-
psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - Study
Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021.
Citation Text:
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/vte-prophyalaxis_executive.pdf
May 01, 2013 - minor)
• Heparin-induced thrombocytopenia
• Allergic reaction
• Mechanical device complications
• Infections … minor)
• Heparin-induced thrombocytopenia
• Allergic reaction
• Mechanical device complications
• Infections … ICU stay
Heparin-induced
thrombocytopenia
• Allergic reaction
Mechanical device
complications
Infections … stay
• Heparin-induced
thrombocytopenia
• Allergic reaction
• Mechanical device
complications
• Infections … stay
• Heparin-induced
thrombocytopenia
• Allergic reaction
• Mechanical device
complications
• Infections
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
June 02, 2025 - - Pre-op/Post-Anesthesia Care Unit Nurse (PACU)
- Physician Assistant
- Infection
-
meps.ahrq.gov/communication/participants/RecordKeeper_Fillable_English.pdf
January 15, 2021 - Eric West
Reason for Visit Ear Infection
Total Charge $75
Payment by Family $25
Payment by Other
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - systems approach.
7
Source of Defects
Adverse-event reporting systems
Sentinel events
Claims data
Infection … Infection rates from hospital epidemiology and infection prevention also present known complications. … reminder, the two questions are listed:
1) How will the next patient be harmed or get a surgical site infection … In the case of reducing central line-associated bloodstream infections or catheter-associated urinary … tract infections, measure the outcome rates of these events.
-
psnet.ahrq.gov/node/49452/psn-pdf
July 01, 2004 - One notable
exception comes from the infection control literature.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - Other Benefits to RALP
RALP may also be associated with fewer complications including:
DVTs
Wound infections … general, RAS shares the same risks as open and traditional laparoscopic surgery
Including potential for infection
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure2.html
June 01, 2018 - When neglected, these minor localized infections can progress to form cellulitis or systemic infection
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Use of simulation-based education to reduce catheter-related bloodstream infections. … Cost savings from reduced catheter-related bloodstream infection after simulation-based education for
-
www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - originally developed the CUSP model with funding from the Agency for Healthcare Research and Quality
An infection … Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational
-
psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - Remote patient monitoring identifies the need for triage in
patients with acute COVID-19 infection.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - Orthostatic Hypotension/
Dehydration
Vertigo/Dizziness
Syncope/Fainting
Hypoglycemia
Possible Infection … change
Orthostatic hypotension /dehydration
Vertigo/dizziness
Syncope/fainting
Hypoglycemia
Possible infection … Change
Orthostatic Hypotension/Dehydration
Vertigo/Dizziness
Syncope/Fainting
Hypoglycemia
Possible Infection … Change
Orthostatic Hypotension/Dehydration
Vertigo/Dizziness
Syncope/Fainting
Hypoglycemia
Possible Infection
-
hcup-us.ahrq.gov/reports/methods/2003_04.pdf
January 01, 2003 - PSI 7 Infection due to intravenous lines or catheters per 1000 discharges (excluding immunocompromised … ; based on secondary diagnoses only†) (PSI 7)
† That is, excludes admissions specifically for such infections … secondary diagnoses†) per 100,000 population (PSI 23)
† That is, includes admissions specifically for such infections … neonates; based on secondary diagnoses only)
(PSI 7)
(Note: Excludes admissions specifically for such infections … diagnoses) per 100,000 population
(PSI 23)
(Note: Also, includes admissions specifically for such infections
-
hcup-us.ahrq.gov/reports/statbriefs/sb134.jsp
May 01, 2012 - Inpatient stays were predominantly for skin and subcutaneous tissue infections (36.9 percent), poisoning … 16.9
4
Open wound of head and trunk
101,900
7.9
5
Skin and subcutaneous tissue infection … Principal diagnosis
Stays (number)
Percentage of stays
1
Skin and subcutaneous tissue infection … first-listed diagnoses were defined as CCS diagnosis categories:
197: Skin and subcutaneous tissue infection … Bite Wounds and Infection.
-
psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - 0.0386363636 0.1202479339 PSI 06 Statistically Lower 0
PSI 07 Central venous catheter-related bloodstream infections … 0.00052261 0.00247 -100 -100 -78.8417004049 NQI 02 Statistically Lower 0
NQI 03 Neonatal Blood Stream Infection … PDI 11 No Statistically Significant Difference 0
PDI 12 Central Venous Catheter-Related Blood Stream Infection
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - as chronic for adults in CCS 124 “Acute and chronic
tonsillitis”, CCS 126 “Other upper respiratory infection … CCS 124 Acute and chronic tonsillitis
upper respiratory conditions CCS 126 Other upper respiratory infection … 5 YES -4 NO
586 RENAL FAILURE NOS 4 YES 4 YES
588 IMPAIRED RENAL FUNCTION 4 YES 3 YES
590 KIDNEY INFECTION … LYMPHADENITIS -5 NO -5 NO
684 IMPETIGO -5 NO -5 NO
685 PILONIDAL CYST -3 NO -5 NO
686 OTH LOCAL SKIN INFECTION … 709 OTHER SKIN DISORDERS -5 NO -4 NO
710 DIFF CONNECTIVE TISS DIS 3 YES 3 YES
711 ARTHROPATHY W INFECTION
-
www.ahrq.gov/pqmp/measures/index.html?page=5
Consortium (Q-METRIC)
Anticipatory guidance for prevention and/or management of fever and severe infection
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - Finally, Liz served as a national mentor to 2 fellows in the project protect infection prevention fellowship … While it may appear to be more convenient, the risk associated with a catheter acquired urinary tract infection