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Showing results for "occurring".

4621. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
      March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety …

4622. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
      January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …

4623. Windows of Opportunity | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence6.html
      April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Windows of Opportunity Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion…

4624. Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet
      psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
      April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…

4625. Errors, omissions, and outliers in hourly vital signs measurements in intensive care. | PSNet
      psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care
      June 20, 2011 - Study Errors, omissions, and outliers in hourly vital signs measurements in intensive care. Citation Text: Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. Copy Citatio…

4626. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
      psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
      February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Citation Text: Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…

4627. Association of interruptions with an increased risk and severity of medication administration errors. | PSNet
      psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
      August 26, 2020 - Study Classic Association of interruptions with an increased risk and severity of medication administration errors. Citation Text: Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…

4628. Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/identifying-sepsis-phenotypes-associated-antibiotic-resistant-pathogens-using
      January 01, 2025 - Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning Project Description Publications Identifying when broad-spectrum antibiotics can be safely avoided in suspected sepsis has the potential to impro…

4629. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. | PSNet
      psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey
      December 16, 2020 - Study Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Citation Text: Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. Copy Citation…

4630. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
      July 21, 2017 - Review Emerging Classic Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. Citation Text: McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …

4631. Summary of USPSTF Final Recommendation: Primary Care Behavioral Counseling Interventions to Support Breastfeeding (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/CgLQsDuh3LaDVGNWRX9CUP
      April 01, 2025 - Summary of USPSTF Final Recommendation: Primary Care Behavioral Counseling Interventions to Support Breastfeeding Clinicians Summary of USPSTF Final Recommendation Primary Care Behavioral Counseling Interventions to Support Breastfeeding April 2025 What does the…

4632. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet
      psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
      August 15, 2012 - Book/Report Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Citation Text: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…

4633. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. | PSNet
      psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
      September 29, 2017 - Study Classic Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Citation Text: Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early ad…

4634. Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. | PSNet
      psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
      May 20, 2020 - Study Emerging Classic Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Citation Text: Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…

4635. Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet
      psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
      April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…

4636. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. | PSNet
      psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
      June 16, 2021 - Study Emerging Classic Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. Citation Text: Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …

4637. Incorrect surgical procedures within and outside of the operating room. | PSNet
      psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
      November 21, 2011 - Study Incorrect surgical procedures within and outside of the operating room. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. Copy Citation F…

4638. Task Force Issues Draft Recommendation Statement on Screening for Osteoporosis to Prevent Fractures; Screening for osteoporosis can help prevent fractures in women 65 years and older and in younger women who have gone through menopause and are at increased risk (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/osteoporosis-screening-draft-rec-bulletin.pdf
      July 08, 2024 - Task Force Issues Draft Recommendation Statement on Screening for Osteoporosis to Prevent Fractures; Screening for osteoporosis can help prevent fractures in women 65 years and older and in younger women who have gone through menopause and are at increased risk 1 www.uspreventiveservicestaskforce.org Task F…

4639. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
      January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…

4640. The Medication Metronome Project - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
      January 01, 2012 - The Medication Metronome Project - 2012 Project Name The Medication Metronome Project Principal Investigator Atlas, Steven J. Organization Massachusetts General Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Technology to Improve Health Care …