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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849127/psn-pdf
    May 17, 2023 - Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. May 17, 2023 Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845652/psn-pdf
    March 14, 2023 - Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4. https://psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety D…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42779/psn-pdf
    January 29, 2014 - Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. January 29, 2014 Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867592/psn-pdf
    January 22, 2025 - Restorative just culture: an exploration of the enabling conditions for successful implementation. January 22, 2025 Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;12(20):2046. doi:10.3390/health…

  5. Idea Generation | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/idea
    January 01, 2023 - Idea Generation Benchmarking Description Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization. Brainwriting Description B…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49451/psn-pdf
    June 01, 2004 - The Result Stopped Here June 1, 2004 Astion ML. The Result Stopped Here. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/result-stopped-here The Case A 91-year-old female was transferred to a hospital-based skilled nursing unit from the acute care hospital for continued wound care and intravenous (IV) antib…

  7. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  8. Discharge Against Medical Advice | PSNet

    psnet.ahrq.gov/web-mm/discharge-against-medical-advice
    July 01, 2017 - Discharge Against Medical Advice Citation Text: Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  9. On-Time Pressure Ulcer Assessment | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
    December 01, 2017 - On-Time Pressure Ulcer Assessment AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressur…

  10. Puh-Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
    June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing On-Time Pressure Ulcer Assessment The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressure Ulcer Assess…

  11. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
    March 01, 2017 - Facilitator Notes SAY: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. SLIDE 1 SAY: In this module we will— · Define sustainability and understand the importance of maintaining positive change · Describe the link between sustainability and spr…

  12. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
    July 28, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room Citation Text: Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…

  13. "Recurrent" Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - "Recurrent" Appendicitis Citation Text: Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  14. CVC Removal: A Procedure Like Any Other | PSNet

    psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  15. Origin of Adverse Drug Events in U.S. Hospitals, 2011 - Statistical Brief #158

    hcup-us.ahrq.gov/reports/statbriefs/sb158.jsp
    July 01, 2013 - data can be used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least frequently occurring cause overall. … Clostridium difficile infection was the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at

  16. Parent preferences for medical error disclosure: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric

  17. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency

  18. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring

  19. Risk factors for hospital admissions associated with adverse drug events. | PSNet

    psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
    October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration

  20. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous
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