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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - hospitalists, and pharmacists from
infection control, intensive care, and inpatient units, including operating … room; and
representatives from quality improvement, radiology, and information services to develop
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - hospitalists, and pharmacists from
infection control, intensive care, and inpatient units, including operating … room; and
representatives from quality improvement, radiology, and information services to develop
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - The patient was taken to the operating room for lysis of adhesions but died 3 days later.
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
April 01, 2019 - Baylor Scott & White Health: Building a Foundation for Continuous Improvement
Baylor Scott & White Health: Building a Foundation for
Continuous Improvement
The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies
to help health system chief executive officers and other C-sui…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-2015.pdf
January 01, 2015 - many
of these new devices also requires sophisticated, costly infrastructure in the form of hybrid
operating … rooms or hybrid catheterization laboratories. … Such infrastructure improvements cost about
$3 million to $4 million in equipment for one hybrid operating … room.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Infection errors are best addressed by targeting behaviors, such as hand washing, glove use,
sterile operating … room entry, and other specific infection control practices (e.g., the Institute for
Healthcare Improvement … goal
setting, and task clarification to increase the use of the
“hands free” technique by hospital operating … room
staff.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Adapting to new technology in
the operating room. Hum Factors 1996
Dec;38(4):593–613.
28.
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hcup-us.ahrq.gov/db/nation/nass/2019_NASS_Introduction.pdf
January 01, 2019 - room, penetrate or break the skin, and
involve regional anesthesia, general anesthesia, or sedation … These are major therapuetic procedures that require the use of an
operating room, penetrate or break … A narrow procedure
(1) requires the use of an operating room, (2) penetrates or breaks the skin, and … room. … room and regional anesthesia, general anesthesia, or
sedation.
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hcup-us.ahrq.gov/db/nation/nass/2018_NASS_Introduction.pdf
January 01, 2018 - These are major therapuetic procedures that require the use of an
operating room, penetrate or break … A narrow procedure
(1) requires the use of an operating room, (2) penetrates or breaks the skin, and … room. … room and regional anesthesia, general anesthesia, or
sedation. … room.
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hcup-us.ahrq.gov/db/nation/nass/NASS_Introduction_2019.jsp
January 01, 2019 - room, penetrate or break the skin, and involve regional anesthesia, general anesthesia, or sedation … These are major therapuetic procedures that require the use of an operating room, penetrate or break … A narrow procedure (1) requires the use of an operating room, (2) penetrates or breaks the skin, and … room. … room and regional anesthesia, general anesthesia, or sedation.
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - The patient was taken to the operating room for lysis of adhesions but died 3 days later.
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - I can remember being in the operating room and watching surgeons do things that made no real sense rationally … recording or "black box" systems in commercial aircraft, which have recently been experimented with in operating … rooms.( 8 ) These approaches are complex and challenging to implement effectively. … aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating … room.
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Community Connectivity: Healing Takes Time - Information Shouldn't
Volunteer eHealth Initiative
a regional demonstration project
Mark Frisse, MD
June 8, 2005
Washington, DC
Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University
This presentation has not been approved by the Agency for Healthc…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - This checklist covers tasks before anesthesia, before incision, and
before leaving the operating room … Minnesota, and an
Accreditation Association for Ambulatory Health Care surveyor, provided Becker’s Operating … Room Clinical Quality & Infection Control with a patient flow worksheet template for use in
ambulatory
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www.ahrq.gov/data/resources/index.html?page=4
Data Resources
The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results
41-50 of 53 Resources displayed
Pagination
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psnet.ahrq.gov/issue/failure-crisis-leadership-global-pandemic-some-reflections-covid-19-and-future
September 16, 2020 - Commentary
Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations.
Citation Text:
Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh He…
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psnet.ahrq.gov/issue/were-all-together-how-covid-19-revealed-co-construction-mindful-organising-and-organisational
February 16, 2022 - Commentary
We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability.
Citation Text:
Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and or…
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - Study
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.
Citation Text:
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical setting…
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psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
August 05, 2020 - Study
Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.
Citation Text:
Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool…
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psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
January 08, 2025 - Study
Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.
Citation Text:
Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…