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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49601/psn-pdf
    April 01, 2010 - Nosy Business April 1, 2010 Orlandi RR. Nosy Business. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/nosy-business The Case   A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency department (ED) with epistaxis (a "nose bleed"). He reported no previous h…

  2. AHRQ Webinar: Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care - Q&As (pdf file)

    digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-qas-06152023.pdf
    June 15, 2023 - AHRQ Webinar: Transforming Guidelines Into Action: Clinical Decision Support at the Point of Care - Q&As AHRQ National Webin…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864868/psn-pdf
    March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices March 27, 2024 Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices Background Transitions of care occur …

  4. Develop and Validate Health IT Safety Measures to Capture Violations of the 5 Rights of Medication Safety – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
    January 01, 2022 - Develop and Validate Health IT Safety Measures to Capture Violations of the 5 Rights of Medication Safety – Final Report Final Progress Report to Agency for Healthcare Research and Quality Title of Project Develop and Val…

  5. Routine Iron Supplementation During Pregnancy: Review Article (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/3XUeA-_n8KhYeS95ohoo2_
    August 03, 2020 - Routine Iron Supplementation During Pregnancy: Review Article comes (eg, growth, cognitive develop¬ ment, and school performance) are cur¬ rently unavailable and should be a focus of future research. Moreover, there are inadequate data to determine whether giving iron supplements only to preg¬ nant women with docum…

  6. The Facilitation Primer: Strategies, Tools & Considerations to Get You Started (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012.pdf
    January 01, 2012 - Web forums Surveys Feedback and evaluation forms Written testimonies Focus groups held at already-occurring

  7. Root Cause Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
    January 01, 2023 - Root Cause Analysis Acronym RCA Examples Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86. Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …

  8. Pareto Chart | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
    January 01, 2023 - Pareto Chart Also Known As Pareto Diagram Description A pareto chart is a bar graph where the bars appear in decreasing length from left to right. The bar length corresponds to time, frequency, or amount. Uses When you want to find the most significant causes or problems from a l…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43643/psn-pdf
    November 04, 2014 - Out-of-hospital medication errors among young children in the United States, 2002–2012. November 4, 2014 Smith MD, Spiller HA, Casavant MJ, et al. Out-of-hospital medication errors among young children in the United States, 2002-2012. Pediatrics. 2014;134(5):867-76. doi:10.1542/peds.2014-0309. https://psnet.ahrq.g…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40965/psn-pdf
    December 15, 2011 - Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. December 15, 2011 Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Am J Geriatr Pharmacother.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. November 17, 2014 Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46068/psn-pdf
    July 09, 2018 - A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. July 9, 2018 Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. J Am Med In…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39549/psn-pdf
    March 22, 2011 - The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. March 22, 2011 Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simul…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46178/psn-pdf
    December 22, 2017 - Evaluating serial strategies for preventing wrong-patient orders in the NICU. December 22, 2017 Adelman JS, Aschner JL, Schechter CB, et al. Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-2863. https://psnet.ahrq.gov/issue/evaluating-ser…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47605/psn-pdf
    January 17, 2019 - Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. January 17, 2019 Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Operating Room: A Follow-up Study Fr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39948/psn-pdf
    December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. December 21, 2014 Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis of a prospective database of p…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46481/psn-pdf
    August 20, 2018 - An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. August 20, 2018 Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. BMJ Qual Saf. 2018;27(3):241-246. doi:…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48098/psn-pdf
    July 10, 2019 - How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. July 10, 2019 Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Am J Health Syst Pharm. 2019;76(13):970-97…

  19. Prevention of Falls in Community-Dwelling Older Adults: Clinical Summary of USPSTF Recommendation (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/Xr36-Jkz_J5JpSwHojAkNx
    Prevention of Falls in Community-Dwelling Older Adults: Clinical Summary of USPSTF Recommendation PREVENTION OF FALLS IN COMMUNITY-DWELLING OLDER ADULTS CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION Population Community-dwelling adults aged 65 years and older who are at increa…

  20. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Unique to Children Pediatric Diagnosti…
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