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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - This program also reported fewer
adverse maternal outcomes.
How can we avoid this type of error? … They should
also include procedures for regularly monitoring both adherence to protocols and quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - available
Commentary by: Edward Etchells, MD, MSc, Division of General Internal Medicine, Centre for Quality … such errors
Overall, the evidence base is comprised of studies that are small, of low to intermediate quality … decision-support system: pain left foot, numbness left foot, foot drop, loss of sensation left leg
The program
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 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 … VC: That's the Holy Grail of quality improvement, isn't it? … April 26, 2023
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI … June 16, 2019
Adherence to simple and effective measures reduces the incidence of ventilator-associated
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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - Villablanca, MD
Director and Founder, UC Davis Women’s Cardiovascular Medicine Program
UC Davis Health … Pharmacotherapy Self-Assessment Program, seventh
edition (PSAP-VII) Cardiology.2020:179-99.
13. … high-risk patients with non-ST-segment elevation acute coronary
syndromes: results from the CRUSADE Quality … Initial Results from a Cardiac Curbside Program. … Circulation: Cardiovascular Quality and Outcomes. 2014;7(A346).
43.
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - 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 … one of the challenges and miracles of my day-to-day life, which is I get to toggle between running a program … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … October 13, 2018
Perspective
Building a Safety Program
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - including ATLS training of providers, on-site availability of specialists
and other resources, and robust quality … These processes include retrospective
review of individual cases such as this one, to identify quality … improvement opportunities, and participation
in registries such as the American College of Surgeon’s Trauma Quality … Improvement Program (TQIP) to
allow comparison of performance with other centers. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Stocking, a quality improvement and critical care specialist, and Dr. … rare for patients to develop hospital-acquired COVID-19 when rigorous infection prevention and control measures … policymakers learn from past experiences to facilitate an effective and efficient nationwide vaccination program … For example, primary care providers have historically played a critical role in vaccination programs,
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 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 … Hospitals should develop physician training programs, formalize accountability and feedback processes … Barnes, MD, FACEP
Health Sciences Clinical Professor
Residency Program Director
Department of Emergency … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
-
psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Child Abuse
America, The Child Abuse Prevention Center) offer either online or in-person training programs … obtained, the findings were appropriately reported to caregivers as well as external
agencies, and measures … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - 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 … These processes include retrospective review of individual cases such as this one, to identify quality … Improvement Program (TQIP) to allow comparison of performance with other centers. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - 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 … presence of 4 or 5 of these findings increases probability of pneumonia (likelihood ratio [LR] = 8.2; "LR" measures … It is up to our teaching programs, clinical leaders, and, perhaps, the patient safety movement to change … RW : Have we entered a kind of death spiral phase where nobody knows how to either do a high-quality
-
psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - excruciatingly painful, continuous opioid
infusions with bolus dosing as needed are appropriate palliative measures … standards of care,7,8 resulting in significant harm to the patient and family.13,16
There is a robust program … Department of Pediatrics
UC Davis Health
John MacMillan, MD
Clinical Professor
Medical Director, Hospice Programs … Results from a quality/safety project.J Pain Symptom Manage. 2022;64(3):e133-e138. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
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 … Establishing a culture of highly reliable quality care. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Perspective
Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program
-
psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - exceeds the "too high" or "too low" alarm limit
settings; and technical alarms that indicate poor signal quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
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 … feedback on the outcomes of discharged patients decreased their rate of adverse events. 1 A regional program … Program) calculator, APACHE II (Acute Physiology and Chronic Health Evaluation II), and the MPI (Mannheim … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - 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 … aggressive and abusive behavior, 9-11 leading one team to develop a set of five subscales to reliably measure … A survey of physical examination skills taught in undergraduate nursing programs: are we teaching too … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - In an ongoing surveillance program of platelet bacterial contamination at our facility covering more … Roslyn Yomtovian, MD
VA National Quality Scholar
Louis Stokes Cleveland Department of Veterans Affairs … Bacterial Isolates from 15-Year+ Surveillance Program (N = 54 cultured platelet units).(14)*
Isolate … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - feedback on the outcomes of discharged patients decreased their rate of adverse events.1
– A regional program … whether or not to operate, including
the patient’s current clinical status and prognosis, comorbidities, quality … • Scoring systems have been created to assess risk, such as the NSQIP (National
Surgical Quality … Improvement Program) calculator, APACHE II (Acute Physiology
and Chronic Health Evaluation II), and
-
psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Systems-level changes like checklists and forcing functions, when integrated into the EHR, provide
additional measures … Barnes, MD, FACEP
Health Sciences Clinical Professor
Residency Program Director
Department of Emergency … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
-
psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality