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  1. Mismanagement of Delirium | PSNet

    psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - This case illustrates how mismanagement of delirium can lead to poor quality of life, functional decline

  2. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/skin-lesions-evaluation_disposition-comments.pdf
    September 01, 2011 - dermoscopy has been proven, it does not necessarily mean that adopting its use will automatically lead

  3. EHC Protocol: Addressing Social Isolation To Improve Health of Older Adults: A Rapid Evidence Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-patient-family-engagement.pdf
    July 01, 2023 - providers are not forthcoming or forthright with information about safety events when they do occur)6 and lead

  4. Final Progress Report: Developing and Training Interruption Management Strategies for Emergency Physicians (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
    January 01, 2024 - Interruptions can lead to an increase in information loss, dropped tasks, error rates, and the amount

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49579/psn-pdf
    March 21, 2009 - physicians and inpatient services approach final diagnoses in different ways, and this cultural divide can lead

  6. Slippery Slide Into Life | PSNet

    psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - this methodology, long used in other industries, to revolutionize medical training must take the lead

  7. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
    January 01, 2024 - The lead investigators proctored all sessions.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - monitoring unit at four hospitals, Cantillon and colleagues (12 ) included the following: (i) designated lead

  9. An Overview of the CANDOR Process

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
    September 10, 2015 - prevent mistakes and fail to recognize the impact of faulty systems, processes, and conditions that lead

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39110/psn-pdf
    June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3. https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time- leading-dru…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44239/psn-pdf
    September 29, 2017 - When medical care leads to harm—difficulty finding words: a teachable moment. September 29, 2017 Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.2015.2334. https://psnet.ahrq.gov/…

  14. Sources of NIS Data and State-Specific Restrictions 2005

    hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
    January 01, 2005 - Sources of NIS Data and State-Specific Restrictions 2005 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

  15. Sources of NIS Data and State-Specific Restrictions 2004

    hcup-us.ahrq.gov/db/nation/nis/nis_2004_stspecific_restr.jsp
    January 01, 2004 - Sources of NIS Data and State-Specific Restrictions 2004 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38598/psn-pdf
    June 03, 2010 - Leading successful rapid response teams: a multisite implementation evaluation. June 3, 2010 Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819c9ce9. https://psnet.ahrq.gov/issue/leading-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43201/psn-pdf
    May 21, 2014 - New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 Washington, DC: US Department of Health and Human Services; May 7, 2014. https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved- care-and-savings Comparing safety…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45357/psn-pdf
    October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? October 9, 2016 Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035. https://psnet…

  19. Microsoft Word - KID_Sources_and_Restrictions_2000.doc (pdf file)

    hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2000.pdf
    January 01, 2000 - Microsoft Word - KID_Sources_and_Restrictions_2000.doc Sources of KID Data and State-Specific Restrictions 2000 HCUP KID (1/28/03) 1 Sources of KID Data and State-Specific Restrictions AZ Arizona Department of Health Services No restrictions CA Office of Statewide Health Planning & …

  20. Sources of NIS Data and State-Specific Restrictions 2003

    hcup-us.ahrq.gov/db/nation/nis/nis_2003_stspecific_restr.jsp
    January 01, 2003 - Sources of NIS Data and State-Specific Restrictions 2003 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
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