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  1. An Avoidable Death of a Three-year-old Child from Sepsis. | PSNet

    psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
    August 31, 2016 - London, UK: Parliamentary and Health Service Ombudsman; June 2014. … Linkedin Copy URL July 16, 2014 London, UK: Parliamentary and Health Service … Describing failures associated with telephone triage and out-of-hours service in the course of his … London, UK: Parliamentary and Health Service Ombudsman; June 2014. … November 3, 2021 Complaints to the Parliamentary and Health Service Ombudsman.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48030/psn-pdf
    May 22, 2019 - A culture of openness is associated with lower mortality rates among 137 English National Health Service … A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service … psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english- national-health-service … examined whether openness was associated with in-hospital mortality in the English National Health Service … psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service

  3. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality

    www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - some aspect of health service cost or resource utilization.  … Some of our domain definitions make distinctions between studies that examine health service delivery … Health service delivery, in our use of the term, is delivery of services primarily intended to improve … This category includes research studies that contribute to health service development but do not yet … It includes measures of patient experience or satisfaction with a particular health service. 

  4. An education-service partnership to achieve safety and quality improvement competencies in nursing. | PSNet

    psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
    August 30, 2023 - Commentary An education-service partnership to achieve safety and quality improvement … An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. … An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. … August 30, 2023 Drug-related hospitalizations in a tertiary care internal medicine service

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60804/psn-pdf
    August 12, 2020 - Improved medication management with introduction of a perioperative and prescribing pharmacist service … Improved medication management with introduction of a perioperative and prescribing pharmacist service … psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing- pharmacist-service … psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service … psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47830/psn-pdf
    February 27, 2019 - Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient … https://psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use- … retrospective study, researchers found that implementation of an inpatient pharmacist-led pain management service … https://psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and … https://psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and

  7. Recommended Core Measures and Next Steps | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas4.html
    October 01, 2013 - Measure 8: Plan of care includes at least one public and/or private community service/resource A-12 … Measure 9: Physician satisfaction with service coordination (Alzheimer’s Service Coordination Program … Measure 12: Clinician receipt of treatment plan from the service coordinator (ASCP Physician Survey) … resource that are actionable ( Potential Measure PP ) Clinician receipt of treatment plan from the service … Clinical service providers and community organizations have the potential to work together for the delivery

  8. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
    June 01, 2023 - Engaging Senior Executives 2 2 [Hospital Name] Improving Surgical Care and Recovery of Patients: [Service … events1 Improve patient experience Lower the cost of care1 ISCR at [Hospital Name] 7 Current State [Service … Care of [service line] surgery patients is highly variable for: Preoperative education Plan for anesthesia … ISCR at [Hospital Name] 10 Use your Gap Analysis and Goal Setting Form to report your current ISCR service … line surgery rates (see below for examples of data to report).* Total number of [service line (e.g.,

  9. Chapter 9. Potential Future Uses of the Data Infrastructure | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter9.html
    December 01, 2017 - Project 1: Longitudinal CER Study of the Influence of ECM Service Use on Health Outcomes The study … laboratory services, prescription refill patterns), health status as measured by clinical outcomes, service … services following the visit may be used to assess if laboratory testing, medication changes, and ECM service … Analyses using such software may provide information useful to understanding current service use and … potential enhancements to services, as well as to examining utilization across Service Units at various

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60525/psn-pdf
    May 27, 2020 - Public sector organizational failure: a study of collective denial in the UK national health service … Public sector organizational failure: a study of collective denial in the UK national health service … psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health- service … psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service … psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60753/psn-pdf
    August 05, 2020 - A qualitative exploration of mental health service user and carer perspectives on safety issues in UK … A qualitative exploration of mental health service user and carer perspectives on safety issues in UK … https://psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives … https://psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk … https://psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60704/psn-pdf
    July 22, 2020 - Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. … Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID? … https://psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid … https://psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid … -19-era https://psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72802/psn-pdf
    March 03, 2021 - What does safety in mental healthcare transitions mean for service users and other stakeholder groups … What does safety in mental healthcare transitions mean for service users and other stakeholder groups … https://psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other … https://psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other-stakeholder … https://psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other-stakeholder

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73061/psn-pdf
    March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or lip service? … Timeout procedure in paediatric surgery: effective tool or lip service? … https://psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised … https://psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective … https://psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective

  15. Learning From Mistakes. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes
    March 28, 2018 - London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764. … Linkedin Copy URL August 31, 2016 London, UK: Parliamentary and Health Service … The National Health Service (NHS) has a history of sharing analyses of problems in its system. … London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764. … November 3, 2021 Complaints to the Parliamentary and Health Service Ombudsman.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850914/psn-pdf
    June 21, 2023 - A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line … A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line … psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology- service-line … /psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line … /psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line

  17. Emergency Medical Service/911 Workforce Infection Control and Prevention Issues (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/ems-911-workforce-protocol.pdf
    January 01, 2015 - Emergency Medical Service/911 Workforce Infection Control and Prevention Issues Evidence-based … Practice Center Technical Brief Protocol Project Title: Emergency Medical Service/911 Workforce … the Technical Brief Standard infection prevention and control (IPC) measures for emergency medical service … Definition of Terms EMS = emergency medical service HIV = human immunodeficiency virus IPC = infection … Evidence-based Practice Center Technical Brief Protocol Project Title: Emergency Medical Service/911

  18. Clinical-Community Relationships Measures Expert Panel | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-app-panel.html
    October 01, 2013 - Measure 8: Plan of care includes at least one public and/or private community service/resource A-12 … Measure 9: Physician satisfaction with service coordination (Alzheimer’s Service Coordination Program … Measure 12: Clinician receipt of treatment plan from the service coordinator (ASCP Physician Survey) … Measure 22: The quality of the service provided by community resource to a practice  (GP-LI) Clinical-Community

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60180/psn-pdf
    April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year period in a single national health service … Incidence of wrong-site surgery list errors for a 2-year period in a single national health service … psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health- service-board … /psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board … /psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47849/psn-pdf
    August 14, 2019 - The effect of external inspections on safety in acute hospitals in the National Health Service in England … The effect of external inspections on safety in acute hospitals in the National Health Service in England … https://psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service … https://psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled … https://psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
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