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1181. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
      June 01, 2023 - Understanding and responding to severe and enduring patient distress resulting from episodes of healthcare

1182. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …

1183. Barrier Identification and Mitigation Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
      December 01, 2017 - Barrier Identification and Mitigation Tool AHRQ Safety Program for Surgery AHRQ Safety Program for Surgery Barrier Identification and Mitigation Tool Introduction Problem Statement Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guidel…

1184. Barrier Identification and Mitigation Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
      December 01, 2017 - Barrier Identification and Mitigation Tool AHRQ Safety Program for Surgery Introduction Problem Statement Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guideline adherence may significantly improve patient safety…

1185. Appendix A: Family Information Packet (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa3.html
      December 01, 2013 - risk for RSV, talk to your doctor about a monthly shot that can help lower the risk of a baby getting severe

1186. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
      April 01, 2018 - Often these settings are emotionally charged, because a patient has experienced a severe injury at the

1187. Appendix A: Family Information Packet (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa3.html
      December 01, 2013 - risk for RSV, talk to your doctor about a monthly shot that can help lower the risk of a baby getting severe

1188. Part 3: National Quality Strategy Priority—Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
      June 01, 2018 - Events treated in ambulatory settings may be less severe than those occurring in inpatient settings.

1189. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
      October 01, 2017 - Chronic respiratory failure may range from mild to severe and can be characterized as hypoxemic (inability

1190. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
      January 01, 2024 - easily understood cognitive performance categories, the CPS score ranges from 0 (intact) to 6 (very severe … Measures We defined as “severe” any potential ADE that resulted in a hospitalization or indication of … Minority race/ethnicity 11.3 17.7 9.6 18.8 Physical Functioning Moderate impairment 58.3 59.7 59.5 64.3 Severe … impairment 26.0 29.2 24.3 25.4 Cognitive function Moderate impairment 47.1 47.8 49.7 49.1 Severe impairment

1191. Final Progress Report: Improve Safety, Quality, and Efficiency in Radiotherapy with Automated HIT System (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
      January 01, 2024 - At our RT department, the severe, high-risk, and mid-low-risk errors in both treatments and quality … Some errors are very severe but very rare, for example, treating a wrong patient and treatment of the … At our RT department, the severe, high-risk, and mid-low- risk errors in both treatments and quality … errors, assist in manual error detection of the remaining 40% errors, and potentially prevent the most severe

1192. Chartbook on Healthy Living: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
      April 01, 2018 - Nursing home residents with moderate to severe pain. … Slide 99 Moderate to Severe Pain Among Nursing Home Residents Pain management is a particularly … race and age, 2012-2013 Image: Charts show long-stay nursing home residents who have moderate to severe … Overall Rate: In 2013, 10.0% of nursing home residents had moderate to severe pain. … In both years, American Indians and Alaska Natives were more likely than Whites to have moderate to severe

1193. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
      January 01, 2024 - Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care AHRQ Grant Final Progress Report Title: Crossing An Invisible Quality Chasm: From NICU to Ambulatory Care Principal Investigator: Virginia A. Moyer, MD, MPH Team Members: Papile, Lucille A., MD, Co-Investigator Guillory, Char…

1194. Section 5, Figure 1 and Tables 1-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
      January 01, 2011 - home) provided by a consortium of primary care and specialist providers Yes nc → ↑ → 4 nc severe … post– - ≥ 2 body systems involved, consortium of primary care cohort - 1 body system involved, but severe … AND at least one of the following - Biologically based health problem involving >1 body system or severe … services of a pediatric nurse practitioner to complete 14 Pre-post 1 body system involved, but severe … support for students w/TBI ↑ 2 years, with evidence of brain injury on neuroimaging, with severe

1195. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - list and history o Bedside nurse o Discuss potential early‐warning signs o Physician or midwife for severe … For instance, was there enough medication to manage a severe hypertension event? … First, as an after‐action review of a patient case, especially one involving an adverse event like severe … For instance, was there enough medication to manage a severe hypertension event?

1196. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - The SAC scores are divided into “no harm” and “harm” events and the SAC 3 rating, the most severe, is

1197. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
      October 01, 2015 - administrative infrastructure for the State’s first care management entity to improve care for children with severe

1198. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixa.html
      July 01, 2018 - "Modeling hospital response to mild and severe influenza pandemic scenarios under normal and expanded … capabilities in responding to patient arrival surges of the Fort Bliss population in mild 1968-type and severe … For a severe influenza pandemic, model predictions showed that hospital beds, ventilators, and other … Even at maximal hospital expansion, for a 12-week severe pandemic with a 35% attack rate there would

1199. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
      March 23, 2008 - Not appropriately treating a medical condition by the standard of care” “Not giving steroids for severe … Context: Patient has severe asthma Standard of care: Provision of steroids “Not entertaining a possible … appropriately treating a medical condition by the standard of care” “Not giving steroids for severe … Context: Patient has severe asthma Standard of care: Provision of steroids “Not entertaining a possible

1200. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
      January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook 1 Table of Contents Introduction .................................................................................................…