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psnet.ahrq.gov/node/49859/psn-pdf
April 01, 2019 - quality control. … ) has
embraced tobacco harm reduction using e-cigarettes as part of their national tobacco control program … There are many types of devices and batteries, and
quality of batteries can vary. … In hospitals that do permit
e-cigarette use, specific safety measures need to be in place to address … Assessment of indoor air quality at an electronic cigarette (vaping)
convention.
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - 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 … pneumothorax, and being followed regularly through a comprehensive Advanced Lung Disease and Lung Transplant program … patients with spontaneous pneumothorax, as well as patients who have these conditions, are recommended measures … Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug.
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Patient Safety and Quality , 1–14. Andreica, Ivyruth; Grissinger, Matthew; 2015. … CMS EHR Incentive Program. 2013. … “Eligible Professional Meaningful Use Menu Set Measures Measure 7 of 10.” Stage 1 1: 1–3. … “Rehospitalizations among Patients in the Medicare Fee-for-Service Program.”
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - I was discussing this with someone online who said they really need to be promoting a program called … If all these other programs and approaches and mindsets failed, what's different this time? … If people really read about Lean and study, they'll see that Lean is not just a program that some experts … learn about like with previous quality programs. … It's probably multiple years for a hospital where it really starts to feel like this is less of a program
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - At our institution, the program is based on ECMO
specialist nurses (adult/pediatric critical care nurses … Corrective measures should
be taken accordingly, including calling for additional resources if needed … Setup and maintenance
of extracorporeal life support programs. … In our program, the ECMO physician and ECMO specialist
nurse pull the ECMO rack. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - We expect that the relatively new program for error reporting in
anesthesia by the Anesthesia Quality … Perhaps the most effective prevention measure for this type of error is the use of a preoperative machine … Anesthesia Quality Institute. Park Ridge, IL; 2013. [Available at]
5. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 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 … UC Davis Health ewgould@ucdavis.edu Kathleen M Carlsen, PA-C Assistant Clinical Professor PA and FNP Program … Multidisciplinary tracheostomy care: how collaboratives drive quality improvement. … October 27, 2022
Implementation of the I-PASS handoff program in diverse clinical
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psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
July 01, 2017 - Related Resources From the Same Author(s)
A systematic review of patient safety measures … June 7, 2023
Leveraging trainees to improve quality and safety at the point of care: … 2025
Annual Perspective
Improving Diagnostic Safety and Quality … knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program … July 2, 2014
Effectiveness of a graduate medical education program for improving medical
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psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality
April 24, 2018 - Evaluating implementation of a rapid response team: considering alternative outcome measures … Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program … March 13, 2013
Changes in medical errors after implementation of a handoff program. … October 19, 2022
Residents' reflections on quality improvement: temporal stability and … View More
See More About The Topic
General Hospitals
Health Care Providers
Quality
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Engaging staff in the development and implementation of the patient safety program at an organization … One study showed that peer support programs positively impacted healthcare professionals’ perceptions … National Association for Healthcare Quality. … Healthcare quality and safety workforce report: new imperatives for quality and safety mean new imperatives … https://www.theschwartzcenter.org/programs/schwartz-rounds/
8.
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psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
September 29, 2017 - April 5, 2017
Developing a reliable and valid patient measure of safety in hospitals … September 19, 2013
Measures of patient safety in developing and emerging countries: a … November 17, 2021
Design and implementation of the infection prevention program into … January 6, 2015
Science-based training in patient safety and quality. … March 12, 2014
The Quality and Safety Educators Academy: fulfilling an unmet need for
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - 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 … So once professionals are convinced on the usefulness of a particular measure, it will be adopted quickly … It also proposes measures for improvement and for monitoring current compliance. … economic crisis we've had since 2007 has cut the health budget, and this has affected patient safety programs
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - 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 … standardized, streamlined, and patient-centered approach to anticoagulation, which could improve the quality … Hematology Am Soc Hematol Educ Program. 2010:221-228. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Device recalls are the most valid current measure of device failure. … That is a frequent theme: people tend to offset the benefits of some safety measures by behaving more … professional safety engineers a few years ago, and these were executives who were responsible for the whole programs … It can risk life, but it can also help enhance its quality.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 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 … mortality in one systematic review of controlled trials in the perioperative setting. 17 Capnography measures … patterns, safety, and rationale for tracheostomy tube changes: a survey of otolaryngology training programs … June 5, 2019
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - 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 … ergonomically designed resuscitation equipment saves valuable time.( 12 ) Hospitals must institute measures … Asheville, NC: Quality America; 2007. … Follow American Heart Association (AHA) Public Access Defibrillation (PAD) program policies Expensive
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - Quality improvement is a crucial aspect of ASN. … Then, the ASN was funded through a grant program. … 2026) is enabling CEBI investigators to assess the impact of disseminating the radiology safety net program … Getting Started with This Innovation
Deploying a small pilot program to test minor changes prior to … the radiologist did not indicate a timeframe for imaging follow-up, it was especially challenging to measure
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 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 … Systems Change Needed/Quality Improvement Approach
Given the complexity of mixed acid-base disorders … Increasing Hospitalizations for DKA: A Need for Prevention Programs. … May 25, 2022
Pharmacist work stress and learning from quality related events.
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - MDW: The first thing to say about the Michigan program was that it had a very good technical intervention … improving-patient-safety-intensive-care-units-michigan
https://psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program … When the attempt was made to take
it to England without understanding what was there, the program was … MDW: That is, in fact, where my current research program is going. … Change the ability to improve care, improve safety, and improve quality?
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psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
March 15, 2023 - quality control. … UK) has embraced tobacco harm reduction using e-cigarettes as part of their national tobacco control program … There are many types of devices and batteries, and quality of batteries can vary. … In hospitals that do permit e-cigarette use, specific safety measures need to be in place to address … Assessment of indoor air quality at an electronic cigarette (vaping) convention.