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Showing results for "incidents".

8141. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
      February 01, 2022 - TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment TeamSTEPPS® for Diagnosis Improvement Knowledge Assessment This knowledge assessment tests the participants’ knowledge of the teamwork principles demonstrated in the TeamSTEPPS for Diagnosis Improvement course. 1. TeamSTEPPS provides resources to optimize…

8142. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
      January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A. Final Progress Report Title of Project: Organization of Care and Outcomes in Cardiac Surgery Principal Investigator: Elizabeth A. Martinez, MD, MHS T…

8143. Understand the Science of Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
      July 01, 2018 - Understand the Science of Safety Presentation Slides The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …

8144. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 2. Fall Response Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. F…

8145. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
      January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority The Timeline to Diagnostic Safety SIDM - Research as a Priority Mark L Graber MD FACP Senior Fellow – RTI International Professor Emeritus - SUNY Stony Brook Founder and President – SIDM graber.mark@gmail.com VISION: Creating a world where no pat…

8146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49416/psn-pdf
      September 01, 2003 - Check the Bags September 1, 2003 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-bags The Case A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department for rate control. After arriving at the cardiac care unit (CCU…

8147. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
      June 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case June 2004 The Wrong Shot: Error Disclosure Source and Credits This presentation is based on the June 2004 AHRQ WebM&M Spotlight Case in Pediatrics CME credit is available through the Web site See the full article at http://webmm.ahrq.gov Commentary by: Thomas H. …

8148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49541/psn-pdf
      August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…

8149. Evidence Summary: Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
      January 29, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Evidence Summary Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication January 29, 2019 Recommendations made by the USPSTF are independent of the U.S…

8150. Evidence Gaps Research Taxonomy Table: Research Gaps for Screening and Preventive Interventions for Oral Health in Children and Adolescents Aged 5 to 17 Years (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/xBhJwGtUHqmEvPg_gKk4nw
      January 01, 2001 - Evidence Gaps Research Taxonomy Table: Research Gaps for Screening and Preventive Interventions for Oral Health in Children and Adolescents Aged 5 to 17 Years Evidence Gaps Research Taxonomy Table Research to Address Evidence Gaps in Preventive Services for the USPSTF Topic: Research Gaps for Screening and Prevent…

8151. Section2 1 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section2_1.pdf
      January 01, 2007 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2007 19 EXHIBIT 2.1 Most Frequent Principal Diagnoses CUMULATIVE GROWTH 1997 2007 1997 2007 1997 2007 1997-2007 All discharges 34,679 39,542 100.0% 100.0% ― ― 14% Chronic conditions † 13,778 14,447‡ 39.7 36.5 ― ― 5 Pregnanc…

8152. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
      August 01, 2025 - Uncovering patterns and the root causes of patient safety incidents 2.

8153. Disposition of Comments for Treatment To Prevent Fractures in Men and Women With Low Bone Density or Osteoporosis -- Update of a 2007 Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoporosis-bone-fracture_disposition-comments.pdf
      March 01, 2012 - In the new Meta analysis, cited by the authors, there were again no increase incidents with all bisphosphonates

8154. Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/boPWHmzrtxnkkPQAoCNENS
      September 18, 2018 - Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: Updated Evidence Report and Systematic Review for the USPSTF Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults Updated Evidence Rep…

8155. Do Not Disturb! | PSNet
      psnet.ahrq.gov/web-mm/do-not-disturb
      February 03, 2011 - hours limitations.( 15 ) Assessing Professionalism Among Trainees Identifying and tracking critical incidents

8156. Data Measures Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
      January 01, 2017 - Data Measures Guide AHRQ Safety Program for Mechanically Ventilated Patients Data Measures Guide AHRQ Pub. No. 16(17)-0018-6-EF January 2017 Data Measures Guide Introduction ....................................................................................................................…

8157. Disposition of Comments for CER 167 Renal Masses (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/renal-cancer_disposition-comments.pdf
      February 24, 2016 - Disposition of Comments for CER 167 Renal Masses Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Management of Renal Masses and Localized Renal Cancer Draft review available for public comment from May 28, 2015, through June 25, 2015. Research Review Citation: Pierorazio P…

8158. Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
      January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…

8159. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
      January 01, 2017 - Tool: SSA Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…

8160. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
      psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
      August 21, 2005 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing Citation Text: Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…