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Showing results for "standards".

9581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49829/psn-pdf
      May 01, 2018 - Root Cause Analysis Gone Wrong May 1, 2018 Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong The Case A 42-year-old man with history of end-stage renal disease on hemodialysis was awaiting a kidney transplant. A suitabl…

9582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…

9583. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

9584. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-469
      December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…

9585. Respiratory Diseases | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/respiratory.html
      June 01, 2018 - Chartbook on Effective Treatment Respiratory Diseases Previous Page   Table of Contents Chartbook on Effective Treatment Acknowledgments Effective Treatment Effective Treatment Trends and Measures Cardiovascular Disease Cancer Chronic Kidney Disease Diabetes HIV and AIDS Mental Hea…

9586. About the CAHPS® Health Literacy Item Set for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
      October 01, 2015 - About the CAHPS® Health Literacy Item Set for Hospitals CAHPS® Adult Hospital Survey: Supplemental Items About the CAHPS Health Literacy Item Set for Hospitals Document No. 911 10/01/2015 About the CAHPS® Health Literacy Item Set for Hospitals Introduction...............................................…

9587. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
      January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4p Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although children are typi…

9588. Medication Mix-Up Leads to Patient Death | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
      July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

9589. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

9590. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
      April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa AHRQ Grant No.: HS024379 Proj…

9591. HCUP Statistical Brief #122: Bariatric Surgery Utilization and Outcomes in 1998 and 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb23.pdf
      January 01, 2007 - HCUP Statistical Brief #122: Bariatric Surgery Utilization and Outcomes in 1998 and 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res January 2007 From numbe increa to 121 Across fastes surger adults fold in surger 16,000 The na assoc declin percen in 200 died in which perfor …

9592. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
      March 01, 2021 - Summary of Patient Safety Research Opportunities AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement Research questions, topics, and key themes that were addressed as part of the Patient Safety Roundtable and Patient Safety Summit included the items listed below. It is important t…

9593. Final Research Plan: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cervical-cancer-screening
      October 29, 2015 - The Lower Anogenital Squamous Terminology Standardization Project for HPV-Associated Lesions: background

9594. Quality Improvement in Action Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
      April 01, 2022 - assessed and the necessary education and training is provided to ensure that at least minimum safety standards

9595. In Conversation With... Barbara Drew, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
      May 01, 2016 - Practice standards for ECG monitoring in hospital settings: executive summary and guide for implementation

9596. In Conversation with...Dean Schillinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
      March 01, 2009 - So developing standards and verification tools for prescription labels or prescription labeling systems

9597. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
      July 01, 2024 - good education for patients in the form of precounseling and supporting documentation…” R7 EHR vendor standards

9598. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - However, the cases also illustrate problems assessing them related to uncertainties, lack of gold standards … In addition, there is a lack of standards in performance and interpretation of ultrasound exams, plus

9599. Executive Summary CER 171: Noninvasive Testing for Coronary Artery Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/coronary-artery-disease-testing_executive.pdf
      March 01, 2011 - traditional measures of test performance, such as sensitivity and specificity compared with a given reference … standard, and focus on evaluating the impact of such testing on hard cardiovascular outcomes and downstream … Two primary issues relate to the need to improve reporting and standardization of pretest CAD risk

9600. INTRODUCTION TO THE HCUP KIDS' INPATIENT DATABASE (KID), 2012
      hcup-us.ahrq.gov/db/nation/kid/kid_2012_introduction.jsp
      January 01, 1998 - INTRODUCTION TO THE HCUP KIDS' INPATIENT DATABASE (KID), 2012 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …