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  1. Measures of Impact for BLUES project (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
    June 16, 2021 - Measures of Impact for BLUES project Measures of Impact for BLUES project Lead Agency: Delta Health … Measures of Impact for BLUES project Lead Agency: Delta Health Alliance

  2. Preventing medication errors by empowering patients. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-empowering-patients
    September 28, 2016 - 2020 Open Notes shines light on errors in patient medical records — will the new rule lead … June 10, 2018 Error-prone conditions that lead to student nurse-related errors.

  3. Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet

    psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
    June 10, 2018 - Related Resources From the Same Author(s) Administering a saline flush "site unseen" can lead … June 10, 2018 Drawn curtains, muted alarms, and diverted attention lead to tragedy in

  4. A shortage of everything except errors: harm associated with drug shortages. | PSNet

    psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
    February 13, 2019 - 21, 2012 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

  5. Survey results: community liaison programs to decrease hospital readmissions. | PSNet

    psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions
    June 10, 2018 - Resources From the Same Author(s) Drawn curtains, muted alarms, and diverted attention lead … June 10, 2018 Administering a saline flush "site unseen" can lead to a wrong route error

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72689/psn-pdf
    January 29, 2021 - salt and sodium bicarbonate mouthwash and pain control.4 A timely diagnosis of oral mucositis will lead … to Horwtiz et al.5 Unfortunately, blood cultures are low in yield6 and a false positive can often lead … radiologic tests.”9 The reflexive ordering of tests without a proper in-person bedside assessment may lead … to more patient handoffs.11 Frequent and poor handoffs can lead to more cross-cover questions, calls … is still hope that creating a better culture of safety will hopefully encourage more teamwork and lead

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855057/psn-pdf
    October 31, 2023 - between coworkers may include personal bullying, job-related bullying, and intimidation.15 Factors that lead … Exposure to, or fear of, violence in the workplace can lead to negative psychological consequences for … self-esteem and increased risk for stress, anxiety, and depression.15 These psychological effects can lead … to workplace violence are estimated to be between 15% and 36%.11 Workplace violence incidents can lead … effectiveness of violence prevention training for nurses, research has found that these trainings lead

  8. Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet

    psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
    February 13, 2019 - 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

  9. Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. | PSNet

    psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
    February 13, 2019 - 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead … Interruptions lead to errors and unfinished…wait, what was I doing?

  10. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0332_07-29-2010.pdf
    January 01, 2010 - (s): 0283 Document Completion Date: 11-16-10 2 (active surveillance vs. active treatment) lead … Does use of the PCA3 assay lead to improved health outcomes when compared with or in addition to use … Do changes in screening and management for prostate cancer resulting from use of PCA3 assays lead to

  11. Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. | PSNet

    psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
    September 26, 2016 - Interruptions lead to errors and unfinished…wait, what was I doing? … 8, 2016 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

  12. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet

    psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
    May 07, 2014 - June 10, 2018 Administering a saline flush "site unseen" can lead to a wrong route error … 10, 2018 Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead

  13. Program Evaluation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 18 Hospital AIM Team

  14. Program Evaluation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 18 Hospital AIM Team

  15. Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
    July 01, 2023 - workshop Teamwork basics Teamwork tool specifics Implementation guidance Organize frontline participation Lead … We will help you organize frontline participation and teach you how to lead the facilitation sessions … Ultimately, it is your responsibility as a Hospital AIM Team Lead to enable and encourage your frontline

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33725/psn-pdf
    February 01, 2012 - be taken in GME to improve patient safety.(3,4) Most recently, ACGME, largely following the IOM's lead … In other words, inadequate supervision may lead to unintended harm to patients in the present, but excessive … supervision may lead to unintended harm to patients in the future by limiting the amount of independent … compliance with practice guidelines, decrease complications and mortality rates in the operating room, and lead

  17. Program Evaluation - PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
    July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 17 Evaluation Data Collection

  18. Program Evaluation - PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
    July 01, 2023 - patient safety culture becoming better established and improving over time Collectively, these will lead … lead to reductions in adverse events – as shown in the impact column. 17 Evaluation Data Collection

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42582/psn-pdf
    September 18, 2013 - This commentary recommends an approach to examine laboratory testing and identify weaknesses that may lead

  20. NASHP Environmental Scan 3-1 to TR v2.xls (pdf file)

    hcup-us.ahrq.gov/reports/race/50StateScan04_26forweb.pdf
    December 01, 2010 - Accurate as of 2/3/11) Topics Focus on Disparities in Health Status, Health Care or Both Impetus Lead … Accurate as of 2/3/11) Topics Focus on Disparities in Health Status, Health Care or Both Impetus Lead … Diseases Section, Vital Records (birth and death registries), Linked File of Life and Infant Births, Lead … Poisoning and Prevention Control Program Blood Lead Level Data Geographic (State) Black or African … Census Bureau, Vital Statistics System, BRFSS, Blood Lead Surveillance System, Cancer Registry, VT
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