-
psnet.ahrq.gov/node/36178/psn-pdf
September 30, 2010 - Most cases involved more than one clinician, and 31% involved multiple phases of care
(eg, intraoperative
-
psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - The error involved the intravenous administration of a large dose of penicillin G benzathine, which is … The three nurses involved in the error were indicted for criminally negligent
homicide, and blame for
-
psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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cdsic.ahrq.gov/cdsic/environmental-scan-fact-sheet
June 17, 2024 - and Coordinating CDS
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Signing up for the CDSiC Insider newsletter
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cdsic.ahrq.gov/cdsic/pghd-visualization-software-toolkit
May 01, 2024 - and Coordinating CDS
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Signing up for the CDSiC Insider newsletter
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cdsic.ahrq.gov/cdsic/patient-preference-measurement-tools-inventory
June 20, 2024 - and Coordinating CDS
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
July 01, 2018 - Understanding which staff members are involved in patients' care . … A third included one intervention type, and less than half (44 percent) involved additional staff to … However, the extent to which patients and family members are allowed to be involved in the creation of … Most of the discharge strategies involved establishing procedures or systems to ensure that a designated … Often, materials suggested doing a task (e.g., be involved in decisions) but provided little support
-
effectivehealthcare.ahrq.gov/sites/default/files/module-iii-points-of-engagement-in-the-ehc-program.pdf
May 29, 2025 - Stakeholders may be involved in one or multiple points. … Stakeholders have the opportunity to get involved at many different points throughout
the research process … Stakeholders involved in this phase will typically be experts, either
clinical or methodological, end-users … Stakeholders may be involved with topic decision-context groups, summary guide reviews, and
product … Stakeholders may be involved in one or
multiple points.
-
www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - The majority of reports (n=19) involved adult patients 18 to 64 years of age. … Fifteen reports involved patients with private insurance through an employer, three involved patients … with Medicare, and three involved patients with Medicaid. … Fifteen of the 20 safety concerns involved both mistakes and negative effects. n Seven reports involved … Seven of the safety concerns involved negative effects only.
-
psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - The ICU
resident, who had been involved in the prior conversations, canceled the terminal extubation … Another nurse who had been involved in the previous conversations found
the canceled orders after the … Additionally, the supervising physicians were not involved with or aware of the
order writing and canceling … process and were only involved after the extubation was complete. … withdrawing life-saving therapies requires structured
communication among the family and all staff involved
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
September 01, 2015 - State strategies
Six of the demonstration grants involved multi-State partnerships involving … Analysis of the projects implemented by the 14 demonstration States involved in multi-State partnerships
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
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.
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
April 01, 2018 - What are the potential risks or challenges involved with infection control in the operative stages of … What are the potential risks or challenges involved with infection control in the postoperative stages … The type of practice and all surgical specialties involved
The patient case mix
The patient case … Probe: : What are the steps involved in cleaning and caring for instruments and powered tools? … Probe: : What are the challenges involved with disposal of non-sterile equipment, instruments, devices
-
psnet.ahrq.gov/issue/health-care-professionals-second-victims-after-adverse-events-systematic-review
September 19, 2016 - Download Citation
Related Resources From the Same Author(s)
Supporting involved … January 31, 2013
Increased risk of burnout for physicians and nurses involved in a patient … A comparative study measuring the difference of healthcare workers reactions among those involved
-
psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-
maryland
Clinicians who experience adverse emotional consequences after being 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/34774/psn-pdf
June 02, 2010 - harm, this book explores the ethics that drive decision
making and management of the professionals involved … The authors believe that the more players involved with the decision-making process, the more
opportunities
-
psnet.ahrq.gov/node/73901/psn-pdf
September 29, 2021 - The Safer Dx Instrument is designed to retrospectively
determine whether a clinical scenario involved … the “Good Catch” cases and there was 80% agreement between the two reviewers as to
whether the case involved
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/illinois
January 01, 2023 - How to get involved
Assessing business practices about security and privacy of health information, … Participating in working groups and providing feedback during public comment times are key ways to get involved
-
cdsic.ahrq.gov/cdsic/AI-topic-highlight
June 18, 2025 - and Coordinating CDS
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cdsic.ahrq.gov/cdsic/implementation-case-studies
August 01, 2024 - and Coordinating CDS
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