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Showing results for "incidents".

  1. 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 …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49437/psn-pdf
    March 01, 2004 - Crossing the Line March 1, 2004 Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/crossing-line Case Objectives Review complications of central venous catheterization Discuss patient and operator factors that affect complication rates Describe methods for preventing c…

  3. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 - 2021 National Healthcare Quality and Disparities Report: Executive Summary …

  4. Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/newman-toker-report.pdf
    January 01, 2025 - Final Progress Report: A Multiyear Grant To Support the Diagnostic Error in Medicine (DEM) Annual Conference FINAL PROGRESS REPORT TITLE PAGE (R13HS019252, PI Newman-Toker) Title: A Multiyear Grant to Support the Diagnostic Error in Medicine (DEM) Annual Conference Principal Investigator: David E. Newman-Toker Tea…

  5. Recommendation: Osteoporosis to Prevent Fractures: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening
    January 14, 2025 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Osteoporosis to Prevent Fractures: Screening January 14, 2025 Recommendations made by the USPSTF are independent of the U.S. government. Th…

  6. Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/hhrqMCEgbsBMJ_Ppbcp4yJ
    January 14, 2025 - Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Screening for Osteoporosis to Prevent Fractures US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendations See the Summary of Recommendations figure. Preambl…

  7. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
    January 01, 2022 - Almost half of medication- related incidents involve observed patient harm and the remainder

  8. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenref.html
    October 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests References Previous Page   Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Description of the Intervention (continue…

  9. Final Research Plan: Breast Cancer: Medication Use to Reduce Risk | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/breast-cancer-medications-for-risk-reduction
    July 20, 2017 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Breast Cancer: Medication Use to Reduce Risk July 20, 2017 Recommendations made by the USPSTF are independent of the U.S. government. They should not b…

  10. Draft Research Plan: Sexually Transmitted Infections: Behavioral Counseling | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/sexually-transmitted-infections
    January 16, 2025 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Research Plan Sexually Transmitted Infections: Behavioral Counseling January 16, 2025 Recommendations made by the USPSTF are independent of the U.S. gover…

  11. Final Research Plan: Lipid Disorders in Children and Adolescents: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/lipid-disorders-in-children-screening
    August 19, 2021 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Lipid Disorders in Children and Adolescents: Screening August 19, 2021 Recommendations made by the USPSTF are independent of the U.S. government. They sh…

  12. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
    June 01, 2021 - PowerPoint Presentation Changing the System To Improve Patient Safety Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Changing the System 1 Objectives Use barriers as opportunities to improve systems and prevent problems from recurring. List factors that may comp…

  13. The Discharge Assistant: Facilitating Information Transfer at Hospital Discharge (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Nace_051811comp.pdf
    January 01, 2001 - The Discharge Assistant: Facilitating Information Transfer at Hospital Discharge The Discharge Assistant: Facilitating Information Transfer at Hospital Discharge G. Stephen Nace, M.D. Assistant Professor of Clinical Medicine and Director of Information Technology Department of Medicine University of Illinois Coll…

  14. Screening for Chlamydial Infection: Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/mkAgTNR-2jobBcN-2Ysxfb
    July 01, 2007 - Screening for Chlamydial Infection: Recommendation Statement Screening for Chlamydial Infection: U.S. Preventive Services Task Force Recommendation Statement U.S. Preventive Services Task Force* Description: Update of 2001 U.S. Preventive Services Task Force (USPSTF) recommendations about screening sexually active …

  15. Screening for Abdominal Aortic Aneurysm - Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/p8bwnFstpfy9KoDSJhT7m5
    February 01, 2005 - Screening for Abdominal Aortic Aneurysm - Recommendation Statement Summary of Recommendations The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65 to 75 who have ever smoked. B recommendation. The USPSTF found good evidence that screening for AAA and surgica…

  16. Archived: Chlamydial Infection: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/chlamydial-infection-screening-2007
    June 15, 2007 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Chlamydial Infection: Screening June 15, 2007 Recommendations made by the USPSTF are independent of the U.S. government. They…

  17. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Principal Investigator: David G. Bundy, MD, MPH Team Members: Marlene R. Miller, MD, MSc Michael L. Rinke, M…

  18. Evidence Summary: Ovarian Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/ovarian-cancer-screening
    February 13, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Evidence Summary Ovarian Cancer: Screening February 13, 2018 Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an offi…

  19. “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet

    psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
    February 26, 2025 - Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 Patient-safety incidents

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849592/psn-pdf
    May 31, 2023 - These incidents are typically considered avoidable.8 Planning and Development Process According to
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