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  1. 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…
  2. 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…
  3. 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. Copy Citation Format…
  4. 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…
  5. 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 …
  6. 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…
  7. 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…
  8. 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-…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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 …
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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 …