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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - The surgeon placed the PEG
tube in the intensive care unit (ICU) using the “pull technique” (i.e., via … An overview of percutaneous endoscopic gastrostomy tube
placement in the intensive care unit. … An overview of percutaneous endoscopic gastrostomy tube placement in the
intensive care unit.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/kHDoNjsfLx9SyKGD5n2ufL
January 01, 2020 - Primary Care Interventions to Support Breastfeeding: Updated Evidence Report and Systematic Review
Copyright 2016 American Medical Association. All rights reserved.
Primary Care Interventions to Support Breastfeeding
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Force
Carrie D. Pa…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - Record for Improving Patient Safety (TRIPS)
A copy of the TRIPS form should be completed by the unit
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www.ahrq.gov/cahps/surveys-guidance/cg/index.html
March 01, 2025 - The level of sampling depends on the planned unit of analysis.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary48/suicide-risk-screening-2004
May 15, 2004 - deliberate self-harm episode, a diagnosis of borderline personality disorder, or admission to a psychiatric unit … cognitive-behavioral counseling with routine medical treatment for patients admitted to the intensive care unit … Most identified high-risk patients are likely admitted to a psychiatric unit for safety, which may or … attending a psychiatric clinic
16-65
Intervention: Partial hospitalization on psychiatric unit … Patients referred from 2 mental health clinics, 1 emergency department, and 1 inpatient psychiatric unit
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psnet.ahrq.gov/node/855103/psn-pdf
November 08, 2023 - Adverse Events.
November 8, 2023
United States Office of the Inspector General: 2010-2023.
https://psnet.ahrq.gov/issue/adverse-events-0
Large-scale data analysis provides insights to generate evidence-based improvement action. This
collection of reports provides access to investigations of the impact of heal…
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psnet.ahrq.gov/node/43841/psn-pdf
January 21, 2015 - Managing competing organizational priorities in clinical
handover across organizational boundaries.
January 21, 2015
Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover
across organizational boundaries. J Health Serv Res Policy. 2015;20(1 Suppl):17-25.
doi:10.1177/…
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psnet.ahrq.gov/node/42050/psn-pdf
January 07, 2015 - The association between frequency of self-reported
medical errors and anesthesia trainee supervision: a
survey of United States anesthesiology residents-in-
training.
January 7, 2015
De Oliveira GS, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported
medical errors and anesthesia t…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompape.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix E. Moderating Factors Flowchart
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outco…
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psnet.ahrq.gov/node/50940/psn-pdf
February 26, 2020 - The effect of smartphone-based application learning on
the nursing students' performance in preventing
medication errors in the pediatric units.
February 26, 2020
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application
learning on the nursing students' performance in prevent…
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psnet.ahrq.gov/node/72533/psn-pdf
January 01, 2021 - Strategies to reduce errors associated with 2-component
vaccines.
December 2, 2020
Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines.
Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9.
https://psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-…
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psnet.ahrq.gov/node/851661/psn-pdf
July 26, 2023 - Maternal Health of Women and Girls of African Descent in
the Americas.
July 26, 2023
New York, NY: United Nations Population Fund; July 2023.
https://psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas
Black women are vulnerable to unsafe health care. This report examined maternal and rep…
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psnet.ahrq.gov/node/45077/psn-pdf
May 11, 2016 - Quality of Care and Information Technology.
May 11, 2016
Suresh S, ed. Pediatr Clin North Am. 2016;63:221-388.
https://psnet.ahrq.gov/issue/quality-care-and-information-technology
Utilizing informatics has shown promise for enhancing quality and patient safety, but this has also
introduced unintended consequences.…
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psnet.ahrq.gov/node/41596/psn-pdf
August 15, 2012 - Patient Safety: HHS Has Taken Steps to Address Unsafe
Injection Practices, but More Action Is Needed.
August 15, 2012
Kohn LT. Washington, DC: United States Government Accountability Office; July 2012. Publication GAO-
12-712.
https://psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection…
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - The harms of overuse can been seen most starkly in the intensive care unit.
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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - Pharmacist participation on physician rounds and adverse drug
events in the intensive care unit.
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digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
July 13, 2010 - process
Model
Computable
representation
Learning from the Data
Deviation by stated unit
0 … systems
– 10 ye ar project
Implementation
• Initial Trial March 2004
• Intermediate Care Unit
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_6.pdf
January 01, 2009 - 5.6A
HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 83
EXHIBIT 5.6 Childbirth
493 492 476 470 447 430 413 420 408 422 442
392 392
1,004
1,029 1,034 1,038 1,026
1,024 997 1,005 1,013
1,054 1,082
976 951950 926
968
1,036 1,012
1,070 1,051
1,086 1,076 1,080
1,141
1,07…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medical-interventions-comparing_methods.pdf
November 01, 2008 - Despite steadily increasing health care expenditures in the United States, improved health outcomes and quality remain elusive
Methods Guide for Comparative Effectiveness
Reviews
Comparing Medical Interventions: AHRQ and the
Effective Health Care Program
Comparative Effectivenes…
-
effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_slutsky_comparing_medical_interventions.pdf
November 01, 2008 - Despite steadily increasing health care expenditures in the United States, improved health outcomes and quality remain elusive
Methods Guide for Comparative Effectiveness
Reviews
Comparing Medical Interventions: AHRQ and the
Effective Health Care Program
Comparative Effectivenes…