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Showing results for "occurring".

  1. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
    June 02, 2025 - PowerPoint Presentation Implementing TeamSTEPPS Introduction Reflecting on Day 1 Day 2 Preview Patient safety is threatened by poor communication and teamwork. TeamSTEPPS provides tools and a framework to improve both. Questions or reflections on day 1. 2 2 Preparing for Day 2 Day 2 Preview Day 1: Int…

  2. 170-Cusp-Science-Safety-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Science of Safety: Principles in Practice ICU & Non-ICU Slide Title and Commentary Slide Number and Slide The Science of Safety: Principles in Practice SAY: Welcome to this presentation on the topic of “The Science of Safety: Principles in Practice.” As you consider esta…

  3. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
    March 19, 2008 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process Beverly Ann David, PhD; Ana Rodriguez, PharmD; Stanley W. Marks, MD Abstract There is an urgent need to m…

  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
    January 01, 2024 - Spotlight Spotlight Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Christian Bohringer, MBBS, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60542/psn-pdf
    May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride May 27, 2020 Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride The Case  An infant with trisomy 21 underwent repair of a…

  6. Archived: Gestational Diabetes: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-screening-2008
    May 15, 2008 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Gestational Diabetes: Screening May 15, 2008 Recommendations made by the USPSTF are independent of the U.S. government. They…

  7. MAINTAIN AND EXPAND (pdf file)

    hcup-us.ahrq.gov/reports/methods/EvaloftheSASD2001(HCUP_CD)v3Final.pdf
    March 19, 2004 - MAINTAIN AND EXPAND HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: hcup@ahrq.go…

  8. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

  9. Chartbook #3: Nursing Home Trends, 1987 and 1996

    meps.ahrq.gov/data_files/publications/cb3/cb3.shtml
    May 01, 1999 - Chartbook #3: Nursing Home Trends, 1987 and 1996   Skip to main content An official website of the Department of Health & Human Services More Back Search ahrq.gov …

  10. Getting to the Root of the Matter | PSNet

    psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…

  11. The Deadly Duo | PSNet

    psnet.ahrq.gov/web-mm/deadly-duo
    April 28, 2021 - The Deadly Duo Citation Text: Maldonado JR. The Deadly Duo. 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 tagged PubMedId RIS …

  12. In Conversation With... Jeffrey Shuren, MD, JD | PSNet

    psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
    May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD May 28, 2020  Also Read the Essay Citation Text: In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…

  13. Electronic Records to Improve Care for Children (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
    January 01, 2007 - Electronic Records to Improve Care for Children Grant Final Report Grant ID: UC1 HS015420 Electronic Records to Improve Care for Children Inclusive dates: 09/30/04 - 09/29/07 Principal Investigator: Richard N. Shiffman, MD, MCIS Team members: Alia Bazzy-Asaad Nancy Banasiak…

  14. Hospitalizations in which Patients Leave the Hospital against Medical Advice (AMA), 2007 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb78.pdf
    August 01, 2009 - Hospitalizations in which Patients Leave the Hospital against Medical Advice (AMA), 2007 From HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #78 August 2009 Highlights ■ The number of hospital stays in which patients left AMA gr…

  15. Difficult Encounters: A CMO and CNO Respond | PSNet

    psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - SPOTLIGHT CASE Difficult Encounters: A CMO and CNO Respond Citation Text: Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - Getting to the Root of the Matter June 1, 2005 Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/getting-root-matter Case Objectives Appreciate the goals and limitations of root cause analysis Outline the steps to conduct root cause analysis The Case A…

  17. The Role of the FDA in Ensuring Device Safety | PSNet

    psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…

  18. Statistical Brief #121: Readmissions for Chronic Obstructive Pulmonary Disease, 2008 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb121.pdf
    September 01, 2011 - Statistical Brief #121: Readmissions for Chronic Obstructive Pulmonary Disease, 2008 1 September 2011 Readmissions for Chronic Obstructive Pulmonary Disease, 2008 Anne Elixhauser, Ph.D., David H. Au, M.D., M.S., Jennifer Podulka, M.P.Aff. Introduction High rates of hospital readmissions …

  19. Statistical Brief #24

    hcup-us.ahrq.gov/reports/statbriefs/sb24.jsp
    January 01, 2007 - Statistical Brief #24 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  20. HCUP Statistical Brief #24: Hospitalizations for Birth Defects, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb24.pdf
    January 01, 2007 - HCUP Statistical Brief #24: Hospitalizations for Birth Defects, 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agency for Healthcare Research and Quality STATISTICAL BRIEF #24 January 2007 Highlights In 2004, birth defects account- ed for more than 139,000 hos- pitalizations, representing 47.4 stays per 100,0…
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