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Showing results for "occurring".

3061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46507/psn-pdf
      October 11, 2017 - Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. October 11, 2017 Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs. Health Aff (Millwood). 201…

3062. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
      June 01, 2023 - Tool: Cross-Monitoring Ongoing cross‐monitoring of the care environment helps everyone recognize risks and errors. It allows individuals and teams to take steps to correct the issue before harm or injury to the patient occurs. As one example, e-ICUs have proven the value of having remote staff cross-monitoring …

3063. Appendix A. Exclusion Criteria | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapa.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix A. Exclusion Criteria Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adul…

3064. CHG Bathing (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
      March 01, 2022 - CHG Bathing Patients With Devices: Prevent Infections During Your Hospital Stay PATIENTSection 10-7 BATHE Daily With Chlorhexidine (CHG) Cloths AHRQ Pub. No. 20(22)-0036 March 2022 During your stay, bathing will occur every day with a special antiseptic (CHG) that removes germs and prevents infection better t…

3065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41866/psn-pdf
      November 28, 2012 - "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. November 28, 2012 Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qual Saf. 2012;21 Suppl 1:i67-75. d…

3066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48130/psn-pdf
      August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. August 7, 2019 Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:10.1001/jamainternmed.2019.2005. …

3067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44881/psn-pdf
      August 16, 2017 - A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. August 16, 2017 Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…

3068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47006/psn-pdf
      October 13, 2018 - Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. October 13, 2018 Stelfox HT, Soo A, Niven DJ, et al. Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Pop…

3069. Talking With Residents and Family Members About Antibiotics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
      June 01, 2021 - Talking With Residents and Family Members About Antibiotics AHRQ Pub. No. 17(21)-0029 June 2021 Talking With Residents and Family Members About Antibiotics The last time this happened, the doctor prescribed an antibiotic and my family member got better. Can’t we do that again… just in case? Five …

3070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47372/psn-pdf
      January 01, 2019 - Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. October 3, 2018 Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That Could Lead to Diagnostic…

3071. Supplemental Items for the CAHPS Clinician & Group Adult Survey: Perceived Bias | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-perceived-bias-cg30-adult.html
      December 01, 2023 - Supplemental Items for the CAHPS Clinician & Group Adult Survey: Perceived Bias Population version: Adult Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Some items cover events that occ…

3072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38816/psn-pdf
      July 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).…

3073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42454/psn-pdf
      September 09, 2013 - A perinatal care quality and safety initiative: are there financial rewards for improved quality? September 9, 2013 Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient Saf. 2013;39(8):339-48. https://…

3074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44715/psn-pdf
      May 19, 2019 - Electronic health record–related events in medical malpractice claims. May 19, 2019 Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. https://psnet.ahrq.gov/issue/electronic-health-record-rel…

3075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42423/psn-pdf
      July 17, 2013 - National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. July 17, 2013 Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843. h…

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45113/psn-pdf
      May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year due to preventabl…

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45360/psn-pdf
      July 27, 2016 - Communicating findings of delayed diagnostic evaluation to primary care providers. July 27, 2016 Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.150363. https://psnet.ahrq.gov/issue/co…

3078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46245/psn-pdf
      June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…

3079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41535/psn-pdf
      December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…

3080. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
      September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Why Checklists for Diagnosis Are Not Performing as Expected Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use C…