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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters A recent article asserted that medical error is the third leading … estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

  2. NDC | Digital Healthcare Research

    digital.ahrq.gov/ndc
    January 01, 2023 - One issue with NDCs is that they are ambiguous; many NDCs can exist for a single product, leading to … HIPAA transactions require an 11-digit NDC, so a leading 0 may be placed in those circumstances.

  3. eHealth in Utah: Improving Patient Care Through Health Information Exchange (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
    June 01, 2006 - -- Utah Commissioner for Health 11 8th Leading … Cause of Death Leading Causes of Death and Estimated Medical Injuries That Contributed to Death: Utah … Reason for Hospitalization Leading Reasons for Hospitalization and Estimated Adverse Events (AEs) … UHIN Clinical Pilot Projects� (beginning now) Moving to ‘Clinical’ Exchanges Where We Are 8th Leading … Cause of Death 3rd Leading Reason for Hospitalization Using Administrative Data for Detecting Adverse

  4. Machine Learning to Improve Patient Triage in the Emergency Department | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/machine-learning-improve-patient-triage-emergency-department
    January 01, 2023 - informed by machine learning has the potential to improve predictions around patient health severity, leading … integrated into the EHR should improve the prediction of patient illness severity and complexity, thus leading

  5. Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Items (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valueresourcelist.pdf
    January 01, 2019 - breadth of elements of patient- and family-centered care and to assess where they are against the leading … can undertake to systematically identify and eliminate inefficiencies to create a portfolio of work leading … Leading a Culture of Safety: A Blueprint for Success http://www.npsf.org/page/cultureofsafety Leading … Efficiency and Enhancing Value in Health Care: Ways To Achieve Savings in Operating Costs per Year Leading

  6. Improving patient handovers from hospital to primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
    March 06, 2013 - Care transitions remain a particularly vulnerable time for patient safety, leading to an increasing … December 5, 2012 Medication use leading to emergency department visits for adverse drug

  7. TeamSTEPPS Training Evaluation Form (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
    June 02, 2025 - Describe the activities involved in successfully leading teams 1 2 3 8. … Describe the tools for leading teams, including briefs, huddles, and debriefs 1 2 3 Comments:

  8. AHRQ’s Portrait of Sepsis Reveals Its Alarming Human Toll | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/portrait-of-sepsis.html
    September 01, 2024 - Sepsis is an extreme reaction to an untreated infection, causing the body to attack itself, leading to … practices to reduce sepsis’ burdens, and help patients and families recognize the early signs of sepsis, leading

  9. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet

    psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
    February 28, 2024 - February 28, 2024 Leading quality and safety on the frontline - a case study of department … improvement and patient safety education with clinical care October 2, 2019 Effectively leading

  10. Positive deviance: a different approach to achieving patient safety. | PSNet

    psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
    May 15, 2024 - RIS Download Citation Related Resources From the Same Author(s) Leading … August 13, 2013 Leading clinical handover improvement: a change strategy to implement

  11. Office-based anesthesia: safety and outcomes. | PSNet

    psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
    February 18, 2019 - February 18, 2019 Leading causes of anesthesia-related liability claims in ambulatory … January 4, 2012 Epidural pump programming error leading to inadvertent 10-fold dosing

  12. 1992-1988Wtrecl

    hcup-us.ahrq.gov/db/nation/nis/tools/stats/1992-1988WTRECL.txt
    January 01, 1992 - 1 AHAID 1 15 Char H:AHA ID number with the leading 6 2 DISCWT_F 16 25 4 Num H:Weight to … HOSPWT_U 73 82 4 Num H:Weight to hosps in the universe 10 IDNUMBER 83 88 Char H:AHA ID number (no leading

  13. Trauma-Informed Organizational Change Manual | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/trauma-informed.html
    May 01, 2021 - is a comprehensive list of tools and resources to elicit qualitative feedback on various aspects of leading

  14. Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/post-traumatic-stress-symptoms.html
    September 01, 2021 - healthcare workers are likely to experience acute and chronic, often unpredictable, occupational stressors leading

  15. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - FINAL Spotlight Case_Under Pressure.pptx Spotlight Under Pressure: Tracheostomy Cuff Over Inflation Leading … can decrease the risk of leaks around cuffs. 3 UNDER PRESSURE: TRACHEOSTOMY CUFF OVER INFLATION LEADING … this could happen, the patient developed increasing hypoxemia and respiratory distress, ultimately leading … to an appropriate rehabilitation facility. 7 UNDER PRESSURE: TRACHEOSTOMY CUFF OVER INFLATION LEADING … was to insert air repeatedly into the cuff, but increased balloon pressure led to tissue necrosis, leading

  16. National Steering Committee for Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/about/national-steering-committee.html
    June 01, 2021 - Safety YouTube embedded video: https://www.youtube-nocookie.com/embed/QUxyRDRTyLA AHRQ is co-leading

  17. Clinical Decision Support Consortium | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-consortium
    January 01, 2023 - Members of the CDSC included academic and community provider institutions, leading health IT organizations … Governance for clinical decision support: case studies and recommended practices from leading … Governance for clinical decision support: case studies and recommended practices from leading institutions

  18. AHRQ Strategic Plan | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/mission/strategic-plan/strategic-plan.html
    September 01, 2024 - fulfill its mission by conducting and supporting health services research, both within AHRQ as well as in leading

  19. Systems analysis of adverse drug events. | PSNet

    psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
    February 10, 2011 - They found the leading cause of error was lack of drug knowledge on the part of the ordering physician … Overall, the authors describe 16 system failures leading to ADEs, with seven accounting for 78% of all

  20. Physician Engagement (Slide Presentation) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/phys-engagement/slides.html
    June 01, 2013 - Stages of Engagement Image of a chart showing Aversion leading to Apathy leading to Engaged.
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