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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … September 29, 2010
Using the Agency for Healthcare Research and Quality Patient Safety
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - Central venous catheter (CVC) placement is one of the most common medical procedures performed in health … care today. … Making Health Care Safer: a Critical Analysis of Patient Safety Practices: Summary. … 2003
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Emergency Departments
Health … Care Providers
Nurse Managers
Emergency Medicine
Gynecology
View More
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - tracheostomy patients.13,14
• Optimizing tracheostomy care and practices can be challenging in a large health … care system with diverse patient populations undergoing tracheotomy and a
variety of clinical services … ARC Journal of Nursing and
Healthcare. 2018; 4(4): 1-5. [Free full text]
18.
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - stay in the ICU.(10)
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - but it
also vividly illustrates the risks and unintended consequences of digitizing a fundamental health … care
process. … Context
CPOE is recommended by the National Quality Forum as one of the 30 "Safe Practices for Better
Healthcare
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - the
widespread use of POCUS by laypersons may not be imminent, there is a large pool of potential health … care users of POCUS, including medical students, emergency medical services providers, nurses,
physician … care system
regarding the use of POCUS in their realm and beyond. … Making Health Care Safer:
A Critical Analysis of Patient Safety Practices. … Rockville, MD: Agency for Healthcare Research and Quality;
2001. AHRQ Publication No. 01-E058.
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - the Center for Artificial Intelligence and Bioinformatics in the Learning Healthcare
System. … System or CAIBILS. … Sarah Mossburg: You recently published an article, "The Safety of Inpatient Health Care: A Long-Term … https://psnet.ahrq.gov/issue/safety-inpatient-health-care
https://psnet.ahrq.gov/issue/safety-inpatient-health-care … Health care needs to be better. It can do better.
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - In case 2, the healthcare
providers’ desire to complete the MRI quickly led to repeated dosing of both … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Consequently, improving
handoff quality has been identified by the Agency for Healthcare Research and … or provision of outdated, erroneous information occurs frequently.(2)
Several developments in the health … care system have exacerbated handoff problems, including the
increasing complexity of hospitalized … Qual Saf Health Care. 2010;19:493-497. [go to PubMed]
3. … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - care delivery systems, and diagnostic services such as laboratory, pathology, and radiology. … Little is known about optimal strategies for clinicians and health care systems to receive feedback on … care systems themselves could fully or partially fund improvement projects. … Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care. … Improving diagnosis in health care—the next imperative for patient safety.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - or provision of outdated, erroneous information occurs frequently.( 2 ) Several developments in the health … care system have exacerbated handoff problems, including the increasing complexity of hospitalized patients … Qual Saf Health Care. 2010;19:493-497. [go to PubMed]
3. … 2007
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Intensive Care Units
Health … Care Providers
Critical Care
Discontinuities, Gaps, and Hand-Off Problems
Active Errors
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - systems … care system over the entirety of their lifespan. … Transition from child-centered to adult health-care systems for
adolescents with chronic conditions. … care
system. … Consensus statement provides a
framework for health care delivery
during the transition period and
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - providers, patients, and families is imperative to reducing preventable harm during this high-risk health … care delivery process. … Family-centered care: current applications and future directions in pediatric health care. … care system with an advanced electronic medical record. … November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Sabin, MD Director, Ethics Program, Harvard Pilgrim Health Care Clinical Professor,
Departments of Population … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - Berwick is President and Chief Executive Officer of the Institute for Healthcare
Improvement (IHI). … School of
Public Health, he is generally acknowledged as one of the foremost experts and leaders in health … care
quality and patient safety. … care throughout the world. … One is that so much of trying to work in health care today is working
under outside pressure.
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
May 05, 2025 - Two approaches to improving quality in health care are illustrated in this article. … Qual Saf Health Care . 2010; 19 :313-7 . … Int J Qual Health Care . 2014; 26 :321-329 . … Int J Qual Health Care . 2014; 26 (3) :321-329 . … Qual Saf Health Care . 2010; 19 (4) :313-7 .
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - ensure balance,
independence and objectivity in all its CME activities to promote improvements in health … care and not
proprietary interests of a commercial interest. … psnet.ahrq.gov//#3
https://psnet.ahrq.gov//#5
https://psnet.ahrq.gov//#6
https://psnet.ahrq.gov/primer/health-care-associated-infections … With the benefit of hindsight, it seems obvious the interests of the patient, the family
and the healthcare … system would have been better served by a palliative care consult
and possible institution of comfort-care
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - systems, teams, and workflows. … can
be intimidating for healthcare systems to approach and implement. … racial-disparities-health…
16. https://www.statnews.com/2022/05/24/market-failure-preventing-efficient-diffusion-health-care-ai … https://www.statnews.com/2022/05/24/market-failure-preventing-efficient-diffusion-health-care-ai-software … /
https://www.statnews.com/2022/05/24/market-failure-preventing-efficient-diffusion-health-care-ai-software
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - Impacting Accurate
Diagnosis
21
Case Factors Impacting Accurate Diagnosis (1)
• Telemedicine is the delivery … of healthcare-related clinical services via electronic
and telecommunication methods, eliminating the … Telemedicine for healthcare: capabilities, features, barriers, and applications. … al. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Impacting Accurate
Diagnosis
21
Case Factors Impacting Accurate Diagnosis (1)
• Telemedicine is the delivery … of healthcare-related clinical services via electronic
and telecommunication methods, eliminating the … Telemedicine for healthcare: capabilities, features, barriers, and applications. … al. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare