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8021. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol References Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Chart for Impl…

8022. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
      September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol References Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Chart for Impl…

8023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33821/psn-pdf
      December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective Some of the most urg…

8024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49628/psn-pdf
      June 01, 2011 - Routine Goes Awry June 1, 2011 Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/routine-goes-awry The Case A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and scheduled for a tonsillectomy and adenoidectomy. She was in ot…

8025. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
      June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety (continued) Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurem…

8026. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/bibliography/index.html?page=7
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 351-400 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

8027. SOPS Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/sops/bibliography/index.html?page=7
      January 01, 2025 - SOPS Bibliography Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture. Results 351-400 of 505 Bibliography Items displayed Pagination « first « First ‹ previous ‹‹ 1 2 3 …

8028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/612828/psn-pdf
      February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications February 23, 2022 Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications Objectives Recognition, early evaluation, and management of kidney …

8029. Performing SSI Investigations: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
      December 01, 2017 - Performing SSI Investigations: Slide Presentation Performing an SSI Investigation AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module, you’ll learn about performing a surgical site infection or SSI investigation. 1 Learning Objectives After this session, you …

8030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49626/psn-pdf
      May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…

8031. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
      December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…

8032. Discovery and Visualization of New Information from Clinical Reports in the Electronic Health Record | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/discovery-and-visualization-new-information-clinical-reports-electronic-health
      January 01, 2023 - Discovery and Visualization of New Information from Clinical Reports in the Electronic Health Record Project Final Report ( PDF , 546.57 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …

8033. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
      April 01, 2025 - PowerPoint Presentation Decolonization Implementation Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implemen…

8034. 129-Ss-Blank-Lfd (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…

8035. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - (1) Rapid assessment and improvement potential: Models can incorporate the cumulative knowledge of operations … Definitions have to accommodate the myriad events that arise at the operations level, and many have

8036. Emergence of Application-based Healthcare | PSNet
      psnet.ahrq.gov/perspective/emergence-application-based-healthcare
      August 05, 2022 - Emergence of Application-based Healthcare August 5, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. Rockville (MD): Agency fo…

8037. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron, Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer Abstract New Yor…

8038. In Conversation With... Francoise Marvel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
      August 05, 2022 - In Conversation With... Francoise Marvel, MD August 5, 2022  Also Read the Essay Citation Text: In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022.In Conversation With... Francoise Marvel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcar…

8039. Web Interactive Presentation of EPC Reports: A Foray Into Interactive Reports (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-web-interactive-presentation.pdf
      September 01, 2019 - including descriptive, qualitative, and quantitative (if necessary) analyses can be represented as graph operations … Graph operations and graph optimization have been extensively studied in mathematics, engineering, and

8040. Health Information Exchange (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-information-exchange_executive.pdf
      December 01, 2015 - Differences in how HIE was incorporated into workflow and daily operations also affected use.32,47,49,51,53,54,56,60 … to decide if HIE should be funded as infrastructure (as with a utility) or as a part of business operations