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Showing results for "occurred".

  1. Cer-238-Cervical-Ripening-Appendix-E-1 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/cer-238-cervical-ripening-appendix-e-1.xlsx
    January 01, 2009 - -Women were asked to return to the Birthing Unit at 7 AM the following morning, unless labor occurred … Birthing Unit at 7 am the morning after PGE2 administration, unless ARM could not be performed, labor occurred … labor and delivery suite if membranes ruptured, regular uterine contractions began, or vaginal bleeding occurred … -If accidental rupture of the membranes occurred during insertion, the catheter was left in situ but

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33763/psn-pdf
    March 01, 2014 - A substantial portion of the harm from errors occurred in the form of preventable health care–associated

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865467/psn-pdf
    March 27, 2024 - patient has not designated one, and it is presumed from the narrative that in the state where this occurred

  4. Misleading Complaint | PSNet

    psnet.ahrq.gov/web-mm/misleading-complaint
    December 01, 2009 - analysis of the case requires a shared understanding of where in the diagnostic spectrum the error occurred

  5. Rapid Mis-St(r)ep | PSNet

    psnet.ahrq.gov/web-mm/rapid-mis-strep
    February 01, 2004 - Essentially no change in management has occurred!

  6. Fumbled Handoff | PSNet

    psnet.ahrq.gov/web-mm/fumbled-handoff
    September 01, 2006 - The Commentary This patient's poor outcome occurred in part due to a breakdown in communication between

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33701/psn-pdf
    October 01, 2010 - Most aviation checklist errors occurred immediately after an interruption to the checklist or when the

  8. Did We Forget Something? | PSNet

    psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - performed at the time of the operation.( 2 ) In this study, failure to perform or complete counts generally occurred

  9. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
    January 01, 2014 - Data collection and analysis occurred iteratively, consistent with grounded theory procedures 4 5 … Process reengineering to support integration occurred later as users became more familiar with the … of coding to value concepts remained fairly constant, within the sub-­‐node classifications move occurred

  10. Archived: Bladder Cancer in Adults: Screening, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/bladder-cancer-adults-screening-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Bladder Cancer in Adults: Screening, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of the U.S. governme…

  11. Tracking Patient Outcomes | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/tracking-patient-outcomes
    February 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  12. What Not To Do | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/what-not-do
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  13. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
    September 01, 2009 - Hospital Survey on Patient Safety Culture: Background and Information for Translators Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture Background and Information for Translators September 2009 Purpose and Use of This Document In this document, w…

  14. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4n Selected Best Practices and Suggestions for Improvement IQI: Mortality Review of Select Procedures and Conditions Why Focus on Mortality Review? …

  15. 091-Decolonization-Implementation-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Decolonization Implementation Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Decolonization Implementation SAY: Hello. Welcome to this presentation on the implementa…

  16. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfer Troubles 1 2 Source and Credits This presentation is based on the June 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49497/psn-pdf
    December 01, 2005 - Slippery Slide Into Life December 1, 2005 Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/slippery-slide-life The Case A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated prenatal care. A third-year obstetrics and g…

  18. Archived: Oral Cancer: Screening, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/oral-cancer-screening-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Oral Cancer: Screening, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of the U.S. government. They sh…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

  20. DRESSed for Failure | PSNet

    psnet.ahrq.gov/web-mm/dressed-failure
    September 01, 2011 - DRESSed for Failure Citation Text: Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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