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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2022_ED_MaskedStats.PDF
January 01, 2022 - chemotherapy 193 0.00
225: Conversion of cardiac rhythm 353 0.00
226: Other diagnostic radiology and related techniques
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2015Q4_ED_MaskedStats.PDF
December 14, 2017 - chemotherapy 23 0.00
225: Conversion of cardiac rhythm 35 0.00
226: Other diagnostic radiology and related techniques
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - only provides visualization of the lower respiratory tract but can also allow for various sampling techniques
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - cannot produce enough breast milk, the following factors must be excluded: (i) problems with feeding techniques
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-rand_e-rxtoolset_020312comp.pdf
December 01, 2011 - used among staff members, decisionmaking, and conflict
resolution were documented using observation techniques … arose during
implementation – focusing especially on those
problems that were unexpected – and the techniques … collection
methods that we used to assess pilot-testing site use of the toolsets, and our data analysis
techniques
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - Fit with
norms or rules can be measured with techniques that assess whether using the CDS allows
clinicians … walkthroughs,65, 178 think aloud protocols,195, 231, 250 scenario testing,177, 195, 241, 250 and other
techniques … These techniques can be implemented, along with user-
centered design approaches, to better ensure that … User-centered design
Human-centered design of a distributed techniques for a computerised antibiotic … An extension of comparison of four techniques.
-
www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
January 01, 2024 - STRAIT
utilized hybrid simulation techniques (e.g., high-fidelity manikins as the just emerging patient … For example, the refresher curriculum emphasized more
sophisticated communication techniques.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research.pdf
February 01, 2014 - Additional
evidence from surveys using conjoint analysis or other preference-eliciting techniques can … Alternative preference elicitation techniques may lead to
different valuations, depending on the patient … population (primary vs. secondary prevention), the
techniques used (time tradeoff vs. standard gamble
-
psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Walking Patient, Missing Drain
Citation Text:
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. 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 …
-
psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable
Citation Text:
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy C…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
References
Previous Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: Stat…
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3
Citation Text:
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Presentation: Program Overview
Physician and Staff Engagement
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-32-EF
January 2017
Physician and Staff Engagement ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this session, you will b…
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - Missed Patient Assignment: Is Anyone There?
August 1, 2010
Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
The Case
In one hospital, nurses' patient assignments were communicated by listing the…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/ownership-engagement-transcript.pdf
April 01, 2022 - Transcript: How To Increase Ownership and Engagement at Multiple Levels To Prevent Infections in ICUs
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Transcript
How To Increase Ownership and Engagement at Multiple Levels To
Prevent Infections in ICUs
Host:
Kate Schmidgall
I…
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - Hard to Swallow
October 1, 2004
Driver J. Hard to Swallow. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/hard-swallow
The Case
An elderly man underwent hernia surgery. Postoperatively, the patient developed a transient ischemic
attack (TIA) and respiratory difficulties. The nurses noted that the patient, …
-
psnet.ahrq.gov/node/33639/psn-pdf
September 01, 2006 - In Conversation with...James P. Bagian, MD
September 1, 2006
In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
Dr. Robert Wachter, Editor, AHRQ WebM&M: Where did your interest in safety come from?
Dr. James Bagian: I don't know …
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - February 26, 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, repor…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartbrochure.pdf
January 27, 2017 - Implementation Quick Start Guide: Warm Handoff
Implementation
Quick Start Guide
Warm
Handoff
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is a Warm Handoff?...................................................1
Why Use Warm Handoffs…