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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - accurate information about:
Unable to explain pain due to language barrier
Unable to explain pain due to sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - HMG-CoA reductase inhibitors AND myopathy
Amiodarone AND thyroid abnormality
Antipsychotic agents AND sedation
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community
TITLE PAGE
Medication List Consistency When Patients Transition from Hospital to Community
Principal Investigator: Korey A. Kennelty
Team Mentors: Betty Chewning, Amy Kind, David Kreling,
Dave Mott, Beth Martin,…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - Colon/bowel issue 3
Intractable nausea/vomiting 3
Fever 2
Failure to void 2
Allergic reaction 1
Sedation-related … Nineteen unplanned intervention events reported a “sedation-related issue.” … content areas of surgical safety checklist use, teamwork and communication, scope
processing, and sedation … 74%
0%
20%
40%
60%
80%
100%
Use of the Checklist Teamwork and
Communication
Scope Processing Sedation
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16774-Bundy-draft-1.pdf
September 29, 2009 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System
Principal Investigator:
David G. Bundy, MD, MPH
Team Members:
Marlene R. Miller, MD, MSc
Michael L. Rinke, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center
A Model of Care Delivery to Reduce Falls
in a Major Cancer Center
Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN;
Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN
Abstract
Falls are a leading cause of injuries…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21984-Kennelty-report.pdf
July 31, 2013 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community
TITLE PAGE
Medication List Consistency When Patients Transition from Hospital to Community
Principal Investigator: Korey A. Kennelty
Team Mentors: Betty Chewning, Amy Kind, David Kreling,
Dave Mott, Beth Martin,…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
February 01, 2019 - non-surgical
procedures such as dermatology or pain management and just other procedures that required mild sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
February 01, 2019 - non-surgical
procedures such as dermatology or pain management and just other procedures that required mild sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - surgery checklist helps ensure certain measures or steps are taken prior to administration of
anesthesia/sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - procedural technique
9 0.6
Loss of limb or organ 8 0.5
Aspiration pneumonia related to conscious sedation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training
Facilitator Training Slide Presentation
Text version of slide presentation.
Slide 1: Introduction to Preventable Hospital and ED Visits Reports
AHRQ’s Safety Program for Nursing Homes: On-Time …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives
161
Prescribing Safety in Ambulatory Care:
Physician Perspectives
Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung,
Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson,
Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training 1
On-Time Falls
Prevention:
Reports
AHRQ’s Safety Program for Nursing
Homes: On-Time Falls Prevention
Training
Slide 1: Introduction to Falls Pr…
-
www.ahrq.gov/research/findings/studies/index.html?page=13
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results 326 to 350 of 12214 Research Studies Displayed
Pagination
« first
« First
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Design and Implement Guide
DESIGN AND IMPLEMENT GUIDE
i
Table of Contents
Introduction ......................................................................................................................................1
What Is the Design and Implement Guide? …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time Preventable Hospital and ED Visits Functional Specs
AHRQ’s Safety Program for Nursing Homes:
On-Time Preventable Hospital and Emergency
Department Visits
Functional Specifications
Current as of August 2017
Contents
1. General Information .......…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Adverse sedation
events in pediatrics: a Critical Incident Analysis of
contributing factors.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - This attempt is made under conscious sedation and is unsuccessful, with
a resulting 1500–2000 cc blood