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Showing results for "severe".

6621. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

6622. 009-Antibiotic-Stewardship-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Antibiotic Stewardship and MRSA Reduction ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Antibiotic Stewardship and MRSA Reduction SAY: Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…

6623. Behavioral Counseling in Primary Care to Promote Physical Activity - Recommendations and Rationale (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/ngSKuH6MP9L_BSuX-Pp2K6
      January 01, 2010 - Behavioral Counseling in Primary Care to Promote Physical Activity - Recommendations and Rationale Summary of Recommendation • The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to recommend for or against behavioral counseling in primary care settings to promote physical ac…

6624. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA, BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…

6625. Closing the Feedback Loop to Improve Diagnostic Quality - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
      January 01, 2011 - - week interval would be soon enough after the visit to identify problems before they became very severe

6626. Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. | PSNet
      psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug-events-dentistry
      June 14, 2006 - Commentary Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. Citation Text: Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. Sarasin DS, Brady JW, Stevens RL. Anesth Pro…

6627. Improving Diagnostic Quality and Safety Final Report. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
      September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety Final Report. Citation Text: Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017. Copy Citation Save Save to your lib…

6628. An Electronic Personal Health Record for Mental Health Consumers - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers/annual-summary/2011
      January 01, 2011 - An Electronic Personal Health Record for Mental Health Consumers - 2011 Project Name An Electronic Personal Health Record for Mental Health Consumers Principal Investigator Druss, Benjamin Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Saf…

6629. Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005. | PSNet
      psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
      June 21, 2016 - Book/Report Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005. Citation Text: Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…

6630. Policy and the future of adverse event detection using information technology. | PSNet
      psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
      August 31, 2011 - Commentary Policy and the future of adverse event detection using information technology. Citation Text: Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8. Copy Citation Forma…

6631. Feasibility of a Touch Screen Computer Based Breastfeeding Educational Support - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/feasibility-touch-screen-computer-based-breastfeeding-educational-support/annual-summary/2012
      January 01, 2012 - Feasibility of a Touch Screen Computer Based Breastfeeding Educational Support - 2012 Project Name Feasibility of a Touch Screen Computer Based Breastfeeding Educational Support Principal Investigator Joshi, Ashish Organization University of Nebraska Medical Center Fu…

6632. Disposition of Comments: Technical Brief No. 51_Measure Criteria for the Agency for Healthcare Research and Quality's National Healthcare Quality and Disparities Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/measurement-criteria-qdr-disposition-comments.pdf
      April 11, 2025 - Disposition of Comments: Technical Brief No. 51_Measure Criteria for the Agency for Healthcare Research and Quality's National Healthcare Quality and Disparities Report Technical Brief Disposition of Comments Report Title: Measure Criteria for the Agency for Healthcare Research and Quality’s National H…

6633. Measuring safety culture in healthcare: a case for accurate diagnosis. | PSNet
      psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
      May 29, 2014 - Commentary Measuring safety culture in healthcare: a case for accurate diagnosis. Citation Text: Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003. Copy Citation Format: DOI Google Scholar …

6634. Engineering the system of communication for safer surgery. | PSNet
      psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
      January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …

6635. System-related and cognitive errors in laboratory medicine. | PSNet
      psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
      December 21, 2016 - Commentary System-related and cognitive errors in laboratory medicine. Citation Text: Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

6636. Medical gas containers and closures; current good manufacturing practice requirements. | PSNet
      psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-requirements
      April 24, 2015 - Regulation Medical gas containers and closures; current good manufacturing practice requirements. Citation Text: Medical gas containers and closures; current good manufacturing practice requirements. Fed Regist. 2016 Nov 18;81(223):81685-81697. Copy Citation …

6637. Vermont Health Clinics Promote AHRQ’s Medication Safety Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202003.html
      June 01, 2020 - Vermont Health Clinics Promote AHRQ’s Medication Safety Guide Search All Impact Case Studies June 2020 A Vermont-based based trio of Federally Qualified Health Centers (FQHC) has improved medication use and safety for approximately 8,000 patients by adapting an evidence-based strategy from AHRQ's Guide to …

6638. Implementing a systematic response to medication errors. | PSNet
      psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
      August 27, 2009 - Commentary Implementing a systematic response to medication errors. Citation Text: Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

6639. Factors influencing nurses' decisions to raise concerns about care quality. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
      June 22, 2009 - Study Factors influencing nurses' decisions to raise concerns about care quality. Citation Text: Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

6640. Perceptions of radiation safety culture in medical imaging by role. | PSNet
      psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
      September 27, 2023 - Study Perceptions of radiation safety culture in medical imaging by role. Citation Text: Perceptions of radiation safety culture in medical imaging by role. Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347. Copy Citation Save Save to your library Pr…