Results

Total Results: 4,019 records

Showing results for "mistakes".

3901. AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
      November 01, 2017 - patient flow. 9 12 9/12=75% We look at staff actions and the way we do things to understand why mistakes

3902. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - observation by patients and families of their trusted health care providers performing interventions, making mistakes

3903. Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cognitive-decline-disposition-170707pdf.pdf
      March 24, 2017 - Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia Source: https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/ ?pageaction=displayproduct&productid=2417 Published Online: March 24, 2017 Comparative Effect…

3904. Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cognitive-decline-disposition-170707pdf.pdf
      March 24, 2017 - Interventions To Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer’s-Type Dementia Source: https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/ ?pageaction=displayproduct&productid=2417 Published Online: March 24, 2017 Comparative Effect…

3905. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
      April 01, 2013 - to the resistors, you want to standardize care and create independent checks, and always learn from mistakes

3906. MyMediHealth: A Paradigm for Children-centered Medication Management - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018168-johnson-final-report-2013.pdf
      January 01, 2013 - MyMediHealth: A Paradigm for Children-centered Medication Management - Final Report Grant Final Report Grant ID: 5R18HS018168 MyMediHealth: A Paradigm for Children-centered Medication Management Inclusive Project Dates: 09/30/09 – 07/31/13 Principal Investigator: Kevin B. Johnson, MD, MS …

3907. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
      January 01, 2024 - Final Progress Report: Improving Warfarin Management in Competitive Healthcare Kirkwood Community College Improving Warfarin Management in Competitive Healthcare Award No: 5 U18 HS015830-02 — FINAL Progress Report Principal Investigator: James M. Levett, MD AHRQ Grant Final Progress Report Title o…

3908. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
      September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Facilitator’s Guide AHRQ Pub No. 15-0073-4-EF September 2015 Contents Introduction 5 Using This Guide 5 Preparing for a Session 5 Delivering the Session 6 Module 1: Overview 7 Potential Questions To Ask Before …

3909. AHRQ Slide Template 2009 (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/reporting.ppt
      September 01, 2009 - AHRQ Slide Template 2009 Reporting the Review The Agency for Healthcare Research and Quality (AHRQ) Training Modules for Methods Guide for Effectiveness and Comparative Effectiveness Reviews www.ahrq.gov Reporting the Review Systematic Review Process Overview Systematic Review Process Overview This slide ill…

3910. 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 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD; Carol Masheter, PhD; Su…

3911. Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
      May 01, 2021 - I see mistakes doctors make every day. I see how medical recommendations change over time. … as you hold these one-on-one conversations: ` Acknowledge that public health officials have made mistakes

3912. Enhancing an EMR-Based Real-Time Sepsis Alert System Performance through Machine Learning - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
      January 01, 2019 - any mechanism to learn from its past erroneous sepsis screening decisions and may repeat the same mistakes

3913. Integrating Health System Data With Systematic Reviews_Methods Research Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-research-report-integrating-health-system-data.pdf
      April 01, 2020 - the collection of EHR data that are of interest to healthcare providers), be prone to error (e.g., mistakes

3914. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - (8) In one recent survey of over 500,000 healthcare workers, 53% expressed concern that their mistakes

3915. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - The admission and study of mistakes are what permits improvement.”8 These are the principles on which

3916. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
      January 01, 2025 - Coping with Medical Mistakes and Errors in Judgment.

3917. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
      January 01, 2017 - No matter how hard we try, we will forget to order an important medication, and we will make mistakes

3918. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/references.html
      May 01, 2023 - Wall of silence: the untold story of the medical mistakes that kill and injure millions of Americans.

3919. Appendix F. Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Intervention Described Consider for Inclusion Evidence Level Rationale Speak Up: Help Avoid Mistakes

3920. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
      January 01, 2024 - This is a safe space: what we do and say here stays here  We are here to learn: it is okay to make mistakes