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Showing results for "recommendation".
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  1. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet

    psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
    September 25, 2008 - August 5, 2020 Correlation between hospital rating agencies' data: an analysis and recommendation

  2. Improving the Safety of Medication Use in the Long-term Care Setting: Potential Impact of Computerized Clinical Decision Support (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006FieldJudgeDeFlorio_051211comp.pdf
    January 01, 2006 - 7 3.5 (2.1, 5.7) Renal insufficiency 51 60 0.8 (0.7, 1.0) Hypokalemia 65 66 1.0 (0.8, 1.1) Dose recommendation

  3. Reducing retained foreign objects in the operating room: a quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
    April 19, 2023 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  4. Influence of perioperative handoffs on complications and outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
    October 14, 2020 - Structured handoffs, such as situation-background-assessment-recommendation (SBAR) and checklists,

  5. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
    January 17, 2019 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  6. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet

    psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
    February 20, 2019 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  7. Principles of conservative prescribing. | PSNet

    psnet.ahrq.gov/issue/principles-conservative-prescribing
    April 22, 2017 - Each of these principles is discussed and sets the background for a recommendation to shift current paradigms

  8. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

    psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
    July 06, 2011 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  9. HCBS CAHPS Survey Database: What You Need to Know - BROWN (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
    June 02, 2025 - a Consensus-Based Entity, consisting of: o Seven composite measures o Three global ratings o Three recommendation

  10. Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information
    May 31, 2017 - Disagreement with a clinician's recommendation or failure to understand a clinician's instructions

  11. Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet

    psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
    October 12, 2022 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  12. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
    September 07, 2016 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  13. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
    August 16, 2023 - June 5, 2024 Exploring the "Black Box" of recommendation generation in local health care

  14. Medical teamwork and the evolution of safety science: a critical review. | PSNet

    psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review
    January 26, 2022 - January 26, 2022 Mind the gap between recommendation and implementation—principles and

  15. Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
    September 07, 2011 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  16. Methods | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi2.html
    January 01, 2013 - concentration included maintenance bundle elements based on CDC recommendations but also included a recommendation

  17. The wisdom and justice of not paying for "preventable complications." | PSNet

    psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
    January 22, 2014 - October 6, 2011 Council recommendation on patient safety, including the prevention and

  18. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet

    psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
    November 29, 2023 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  19. How can never event data be used to reflect or improve hospital safety performance? | PSNet

    psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
    March 30, 2022 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

  20. Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
    April 24, 2019 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation
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