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Showing results for "incidents".

7521. Reports on Hospital and ASC Performance. | PSNet
      psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
      October 02, 2024 - Book/Report Reports on Hospital and ASC Performance. Citation Text: Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

7522. Screening for Latent Tuberculosis Infection in Adults: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/KdQef_VDT2kmHDX4ddNWmR
      August 01, 2022 - Screening for Latent Tuberculosis Infection in Adults: US Preventive Services Task Force Recommendation Statement Screening for Latent Tuberculosis Infection in Adults US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendation See the Summary of Recommenda…

7523. Clopidogrel after Drug-Eluting Stent Implantation: Is current practice sufficient (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/stent-clopidogrel-practice_research.pdf
      March 01, 2009 - Clopidogrel after Drug-Eluting Stent Implantation: Is current practice sufficient The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care program. It is a collaborative network of research centers that support the rapid development of new scien…

7524. Improving Patient Safety/Quality with HIT Implementation (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
      January 01, 2008 - Improving Patient Safety/Quality with HIT Implementation Grant Final Report Grant ID: UC1HS15284 Improving Patient Safety/Quality with HIT Implementation Inclusive Dates: 10/01/04 - 12/31/08 Principal Investigator: John G. Reiling, MHA, MBA, PhD; Former President/CEO – St. Joseph’s Comm…

7525. Executive Summary: Pain Management Interventions for Hip Fracture (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cer30_hip-fracture-pain-executive-summary_20110517.pdf
      May 01, 2011 - Executive Summary: Pain Management Interventions for Hip Fracture Hip_Layout 1  5/12/11  4:28 PM  Page 1                                                                                                                                                                                                              …

7526. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - Pilots report incidents (any occurrence that could affect safety), and ASRS staff analyze them, may interview

7527. Comparative Effectiveness of Pain Management Interventions fo Hip Fracture (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hip-fracture-pain.ppt
      May 01, 2011 - Comparative Effectiveness of Pain Management Interventions fo Hip Fracture Pain Management Interventions for Hip Fracture Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov Pain Management Interventions for Hip Fracture This slide set is based on a comparative effectiveness review (CER) ti…

7528. Comparative Effectiveness of Pain Management Interventions fo Hip Fracture (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain.ppt
      May 01, 2011 - Comparative Effectiveness of Pain Management Interventions fo Hip Fracture Pain Management Interventions for Hip Fracture Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov Pain Management Interventions for Hip Fracture This slide set is based on a comparative effectiveness review (CER) ti…

7529. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
      January 01, 2004 - The observations were further supplemented by indepth investigations of selected accidents or incidents … Critical incidents associated with intraoperative exchanges of anesthesia personnel.

7530. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
      January 01, 2024 - a nationwide error reporting system through structured human factors analysis of a large number of incidents … It consists of the approximately 55,000 claims, and at least as many reports of harmful incidents, received

7531. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Patient safety incidents … in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National

7532. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - recognizes the importance of adaptation in contrast to the Safety-I approach of primarily evaluating incidents … For the most part, people have gotten used to foregoing traditional pathways following incidents because

7533. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - For the most part, people have gotten used to foregoing traditional pathways following incidents because … recognizes the importance of adaptation in contrast to the Safety-I approach of primarily evaluating incidents

7534. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
      December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet …

7535. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? 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 pressu…

7536. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
      December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet …

7537. Slide 1 (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
      May 24, 2016 - Slide 1 Patient Safety and Quality Improvement Act of 2005—HHS Guidance Regarding Patient Safety Work Product and Providers’ External Obligations Effective Date: May 24, 2016 1 Overview of the Guidance Document 2 Why Was The Guidance Issued? • Clarify what information that a provider cre…

7538. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? 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 pressu…

7539. Checklist for Working with the NASS
      hcup-us.ahrq.gov/db/nation/nass/nasschecklist.jsp
      November 01, 2024 - Checklist for Working with the NASS An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updat…

7540. Archived: Hepatitis C Virus Infection: Screening, 2004 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-virus-infection-screening-2004
      March 08, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Hepatitis C Virus Infection: Screening, 2004 March 08, 2004 Recommendations made by the USPSTF are independent of the U.S. gov…