Ca…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49550/psn-pdf
    December 01, 2007 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? December 1, 2007 Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals The Case …
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