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psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
December 19, 2018 - November 16, 2022
Sustained effectiveness of a primary-team-based rapid response system
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psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist
May 19, 2021 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid … December 14, 2022
Intraoperative code blue: improving teamwork and code response through
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psnet.ahrq.gov/issue/consumer-mobile-apps-potential-drug-drug-interaction-check-systematic-review-and-content
March 04, 2020 - November 3, 2015
Detecting patient deterioration using artificial intelligence in a rapid … response system.
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psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed
October 07, 2020 - May 11, 2022
We are not there yet: a qualitative system probing study of a hospital rapid … response system.
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psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
November 16, 2015 - guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid … response systems: an Utstein-style scientific statement.
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psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
August 07, 2024 - September 9, 2011
Impact of an intensivist-led multidisciplinary extended rapid response
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - June 5, 2013
Medical error: using storytelling and reflection to impact error response … Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs28284-simpson-final-report-2023.pdf
January 01, 2023 - Scope: This study employed a rapid cycle mixed-methods approach to describe, evaluate, and
distill … Below are the major findings from Aim 1:
• Rapid Response: Leveraging Statewide Telehealth Infrastructure … Rapid Response: Leveraging Statewide Telehealth
Infrastructure to Respond to the COVID19 Pandemic. … Rapid Response: Leveraging Statewide Telehealth
Infrastructure to Respond to the COVID19 Pandemic. … Rapid Response: Leveraging Statewide Telehealth
Infrastructure to Respond to the COVID19 Pandemic.
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www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
February 01, 2025 - In response, AHRQ awarded 10 grants to establish Diagnostic Safety Centers of Excellence. … characterize diagnostic processes among patients who experience inpatient deaths, ICU transfers, or rapid-response … Diagnostic Safety Center for Advancing E-Triggers and Rapid Feedback Implementation (DISCOVERI) Principal … Safety-I- and Safety-II-related methods for providing clinicians and healthcare organizations with rapid
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - In this case, the patient’s blood loss was so
rapid that she went into cardiac arrest while awaiting … with extension of the uterine incision when delivering the fetal head and if
damaged, can lead to rapid … Response
The most common cause of postpartum hemorrhage is uterine atony. … After each hemorrhage, a debrief should be performed to evaluate the effectiveness of
response with … Improving Health Care Response to Obstetric Hemorrhage,
V3.0: A CMQCC Quality Improvement Toolkit.
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - Treatment with insulin will cause
a potassium shift back to the intracellular volume and can trigger a rapid … resuscitation, management of
hyperglycemia, and electrolyte repletion often require close attention and rapid … 21% of EHR alerts led to physician action.9
Systems Change Needed/Quality Improvement Approach
In response … EHR alerts may stimulate action by physicians in response to early signals of potential problems, but … Providers' response to clinical decision support for QT
prolonging drugs.
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www.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - New Research and Evidence From AHRQ
Rapid Evidence Product: Failure To Rescue – Rapid Response Systems
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
July 01, 2023 - Specialist Consultants
Inpatient
Specialist Consultants, NICU, Gynecologic Oncology,
Urology, Code/Rapid … Response Team
6
Hospital AIM Team
Leads
SPPC-II
6
SCRIPT
Contingency Teams are:
Formed for emergent … Time limited (e.g., Code Team, Disaster Response Team, Rapid Response Team*). … such as a Code Team, or they may be responsible for a broad category of situations, such as disaster response … * A TeamSTEPPS Rapid Response Systems Guide is available from AHRQ at https://www.ahrq.gov/teamstepps
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - Specialist Consultants
Inpatient
• Specialist Consultants, NICU, Gynecologic Oncology,
Urology, Code/Rapid … Response Team
Patient
Care Team
Coordinating
Teams
Ancillary &
Support
Services
Administration … • Time limited (e.g., Code Team, Disaster Response Team, Rapid Response
Team*). … such as a Code
Team, or they may be responsible for a broad category of situations, such as
disaster response … * A TeamSTEPPS Rapid Response Systems Guide is available from AHRQ.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - Specialist Consultants
Inpatient
Specialist Consultants, NICU, Gynecologic Oncology,
Urology, Code/Rapid … Response Team
6
Hospital AIM Team
Leads
SPPC-II
6
SCRIPT
Contingency Teams are:
Formed for emergent … Time limited (e.g., Code Team, Disaster Response Team, Rapid Response Team*). … such as a Code Team, or they may be responsible for a broad category of situations, such as disaster response … * A TeamSTEPPS Rapid Response Systems Guide is available from AHRQ.
-
www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
January 01, 2024 - In response to these studies, the Accreditation Council for Graduate Medical
Education in 2003 placed … (3) Every third night extended shifts (Q3);
(4) Every fourth night extended shifts (Q4);
(5) Rapid … Traditional and Rapid Cycle Rotation Physician-in-Training Schedules
Over the entire month, the predicted … timing of sleep obtained, so the findings comparing
our intervention schedules to traditional and rapid … Kronauer RE, Forger DB, Jewett ME (1999) Quantifying human circadian
pacemaker response to brief, extended
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs028127-meeker-final-report-2023.pdf
January 01, 2023 - The Role of Telehealth in COVID-19 Response - Final Report … Faxes and email: Old technology slows COVID-19 response [Internet]. AP NEWS. … Rapid repurposing of drugs for COVID-19.
Science [Internet]. 2020 May 22;368(6493):829–30. … Safety of hydroxychloroquine, alone and in
combination with azithromycin, in light of rapid wide-spread … Rapid Scale-Up of Telehealth During the COVID-19 Pandemic and Implications
for Subspecialty Care in
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - Specialist Consultants
Inpatient
• Specialist Consultants, NICU, Gynecologic Oncology,
Urology, Code/Rapid … Response Team
Hospital AIM
Team
Patient
Care Team
Coordinating
Teams
Ancillary &
Support … • Time limited (e.g., Code Team, Disaster Response Team, Rapid Response
Team*). … such as a Code
Team, or they may be responsible for a broad category of situations, such as
disaster response … * A TeamSTEPPS Rapid Response Systems Guide is available from AHRQ.
-
psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - If not for the radiologist’s rapid communication to the care team,
preventable harm from the pneumothorax … Given the immediate risk posed by a pneumothorax, even
the rapid read and response from the radiologist … The quick turnover and potentially rapid expansion of pneumothorax
requires post-bronchoscopy care teams … to develop reliable systems for rapid assessment of pneumothorax
at the point-of-care.
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psnet.ahrq.gov/issue/failure-crisis-leadership-global-pandemic-some-reflections-covid-19-and-future
September 16, 2020 - December 2, 2020
Closing the loop on test results to reduce communication failures: a rapid … January 18, 2023
Veterans Health Administration response to the COVID-19 crisis: surveillance