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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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-interpreter-hpcahps-adult_2157-4a.docx
May 24, 2017 - CAHPS® Health Plan Survey 5.0 Supplemental Items: Interpreter Services
Population Version: Adult
Supplemental Items for the CAHPS® Health Plan Survey 5.0
Topic: Interpreter Services
Population Version: Adult
Language: English
Users of the CAHPS® Health Plan Survey are free to incorporate supplemental items in or…
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Study
Contribution of adverse events to death of hospitalised patients.
Citation Text:
Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377.
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Format…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-table8.pdf
April 21, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Table 8
Table 8: Evidence Regarding Overuse of Computed Tomography Imaging for Atraumatic Headache
in Children
TYPE OF
EVIDENCE
KEY FINDINGS
LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATION(S)
Appropria…
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www.ahrq.gov/research/shuttered/hospevactab6.html
July 01, 2018 - Hospital Evacuation Decision Guide (Table 6)
Public Health Emergency Preparedness
Table 6. Factors to Consider in Deciding Whether to Begin a Pre-Event Evacuation
Factor
Issues to Consider
Implications
Event Characteristics
Arrival
When is the event expected to "hit" the …
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psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
November 16, 2022 - Study
Classic
Systematic root cause analysis of adverse drug events in a tertiary referral hospital.
Citation Text:
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdf
January 01, 2017 - National Quality Strategy Fact Sheet
The National Quality Strategy is a national effort to
align public- and private-sector stakeholders to achieve
better health and health care for all Americans.
About the National Quality Strategy
The National Quality Strategy (NQS) was first published in March 2011 as the Na…
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psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
September 28, 2017 - Study
Prevalence of copied information by attendings and residents in critical care progress notes.
Citation Text:
Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Comprehensive Antibiogram Toolkit
Phase 4 Monitoring
It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribing clinicians (physicians, nurse practitioners, physician assistants) and nursing home staff on ways to improve the usability of the antibiogram and (2) tracking the pres…
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digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in the Long-term Care Setting
Effect of Computerized Physician Order
Entry with Clinical Decision Support on
Adverse Drug Events in the Long-term
Care Setting
Jerry H. Gurwitz, M.D.
Chief, Division of Geriatric Med…
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digital.ahrq.gov/sites/default/files/docs/page/2006FreebairnSmith_051311comp.pdf
May 24, 2011 - Organizational Barriers and Enablers to Using Electronic Health Records - ERICCA Project
Organizational Barriers and Enablers
to Using Electronic Health Records
ERICCA Project
Yale University
Laura Freebairn-Smith, MPPM
P.I.: Richard Shiffman, MD, MCIS
2
Presentation Overview
– Background
– Focus of research…
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psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review
July 01, 2009 - Study
Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool.
Citation Text:
Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, MATCH Resources for Patients
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. B…
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psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
September 14, 2022 - Study
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals.
Citation Text:
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…
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psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
November 27, 2013 - Study
Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.
Citation Text:
Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-quick-start-final508.pdf
April 04, 2018 - Implementation Quick Start Guide: Warm Handoff Plus
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide
Warm Handoff Plus
1 Review intervention and training materials
� Understand the purpose, use, and benefits � Review the training too…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina.
South Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
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psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - Commentary
Two fatal cases of accidental intrathecal vincristine administration: learning from death events.
Citation Text:
Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Rationale for Improvement Tools
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
October 01, 2023 - Supplemental Items for the CAHPS Hospital Survey: Interpreter Services
Population version: Adult
Related topic: Health Literacy . Hospitals interested in items that assess interpreter services may also want to review and use supplemental items that ask about health literacy.
Use with HCAHPS : These …