-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.html
April 01, 2018 - One key activity involved developing and testing a computer-assisted algorithm for retrospective assessment … A second primary activity of our work involved screening an expanded set of SSI risk factors to consider
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.doc
May 01, 2014 - residents will go to the Emergency Department, it is reasonable to reach out also to hospital staff involved … This department is often involved in developing antibiograms for the hospital.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-making-sure-evidence-understood.pdf
July 01, 2020 - interested
• Suggest topics and get
more information
at https:/effectivehealth
care.ahrq.gov/get-
involved … provide input during the evidence review
development process:
https://effectivehealthcare.ahrq.gov/get-involved … Finally, once research is produced, it is hoped
that involved stakeholders are more likely to actively … opportunities
◆ Consumers can use evidence reviews to evaluate health care options and be actively
involved … http://www.ahrq.gov
https://effectivehealthcare.ahrq.gov
https://effectivehealthcare.ahrq.gov/get-involved
-
psnet.ahrq.gov/node/41454/psn-pdf
October 23, 2012 - diagnoses-breast
This study analyzed 56 missed or delayed cancer diagnoses and found that virtually all cases involved … cognitive errors and half involved logistical breakdowns.
-
psnet.ahrq.gov/node/46183/psn-pdf
July 12, 2017 - The majority of medication safety incidents involved primary care
providers or hospital-based nurses … , and drugs commonly involved included analgesics, anticoagulants, and
antibiotics.
-
psnet.ahrq.gov/node/45854/psn-pdf
July 12, 2017 - that was designed to provide
information about the second victim phenomenon and help support those involved … second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/46125/psn-pdf
August 03, 2017 - exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/45149/psn-pdf
September 19, 2016 - care-point-impact-insights-second-victim-experience
Health care workers who experience emotional consequences after being involved … psnet.ahrq.gov/issue/medical-error-second-victim
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/44119/psn-pdf
September 19, 2016 - This AHRQ-funded study surveyed risk managers about programs that provide support for clinicians
involved … risk-managers-descriptions-programs-support-second-victims-after-adverse-events
https://psnet.ahrq.gov/issue/medical-error-second-victim
https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
-
psnet.ahrq.gov/node/47029/psn-pdf
August 15, 2018 - https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
Clinicians involved … do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - I became involved in RCA2 as part of my role at Ochsner, a health system that was quickly expanding while … In RCA2, we have small working teams without the staff involved in the
adverse event. … Some organizations need help with this piece because they are accustomed to having the staff
involved … Some of these events can be
very traumatic, and we need to support the staff who have been involved. … As an
example, a traditional RCA would often feature large meetings with leadership, the staff involved
-
cdsic.ahrq.gov/cdsic/workflow-lifeflow-execsummary
July 01, 2023 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/scaling-measurement-dissemination-workgroup-charter
October 31, 2022 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/innovation-center-quarterly-report-April-July-2023
August 01, 2023 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/measurementinventory
August 01, 2023 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/trust-patient-centeredness-workgroup-charter
October 31, 2022 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/innovation-center-quarterly-report-march2023
April 01, 2023 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
cdsic.ahrq.gov/cdsic/smd-pccds-checklist
August 01, 2023 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
-
psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
June 27, 2018 - Providers involved in medical errors may experience emotional distress, referred to as the second victim … The authors of this survey study describe nursing graduates' experiences after being involved in medication
-
psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
January 23, 2008 - This survey sought to evaluate the effects of medical errors on the emotional health of the physician involved … The majority of more than 3000 physicians surveyed had been involved with a serious medical error resulting