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Showing results for "incidents".

7521. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
      April 01, 2025 - Science of Safety6 The Science of Safety seeks to understand the causes and consequences of accidents and incidents

7522. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
      psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
      April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents … June 8, 2016 Patient safety incidents in hospice care: observations from interdisciplinary

7523. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - .32 Vanderbilt Medical Center has built a Web-based system for reporting pediatric chemotherapy incidents … medication errors was low and needed to be increased to accurately represent the actual number of incidents

7524. Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
      January 01, 2024 - The  sentinel  report  update  in  December  2001  from  The  Joint  Commission  analyzed  126  incidents … Of  the  126  incidents,  only  81%  were  self‐ reported[2]. 

7525. A National Web Conference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients | Digital Healthcare Research
      digital.ahrq.gov/events/national-web-conference-utilizing-health-it-improve-medication-management-care-elderly
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

7526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46822/psn-pdf
      April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. April 12, 2019 Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A Randomized Clinical Trial…

7527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41748/psn-pdf
      April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. April 5, 2013 Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Med Care. 2012;50(7):599-605. doi:10.1097/MLR.0b013e…

7528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43539/psn-pdf
      March 26, 2015 - Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. March 26, 2015 Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiajnl-2013-002491. https://psnet.ahr…

7529. Tool 6 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

7530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46481/psn-pdf
      August 20, 2018 - An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. August 20, 2018 Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. BMJ Qual Saf. 2018;27(3):241-246. doi:…

7531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48139/psn-pdf
      July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. July 17, 2019 Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…

7532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43862/psn-pdf
      March 20, 2015 - The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. March 20, 2015 Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. I…

7533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46990/psn-pdf
      July 25, 2018 - Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018 Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by Speech Recognition Software and Professional Transcriptionists. JAMA Netw…

7534. Screening for Asymptomatic Bacteriuria in Adults: Clinical Summary of a U.S. Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/wDCLf8QzfbRMDsTFEaGD-7
      Screening for Asymptomatic Bacteriuria in Adults: Clinical Summary of a U.S. Preventive Services Task Force Recommendation Statement Figure. Screening for asymptomatic bacteriuria in adults: clinical summary of a U.S. Preventive Services Task Force (USPSTF) recommendation. Screening for Asymptomatic Bacteriuria in A…

7535. Murphy Diagram | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
      January 01, 2023 - Murphy Diagram Description Murphy diagrams are based on the premise that "if something can go wrong, it will go wrong." They are similar to other analysis methods such as fault trees as they analyze errors based on the potential causes of those errors. The diagrams utilize eight categories of behav…

7536. Tool 6 (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Ra…

7537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37978/psn-pdf
      April 11, 2011 - Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. April 11, 2011 Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;…

7538. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
      August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction Initia…

7539. Infection Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
      December 01, 2012 - Infection Checklist CUSP Toolkit Who should use this tool? Infection preventionists. Checklist items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles.     2. Introduce …

7540. Infectionprevchcklst (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
      June 02, 2025 - Infection Preventionist Checklist Who should use this tool? Infection preventionists. Checklist Items Leader Responsible Date Started 1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles. 2. Introduce the project to all IP s…