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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - There is significant risk exposure if we are not
prepared to deliver the same level of safe and quality … How
do we continue to deliver safe and quality care without technology? That is not an IT issue. … leadership huddle
would immediately provide the opportunity for leaders to communicate and implement safety measures
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - underappreciated for many reasons – the data are limited, there
are few reliable methods by which to quantify and measure … physicians unaware of the frequency with which diagnostic
errors are made.17
Systems Change Needed/Quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/47070/psn-pdf
June 25, 2018 - https://psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
Measurement of quality … In this commentary, the authors applied a five-
domain criteria to rate the validity across 86 measures … psnet.ahrq.gov/primer/measurement-patient-safety
https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
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psnet.ahrq.gov/node/42448/psn-pdf
July 24, 2013 - Measure twice, cut once.
July 24, 2013
Atkinson WK. Measure twice, cut once. … https://psnet.ahrq.gov/issue/measure-twice-cut-once
This piece relates how focusing on quality, education … https://psnet.ahrq.gov/issue/measure-twice-cut-once
https://psnet.ahrq.gov/issue/standardize-4-safety
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - interventions.(16) Overall, the evidence base is comprised of studies that are small, of low to intermediate
quality … Etchells, MD, MSc
Associate Professor of Medicine
Division of General Internal Medicine
Centre for Quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - weekend coverage teams, such as in this
case, makes it important to ensure written signouts are high quality … to update, and information overload, can get in the way of expected
improvements in written signout quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - Sorita et al. can be used to inform institutional NPO ordering policy.19,20,27
Systems Change Needed/Quality … of improving malnutrition documentation,31 a work group of dietitians, physicians, informaticists, quality … NPO, an
intervention that included education via printed and web-based materials, leadership, and quality … Critical role of
nutrition in improving quality of care: an interdisciplinary call to action to address … Effectiveness of the Malnutrition
Quality Improvement Initiative on practitioner malnutrition knowledge
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - This activity is jointly provided by the Agency
for Healthcare Research and Quality (AHRQ) PSNet. … hyperkalemia, or poisoning from salicylates or tricyclic
antidepressants.15,16
System Optimization and Quality … Blood sample quality. Diagnosis (Berl). 2019;6(1):25-31. [
Free full text]
3. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - many places, this consultative service has been
replaced by telestroke systems that may include high-quality … revisited: a call for all academic
physicians caring for patients to focus on systems and quality improvement … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality … .117.016771
https://doi.org/10.1161/01.str.0000196957.55928.ab
https://www.heart.org/en/professional/quality-improvement
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - often remind trauma staff to perform a single task, such as to roll the
patient to examine the back or measure … Monitor impact to stimulate quality improvement: Staff collect, critically analyze, and regularly
discuss
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … monitors have been available for some time. 10,11 The Bispectral Index (BIS) and brain function monitors measure … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/periodic-issue/periodic-issue-463
October 30, 2024 - Rockville, MD : Agency for Healthcare Research and Quality ; October 2024. … Book/Report
Recommendations but no Action: Improving the Effectiveness of Quality
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - or poisoning from salicylates or tricyclic antidepressants. 15,16
22
22
SYSTEM OPTIMIZATION
&
QUALITY … Blood sample quality. Diagnosis (Berl). 2019;6(1):25-31.
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - In
general, relevant questions include:
Are the quality, duration, severity, and onset of pain the … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … experience negative emotional reactions to strangers and pain. 6 Levels of sedation Nearly all sedation scales … Quality Use of Medicines – medication safety issues in naming; look‐alike, sound‐alike medicine names … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … National Surgical Quality Improvement Program (NSQIP) risk factors can be used to validate American Society … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Roslyn Yomtovian, MD VA National Quality Scholar Louis Stokes Cleveland Department of Veterans Affairs … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … outcomes for laparoscopic and robotic compared with open prostatectomy using the National Surgical Quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services