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Showing results for "occurring".

  1. psnet.ahrq.gov/taxonomy/term/3460
    November 10, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …
  2. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/needs-assessment
    January 01, 2023 - Needs Assessment Examples Walker J, Bieber E, Richards F, et al. Appendix 2: physician reporting and digital storage system needs assessment - endoscopy suite. In: Walker J, Bieber E, Richards F, editors. Implementing an electronic health record system. London: Springer; 2005. p. 183-91. Des…
  3. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
    January 01, 2023 - Decision Tree Also Known As Decision Process Flowchart Logic Diagram Description Decision trees are tools that can be utilized to navigate several courses of action to arrive on one choice. Their structure allows one to evaluate multiple options and explore what the potential outcomes ar…
  4. psnet.ahrq.gov/issue/holding-out-apology
    January 19, 2024 - Commentary Holding out for an apology. Citation Text: Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  5. www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
    January 01, 2024 - Thus, engaging families in FCR provides a regularly occurring interaction for families to influence the
  6. www.uspreventiveservicestaskforce.org/home/getfilebytoken/-6kN7TPcfEj2owG4GTN2jA
    June 01, 2012 - consecutive negative HPV results within 10 years before cessation of screening, with the most recent test occurring
  7. www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/syphilis-infection-pregnant-persons
    November 19, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Recommendation Statement Syphilis Infection During Pregnancy: Screening November 19, 2024 Recommendations made by the USPSTF are independent of the U.S. …
  8. www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
    July 01, 2018 - Facilities Public Health Emergency Preparedness 1. Preplanning Description: Certain equipment, services, or staffing required for surge use of the shuttered hospital will necessitate advance arrangements, including identification of providers, contracts, specifications, and protocols. Timeframe: As soon…
  9. www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16, 2007 Using Barcode Technology to Improve Medication Safety Principal Investigator: Tejal Gandhi, tgandhi@partners.org Brigham and Women’s Hospital Tejal Gandhi MD, MPH, Principle Investigator Eric Poon, MD, MPH, …
  10. www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
    January 01, 2024 - Final Progress Report: Validation of an Innovative Approach to Error Reduction Final Progress Report Validation of an Innovative Approach To Error Reduction Principal Investigator: David Blumenthal, MD, MPP Team Members: Carlos A. Camargo, Jr., MD, DrPH (Massachusetts General Hospital) Paul D. Cleary, PhD (Yale…
  11. hcup-us.ahrq.gov/reports/statbriefs/sb164.pdf
    October 01, 2013 - Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 1 October 2013 Characteristics of Adverse Drug Events Originating During the Hospital Stay, 2011 Audrey J. Weiss, Ph.D. and Anne Elixhauser, Ph.D. Introduction An adverse drug event (ADE) involves patient in…
  12. www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening-february-2005
    February 15, 2005 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Abdominal Aortic Aneurysm: Screening February 15, 2005 Recommendations made by the USPSTF are independent of the U.S. government.…
  13. psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
    February 19, 2020 - SPOTLIGHT CASE Falling Through the Crack (in the Bedrails) Citation Text: Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation F…
  14. hcup-us.ahrq.gov/reports/statbriefs/sb81.pdf
    April 01, 2010 - Statistical Brief #81: The Costs of End-of_Life Hospitalizations, 2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #81 Highlights ■ Thirty-two percent of all deaths in the U.S. in 2007 were inpatient hospital deaths. ■ T…
  15. hcup-us.ahrq.gov/reports/statbriefs/sb136.pdf
    March 01, 2012 - Statistical Brief #137: Hospital Visits in the U.S. for Firearm-Related Injuries, 2009 1 June 2012 Hospital Visits in the U.S. for Firearm- Related Injuries, 2009 Alison Evans Cuellar, Ph.D., Elizabeth Stranges, M.S., and Carol Stocks, R.N., M.H.S.A. Introduction Firearm injuries make up …
  16. hcup-us.ahrq.gov/reports/statbriefs/sb48.pdf
    March 01, 2008 - Statistical Brief #48: Violence-Related Stays in U.S. Hospitals, 2005 HEALTHCARE COST AND UTILIZATION PROJECT Agen Rese March 2008 In 200 estima relate U.S., hospit Nearly relate resulte acts, w the re Maltre 4.2 pe relate The in amon maltre higher death to viol versus Males perce f…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49604/psn-pdf
    June 01, 2010 - Tacit Handover, Overt Mishap June 1, 2010 Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap The Case A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3 years earlier to treat an abdo…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
    December 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case December 2006 Hidden Heparins: HIT Happens Source and Credits This presentation is based on the December 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Patrick F. Fogarty,…
  19. www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
    July 01, 2023 - Section 2: Explanation and Value of the TeamSTEPPS Curriculum  This section contains explanations and illustrations to help you better understand and appreciate the structure and importance of the TeamSTEPPS curriculum and its key concepts. If you teach this content or want additional insights into how the mate…
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-guide.docx
    September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children Ambulatory Care Slide Title and Commentary Slide Number and Slide The “Sometimes Antibiotics” Diagno…