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Showing results for "limitations".

4041. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/waever.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue …

4042. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
      April 30, 2025 - translational simulation-based research was limited to simple or complicated tasks due to significant limitations

4043. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - In addition, the human limitations to vigilance and the presence of complacency, even with high-alert

4044. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
      October 01, 2011 - surveillance rules.30 Despite the benefits listed above, the characterization of the ICD-9-CM codes has limitations

4045. Qdr2015-Chartbook-Access (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qdr2015-chartbook-access.pdf
      January 01, 2020 - Numbers of measures differ across groups because of sample size limitations.

4046. AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
      October 19, 2021 - table with common data sources and data types used for quality measurement and their advantages and limitations

4047. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
      January 01, 2024 - Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training Title: Improving Patient Safety in Orthopedic Trauma Surgical Training Principal Investigator: Donald D. Anderson, PhD Team Members: Geb W. Thomas, PhD J. Lawrence Marsh, MD Matthew D. Karam, MD Clarence Kreiter, PhD Organiza…

4048. Chartbook on Hispanic Health Care: Slide Presentation—Part 4 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
      March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation—Part 4 2014 National Healthcare Quality and Disparities Report Health Care of Residents of the U.S.-Mexico Border Slide 1 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of …

4049. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pptx
      January 01, 2014 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 4: Health Care of Residents of the U.S.-Mexico Border National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics This part of the chartbook focuses on health …

4050. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - What Exactly Is Patient Safety? What Exactly Is Patient Safety? Linda Emanuel, MD, PhD; Don Berwick, MD, MPP; James Conway, MS; John Combes, MD; Martin Hatlie, JD; Lucian Leape, MD; James Reason, PhD; Paul Schyve, MD; Charles Vincent, MPhil, PhD; Merrilyn Walton, PhD Abstract We articulate an intellectual h…

4051. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
      January 01, 2024 - Final Report: Embracing the PBRN Model To Improve the Medication Use Process Embracing the PBRN Model to Improve the Medication Use Process Final Report for Conference Grant 1 R13 HS016844 01 Principal Investigator: Earlene E. Lipowski, PhD Grantee Institution: University of Florida Division of Sponsored Resear…

4052. Final Progress Report: Effects of Establishing Focus in the Medical Interview (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/robins-report.pdf
      January 01, 2024 - Final Progress Report: Effects of Establishing Focus in the Medical Interview Effects of Establishing Focus in the Medical Interview Principal Investigator Lynne S. Robins, PhD Department of Medical Education and Biomedical Informatics University of Washington School of Medicine 1959 NE Pacific Street Box 3572…

4053. Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
      January 01, 2024 - Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America Setting a Quality Improvement Research Agenda to Leverage HIT/HIM in Rural America A National Stakeholder Summit April 22 - 23, 2010 Alexandria, VA Final Progress Report Principal Inv…

4054. Severe Hypertension Scenarios: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
      July 01, 2023 - Severe Hypertension Scenarios: PowerPoint Presentation Severe Hypertension Scenarios Safety Program for Perinatal Care II Teamwork Toolkit SPPC-II Toolkit AHRQ Pub. No. 23-0046 July 2023 Frontline SPPC-II SCRIPT In this handout we have compiled all of the case scenarios presented in the SPPC-II Teamwork Toolkit f…

4055. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
      October 01, 2018 - Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care October 2018  Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for H…

4056. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) Webinar Transcript AHA – Chicago June 3, 2014 Onboarding Webinar 5 12:00 PM CT Operator: The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, J…

4057. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
      June 03, 2014 - Paul Tedrick AHA – Chicago June 3, 2014 Onboarding Webinar 5 12:00 PM CT Operator: The following is a recording of the Paul Tedrick Onboarding Webinar 5 call with the American Hospital Association on Tuesday, June 3, 2014 at 12:00 p.m. Central Time. Excuse me, everyone. We now have all of our speakers in conference.…

4058. Building a Team and Process to Reduce CAUTI Risk (April 8, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
      December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk (April 8, 2015) Webinar Transcript American Hospital Association - Chicago April 8, 2014 Onboarding Webinar 1 Call 1:00 PM CT Operator: The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the Ameri…

4059. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
      April 08, 2014 - Paul Tedrick American Hospital Association - Chicago April 8, 2014 Onboarding Webinar 1 Call 1:00PM CT Operator: The following is a recording for the Onboarding Webinar I call under Conference Leader, Paul Tedrick, with the American Hospital Association - Chicago, on Tuesday, April 8, 2014 at 1:00PM Central Time.…

4060. Performance Appendix, FY 2012 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2012/2012opa.pdf
      January 01, 2012 - Performance Appendix, FY 2012 1. DEPARTMENT of HEALTH and HUMAN SERVICES Agency for Healthcare Research and Quality FY 2012 Online Performance Appendix 2. Introduction The FY 2012 Online Performance Appendix is one of several documents that fulfill the Depar…