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Showing results for "infections".
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  1. A scoping review of clinical handover mnemonic devices. | PSNet

    psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
    July 24, 2019 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection

  2. Systemic failures in nursing home care--a scoping study. | PSNet

    psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study
    July 17, 2013 - 16, 2023 COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection

  3. Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. | PSNet

    psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
    April 03, 2017 - WebM&M Cases Delayed Management of Necrotizing Soft Tissue Infection

  4. Neonatal near-miss audits: a systematic review and a call to action. | PSNet

    psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
    August 04, 2021 - March 3, 2021 The association of acute COVID-19 infection with Patient Safety Indicator

  5. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

    psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
    March 20, 2024 - June 15, 2016 Decreased incidence of cesarean surgical site infection rate with hospital-wide

  6. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet

    psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
    October 05, 2022 - February 15, 2017 Positive deviance: a new tool for infection prevention and patient

  7. Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

    psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
    April 24, 2018 - April 24, 2018 Patient safety climate: variation in perceptions by infection preventionists

  8. Changing-System-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - default stop date of 2 weeks or 30 days, far longer than is necessary to treat the most common bacterial infections … Moment 1: Does my patient have an infection that requires antibiotics? … There was no clear evidence of infection, or any purulence that would suggest the need to cover for methicillin-resistant

  9. Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
    January 01, 2025 - anecdotal reports that some organizations still restricted travel to reduce the likelihood of individual infection … at a robust ~$40 million per year, a level comparable to the highly successful Healthcare-Associated Infections … Serious misdiagnosis-related harms in malpractice claims: The "Big Three" - vascular events, infections

  10. QUESTIONS What are the appropriate indications for tonsillectomy Recurrent infections how many Sleep disordered breathingShould clinicians administer or prescribe perioperative antibiotics to children undergoing tonsillectomyRELEVANT… | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/get-involved/nominated-topics/questions-what-are-the-appropriate-indications-for-tonsillectomy-recurrent-infections-how-many-sleep-disordered-breathingshould-clinicians-administer-or-prescribe-perioperative-antibiotics-to-children-undergoing-tonsillectom

  11. In Conversation With… Linda Aiken, PhD, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - One example would be care bundles for central line infection prevention. … And these differences line up very closely to the variation across hospitals in mortality, infection … Readmissions, infection rates, never events like poor glycemic control—they're all directly related to … October 21, 2015 Nurse staffing, burnout, and health care-associated infection.

  12. Patient Safety Action Alliance: Request for Information (RFI) Summary Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
    March 01, 2023 - psychological safety issues, (i.e., burnout, mental health, workplace violence, verbal abuse) o Infection … o Innovations o Artificial Intelligence/Machine Learning (i.e., infection control) • Establishing … & psychological safety issues, (i.e., burnout, mental health, workplace violence, verbal abuse) o Infection … o Innovations o Artificial Intelligence/Machine Learning (i.e., infection control)  Establishing standards

  13. CER 226: Evidence summary_Labor Dystocia (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/Evidence%20Summary_2.pdf
    May 01, 2020 - R 2 Prolonged labor may increase the risk for maternal and neonatal infection, fetal distress, neonatal … 2 RCTs36,37 (973) No difference: There was no evidence of increased risk of infection associated … was no evidence of increased risk of neonatal infection associated with early amniotomy. … High Adverse Events Maternal Outcomes – Infection 3 RCTs37 (1,933) 2 SRs44-46 (3,475 patients … , 6 studies) No difference: There was no difference in risk of infection between groups.

  14. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)

    www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
    January 01, 2024 - #3: Decubitus ulcer, PSI #4: Failure to rescue, PSI #6: Iatrogenic pneumothorax, PSI #7: Selected infections … Using these criteria, two conditions were excluded (asthma and urinary tract infections); three remained … phototherapy; Subgroup Infection Potential MQI—Yes 0.00902 + 0.01241 0 (0-0.10511) MQI #36. … AHRQ Patient Safety Indicators: Time to include hemorrhage and infection during childbirth. … AHRQ Patient Safety Indicators: Time to include hemorrhage and infection during childbirth.

  15. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet

    psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
    January 23, 2017 - September 24, 2017 Operating room traffic as a modifiable risk factor for surgical site infection

  16. Nursing practice with hospitalised older people: safety and harm. | PSNet

    psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
    April 24, 2018 - Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection

  17. The diagnostic moment: a study in US primary care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-moment-study-us-primary-care
    June 16, 2021 - The influence of organizational context on quality improvement and patient safety efforts in infection

  18. Fatigue in radiology: a fertile area for future research. | PSNet

    psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
    August 29, 2018 - December 15, 2008 Patient safety culture as a space of social struggle: understanding infection

  19. Randomized Control Trial Embedded in an Electronic Health Record - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2012
    January 01, 2012 - Therefore the team sought to determine if people with HIV infection and mental health and/or substance

  20. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet

    psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
    February 16, 2022 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection
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