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9101. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
      psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
      November 27, 2019 - February 15, 2023 Medication errors in intensive care units: an umbrella review of control measures

9102. Statewide Implementation of Electronic Health Records | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records
      January 01, 2023 - medication errors in 10 primary care practices, statewide practice quality data analysis (including HEDIS measures

9103. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
      January 01, 2017 - Reduce your ICU LOS by 1,500 patient days per year (3 days x 500 patients) Improve tracking of process measures

9104. Overview: Getting Patients Off the Ventilator Faster: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
      February 01, 2017 - Slide 21: Intervention 2—Daily Care Process Measures Use subglottic secretion drainage endotracheal

9105. Autopsy Revelation | PSNet
      psnet.ahrq.gov/web-mm/autopsy-revelation
      December 01, 2007 - Medical error and outcomes measures: where have all the autopsies gone?

9106. Archived: Final Evidence Summary: Low-Dose Aspirin Use for the Prevention of Morbidity and Mortality From Preeclampsia: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary51/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication-september-2014
      April 08, 2014 - All RCTs reported valid outcome measures, and all but 1 study reported using identical placebo formulations … Maternal obstetric outcome measures in a randomised controlled study of labetalol in the treatment of

9107. Statistical Brief #156
      hcup-us.ahrq.gov/reports/statbriefs/sb156.jsp
      May 01, 2013 - Procedure Classes for ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights … The ISS correlates linearly with mortality, morbidity, hospital stay, and other measures of severity.

9108. An Example of Using Present on Admission Data: CMS-Defined Hospital-Acquired Conditions in All-Payer Data
      hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
      August 01, 2011 - Procedure Classes for ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights … Although researchers have identified weaknesses in some measures in the CMS HACs 4 , the algorithm provides

9109. NASHP Environmental Scan 3-1 to TR v2.xls (pdf file)
      hcup-us.ahrq.gov/reports/race/50StateScan04_26forweb.pdf
      December 01, 2010 - NASHP Environmental Scan 3-1 to TR v2.xls !"#$%&%'()*+,-.*/'*%&0($1&*(.2($%&%'(3450,1&%,.*6(7.14/'*%,*8(9&1,&0(&*:( )%;*,1(7,6<&-,%,'6(,*(='&0%;($%&%46(&*:(='&0%;(>&-'( ! "#$%!%&''()*!$%!+#,!-)./&0+!.1!(2!,23$).2',2+(4!%0(2!0.2/&0+,/!5*!+#,!6(+$.2(4! 70(/,'*!1.)!8+(+,!9,(4+#!:.4$0*!;6789:

9110. Integrated Behavioral Health--The Journey To Becoming The Standard Of Care (doc file)
      integrationacademy.ahrq.gov/sites/default/files/2024-09/Integrated%20Behavioral%20Health--The%20Journey%20to%20Becoming%20the%20Standard%20of%20Care.docx
      January 01, 2024 - Integrated Behavioral Health: The Journey to Becoming the Standard of Care Danielle Durant: Good afternoon, everyone. I'm Dr. Danielle Durant, a principal research associate for Westat and director of the Agency for Healthcare Research and Quality's Academy for Integrating Behavioral Health and Primary Care. I am so…

9111. Improving-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
      May 01, 2017 - Through these measures, briefings can help improve patient safety. … At the end of the case, the checklist prompts the team to have a discussion that includes process measures

9112. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - After extensive discussion, his family eventually decided to pursue comfort measures only, and he died

9113. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
      July 01, 2023 - Address issues that require adaptive solutions with measures such as— Implementing an evidence-based

9114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860050/psn-pdf
      January 04, 2024 - obtained, the findings were appropriately reported to caregivers as well as external agencies, and measures

9115. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
      March 01, 2020 - increase the diversity of its practitioner pool led to higher levels of satisfaction by members on several measures

9116. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
      psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
      December 14, 2022 - patients with spontaneous pneumothorax, as well as patients who have these conditions, are recommended measures

9117. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - Accuracy of physician self-assessment compared with observed measures of competence: a systematic review

9118. COVID-19: Team and Human Factors to Improve Safety | PSNet
      psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
      September 15, 2024 - Adequate breaks, greater experience, positive feedback, confidence in infection control measures, and

9119. Code Blue—Where To? | PSNet
      psnet.ahrq.gov/web-mm/code-blue-where
      March 30, 2020 - ergonomically designed resuscitation equipment saves valuable time.( 12 ) Hospitals must institute measures

9120. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
      psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
      February 23, 2022 - hands-on practice, followed by “diligent” attending supervision. 16 Following these quality improvement measures