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Showing results for "incidents".

7741. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
      November 01, 2017 - Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions FINAL REPORT Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions PREPARED FOR: Agency for Healthcare Resear…

7742. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
      October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Implementation Steps and Timeline The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…

7743. 048-Key-Evidence-Decolonization (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
      October 01, 2024 - Vernon MO, Hayden MK, Trick WE, et al. Archives of Internal Medicine, 2006 Chlorhexidine Gluconate to Cleanse Patients in a Medical Intensive Care Unit: The Effectiveness of Source Control to Reduce the Bioburden of Vancomycin-Resistant Enterococci Purpose: To evaluate impact of daily chlorhexidine gluconate (CHG) bath…

7744. Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
      November 01, 2015 - Transcranial Doppler (TCD) Ultrasonography Screening for Children with SCD; and Appropriate Antibiotic Prophylaxis Transcranial Doppler (TCD) Ultrasonography Screening for Children with Sickle Cell Disease Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Quality Measurement, Evaluation, …

7745. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
      January 01, 2024 - Final Progress Report: Conference on Medical Error Communication and Dispute Resolution g/o/cbl/pew/conference/AHRQFinalReport11/19 Conference on Medical Error Communication and Dispute Resolution Carol B. Liebman, Principal Investigator Chris Stern Hyman, Co-Principal Investigator William Sage, Consultant/Adviso…

7746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49652/psn-pdf
      May 01, 2012 - Double Dose at Transfer May 1, 2012 Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/double-dose-transfer The Case A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department (ED) for left lower extremity pain, swelling, and erythe…

7747. Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart
      January 01, 2023 - Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care Project Final Report ( PDF , 925.1 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, …

7748. The Effect of Health Information Technology on Healthcare Provider Communication | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication
      January 01, 2023 - The Effect of Health Information Technology on Healthcare Provider Communication Project Final Report ( PDF , 293.22 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 r…

7749. Understanding Task Force Recommendations: Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/XU6eC2BfW2jbZGN4UCd94s
      June 01, 2012 - Understanding Task Force Recommendations: Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults June 2012 Task Force FINAL Recommendation | 1 Understanding Task Force Recommendations Behavioral Counseling Interventions to Promote a He…

7750. Root Cause Analysis | PSNet
      psnet.ahrq.gov/primer/root-cause-analysis
      March 30, 2022 - Root Cause Analysis Citation Text: Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7751. Final Research Plan: Colorectal Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/colorectal-cancer-screening
      May 16, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Colorectal Cancer: Screening May 16, 2019 Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as a…

7752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851869/psn-pdf
      July 31, 2023 - Building Capacity for Patient Safety July 31, 2023 Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/building-capacity-patient-safety In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…

7753. In Conversation With… Paul H. O'Neill, MPA | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
      January 01, 2017 - We shouldn't have any accidents anymore; we should have incidents.

7754. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
      April 02, 2020 - re nt ly d ev el op ed fo r r ea l-t im e su rv ei lla nc e. 10 Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic review. … Multifactorial Context of Diagnostic Safety Choosing Data Sources for Measurement Learning From Known Incidents

7755. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
      April 02, 2020 - re nt ly d ev el op ed fo r r ea l-t im e su rv ei lla nc e. 10 Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents … Can patients report patient safety incidents in a hospital setting? A systematic review. … Multifactorial Context of Diagnostic Safety Choosing Data Sources for Measurement Learning From Known Incidents

7756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49546/psn-pdf
      October 17, 2007 - hours limitations.(15) Assessing Professionalism Among Trainees Identifying and tracking critical incidents

7757. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

7758. Behavioral Counseling to Prevent Skin Cancer: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/U7JR2xtrb6EHFyLP6yUTAK
      March 20, 2018 - Behavioral Counseling to Prevent Skin Cancer: US Preventive Services Task Force Recommendation Statement Behavioral Counseling to Prevent Skin Cancer US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force IMPORTANCE Skin cancer is the most common type of cancer in the United Sta…

7759. Screening for Skin Cancer in Adults: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/8dzfZ_s3tZueoEh5Xzh-3A
      July 26, 2016 - Screening for Skin Cancer in Adults: Updated Evidence Report and Systematic Review for the USPSTF Copyright 2016 American Medical Association. All rights reserved. Screening for Skin Cancer in Adults Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Karen J. Wernli, PhD, MS; Nor…

7760. Recommendation: Breast Cancer: Medication Use to Reduce Risk | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction
      September 03, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Breast Cancer: Medication Use to Reduce Risk September 03, 2019 Recommendations made by the USPSTF are independent of the U.S. government. Th…