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Showing results for "injury".

1221. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
      November 01, 2016 - We work to prevent the leading cause of illness, injury, disability, and death.

1222. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - patient care will doom subsequent clinicians to initiate the same chain of events, resulting in an injury

1223. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
      January 01, 2024 - Both Dan and Sue have experienced health system failure that led to serious injury or death of a family … Jaffe Chicago, IL Lenore Janecek Save the Patient Chicago, IL Linda Kenney Medically Induced Trauma

1224. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
      January 01, 2024 - High-alert medications bear a heightened risk of causing patient injury when they are misused.1 The … Assessing patient safety risk before the injury occurs: an introduction to socio- technical probabilistic

1225. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - which can be hard to detect through medical record review alone but are typically biased toward severe injuries … Assessing patient safety risk before the injury occurs: an introduction to sociotechnical probabilistic

1226. Maternity Care Performance Measurement Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
      February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

1227. HF Measures For Public Comment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
      February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

1228. HF Measures For Public Comment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
      February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

1229. HF Measures For Public Comment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
      February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

1230. HF Measures For Public Comment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
      February 23, 2012 - Larger infants have increased rates of birth trauma, shoulder dystocia, and cesarean delivery. … delivery are at much higher risk for rehospitalization for uterine infection and obstetrical surgical wound … (ACOG, 2006, Level A)  Median episiotomy is associated with higher rates of injury to the anal sphincter … with episiotomy can be considered worse since some proportion of women who would have had lesser injury … Preventing perineal trauma during childbirth: a systematic review.

1231. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
      January 01, 2024 - items included comorbidities and symptom severity, risk factors, prognosis, therapies, pain status, wounds … 1.53 (1.07, 2.19) 0.02 1.49 (1.08, 2.05) 0.01 History of falls (2 or more falls, or any fall with an injury

1232. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - against overtesting, overdiagnosis, and overtreatment of older adults: thinking beyond imaging and injuries

1233. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
      January 01, 2024 - Participants seemed to agree that reporting of major events in which patient injury occurred should

1234. Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
      January 01, 2024 - medications is typically used to establish safety prior to drug initiation and to detect drug-related injury

1235. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
      January 01, 2024 - Assessing patient safety risk before the injury occurs: an introduction to sociotechnical probabilistic

1236. Final Progress Report: National Trends in Outpatient Quality Indicators (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
      January 01, 2024 - as poor diet, physical inactivity, and tobacco or other substance use, unsafe sex, unintentional injury

1237. Methods (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - unanticipated event in a health care setting resulting in death or serious physical or psychological injury

1238. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
      December 01, 2017 - reengineer the system to catch holes before they line up, and end system gaps that lead to a patient injury

1239. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - With disease, injury, or illness, the diagnosis is often obvious and may involve no more than simple

1240. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - Assessing patient safety risk before the injury occurs: an introduction to socio- technical probabilistic