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1581. Learning from Errors in Ambulatory Pediatrics (pdf file)
      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 - communication with other providers “Infant showed up in office with significant distress after cardiac surgery … Parents of patient had not been given good instructions for follow up after surgery if child became

1582. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - related events • Correct tube-correct connector-correct hole • Patient falls • Deaths related to surgery … heightened ceilings will allow for more services—such as enhanced radiology procedures, endoscopy, or minor surgery

1583. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - surgical outcomes are aggregated by institution and benchmarked against national levels for the National Surgery … Annals of Surgery 1998;228:491–507. 27. Leape LL, Bates DW, Cullen DJ, et al.

1584. Section 5, Tables 8 and 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
      January 01, 2013 - procedure volumes and standardization of care on quality and efficiency in total joint replacement surgery … EJ, cohort study retrospective cohort study to determine whether readmission rates after major surgery

1585. Electronic Test Result Communication in the Era of the 21st Century Cures Act - Appendix B. Included Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-test-result-communication-apb.pdf
      July 01, 2024 - adults aged 65-90 S: Large regional health system Survey   Leonard 2022 American Journal of Surgery … system Review of portal utilization data & associated patient records  Onuma 2019 Surgery

1586. 2016 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
      January 01, 2016 - Orthopedics 2,229 61% 82% 83% 81% Radiology 817 55% 78% 73% 73% Rheumatology 2,280 56% 75% 73% 70% Surgery … 83% 69% 85% Pulmonary Medicine 1,613 71% 91% 88% 75% 85% Rheumatology 1,520 67% 90% 85% 77% 84% Surgery

1587. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      August 01, 2025 - final-report.pdf https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery

1588. CHIPRA 157 Bibliography (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
      June 12, 2018 - Time to pediatric epilepsy surgery is longer and developmental outcomes lower for government compared

1589. CHIPRA 155: Bibliography (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
      May 08, 2018 - Time to pediatric epilepsy surgery is longer and developmental outcomes lower for government compared

1590. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact-references.html
      July 01, 2024 - an early exploration of an AI language model’s impact on medicine at large and its role in pediatric surgery

1591. NAA National Webinar July 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
      August 20, 2024 - anesthesiologists that work together more often have reduce patient morbidity after complex gastrointestinal surgery

1592. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - Should the employee choose to report a surgery-related event, the screens are unique to surgery events

1593. II. Hotline Design and Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/design2.html
      May 01, 2016 - or negative effect experienced: Mistake Related to medicine Related to test, procedure, or surgery … more than one mistake Negative effect Related to medicine Related to test, procedure, or surgery

1594. Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
      December 31, 2022 - are inappropriate. 24 Eligibility Criteria Heart attack in the last 12 months Coronary artery bypass surgery … interface Term Abbreviation AR Automatic referral CABG Coronary artery bypass surgery

1595. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
      January 01, 2024 - behavior was showcased by a nurse in our study who had attended a seminar on prevention of wrong-site surgery … Soon thereafter, she was assisting during a knee surgery and she and other staff suspected that the

1596. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
      January 01, 2024 - Those individuals were placed in strategic areas, including the Emergency Department, Day Surgery, and … Several departments do not utilize the EMR at this time, including diagnostics, short stay, and day surgery

1597. Search FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/faq/index.html
      January 01, 2019 - prescription drug plans, home health care, hemodialysis centers, hospice care, and outpatient and ambulatory surgery … Survey Home Health Care Survey In-Center Hemodialysis Survey Hospice Survey Outpatient and Ambulatory Surgery

1598. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
      January 01, 2024 - Louisiana in New Orleans, which comprised the University Hospital campus (cath lab, EP lab, and CT Surgery … Thus far, all attempts to re- establish cardiothoracic surgery for the HCSD population have been unsuccessful

1599. 127-Roles-Responsibilities-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Core Comprehensive Unit-based Safety Program (CUSP) Team Member Roles & Responsibilities Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries How To Use This Tool This tool identifies core CUSP team members and describes indi…

1600. Weighted Summary Statistics: PUF Medicare Inpatient File (Version 2) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Inpatient-Weighted.pdf
      September 26, 2023 - gynecology 194 0.00 14,169,165 95.58 17: Hospice and Palliative Care 9,135 0.06 14,178,299 95.64 19: Oral surgery … (dentists only) 1,683 0.01 14,179,982 95.66 20: Orthopedic surgery 577,188 3.89 14,757,170 99.55 21 … 0.00 14,758,117 99.56 23: Sports medicine 272 0.00 14,758,389 99.56 24: Plastic and reconstructive surgery … Psychiatry 1,894 0.01 14,761,324 99.58 27: Geriatric Psychiatry 6,573 0.04 14,767,897 99.62 28: Colorectal surgery … 0.00 14,804,732 99.87 31: Intensive cardiac rehabilitation 810 0.01 14,805,543 99.88 33: Thoracic surgery