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  1. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

    psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
    July 08, 2020 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large … Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system … Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44164/psn-pdf
    November 03, 2015 - Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system … Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System … https://psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large- academic-health-care … https://psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care … https://psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35944/psn-pdf
    August 02, 2010 - Analysis of laboratory critical value reporting at a large academic medical center. … Analysis of laboratory critical value reporting at a large academic medical center. … https://psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center … https://psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center

  4. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
    January 01, 2018 - Large Fringe Metropolitan Measures for Large Central Metro Better Than Large Fringe Metro Relative … Large Fringe Metropolitan Disparities Between Large Central Metro and Large Fringe Metro Improving … Large Fringe Metropolitan Small Metropolitan vs. Large Fringe Metropolitan Micropolitan vs. … Central Metro Improving Large Central Metro Not Changing Large Central Metro Worsening Large Fringe … Large Fringe Metropolitan Noncore vs. Large Fringe Metropolitan

  5. Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet

    psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
    November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale … Adopting high reliability organization principles to lead a large scale clinical transformation. … Adopting high reliability organization principles to lead a large scale clinical transformation.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40665/psn-pdf
    August 25, 2011 - A prevalence study of errors in opioid prescribing in a large teaching hospital. … A prevalence study of errors in opioid prescribing in a large teaching hospital. … https://psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital This … https://psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37670/psn-pdf
    June 29, 2011 - Attitudes toward the large-scale implementation of an incident reporting system. … Attitudes toward the large-scale implementation of an incident reporting system. … https://psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system Nurses … https://psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system https

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40795/psn-pdf
    March 04, 2015 - Patient safety event reporting in a large radiology department. … Patient Safety Event Reporting in a Large Radiology Department. … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department This commentary … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department https://psnet.ahrq.gov

  9. Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
    January 01, 2024 - Settings and Participants The project was conducted at a large, integrated healthcare system, Partners … , enriched by reactions from two large external resources. … Food entries in a large allergy data repository. J Am Med Inform Assoc. 2016 Apr;23(e1):e79-87. … Drug allergies documented in electronic health records of a large healthcare system. … Epidemiology of ACE Inhibitor Angioedema Utilizing a Large Electronic Health Record.

  10. 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Care Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
    January 01, 2023 - fringe metro 81.0 79.6 7.4 Same Large central metro 2002 75.4 2020 76.9 -0.4 No change ==== … central metro 2016 1064.1 2020 965.6 -3.5 No change ====== Large fringe metro 846.4 965.6 14.1 … central metro 2016 701.8 2020 577.5 -4.2 Improving ====== Large fringe metro 450.3 577.5 28.2 … central metro 2016 447.7 2020 533.8 2.3 No change ====== Large fringe metro 410.9 533.8 29.9 … central metro 2016 234.1 2020 161.3 -8.8 Improving ====== Large fringe metro 162.5 161.3 -0.7

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43140/psn-pdf
    October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large- observational-studies … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41455/psn-pdf
    June 13, 2012 - Medication errors during medical emergencies in a large, tertiary care, academic medical center. … Medication errors during medical emergencies in a large, tertiary care, academic medical center. … https://psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic … https://psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center … https://psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42803/psn-pdf
    February 13, 2014 - Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating … Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating … https://psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training … https://psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room … https://psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room

  14. Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-cases
    November 16, 2022 - Study Association of overlapping surgery with patient outcomes in a large series … Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases. … Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases.

  15. Using a logic model to design and evaluate quality and patient safety improvement programs. | PSNet

    psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
    November 10, 2010 - Discussing an approach that helped guide project management of a large-scale initiative to reduce health … infections, this commentary details how such an approach can be applied to plan, implement, and evaluate large-scale … January 15, 2014 Assessing and improving safety climate in a large cohort of intensive

  16. Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - This commentary describes an initiative that reduced falls at a large health care system and highlights … in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large … high reliability: a comprehensive safety program to improve quality of care and safety culture in a large

  17. Exhibit 3. Case Selection Factors for Included Organizations | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3.html
    November 01, 2014 - Mid-point Geographic location West South East Midwest East Region density Rural Large … urban Large urban Large urban Small urban Special organization designation Critical access

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45543/psn-pdf
    February 17, 2017 - Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative … Deriving ICD-10 Codes for Patient Safety Indicators for Large- scale Surveillance Using Administrative … https://psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using … https://psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative … https://psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45255/psn-pdf
    January 23, 2017 - Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop … Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39822/psn-pdf
    February 17, 2011 - The disclosure dilemma—large-scale adverse events. … The disclosure dilemma--large-scale adverse events. … https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events Error disclosure policies … This study discusses large-scale adverse events (such as failure to sterilize an endoscope used on scores … https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events https://psnet.ahrq.gov/primer
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