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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - He has also worked on adjusted hospital death rates in England, Scotland, the United States, Canada, … These measures have become popular as screening tools for hospital safety in the United Kingdom, Sweden … , Netherlands, Canada, United States, and Australia.( 1,2 )
It's easy to see why R-AHMRs have become … adjustment more accurate, but as these account for around 20% of all hospital deaths in Canada and the United
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - arrest (SCA) is a leading cause of death worldwide, claiming more than 300,000 lives each
year in the United … States alone.(1) SCA presents a difficult clinical problem, as it often occurs with little
warning
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - arrest (SCA) is a leading cause of death worldwide, claiming more than 300,000 lives each year in the United … States alone.( 1 ) SCA presents a difficult clinical problem, as it often occurs with little warning
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
February 20, 2013 - Study
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Citation Text:
Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
June 28, 2023 - Study
Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit.
Citation Text:
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
April 13, 2022 - Study
Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.
Citation Text:
Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…
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psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers
October 08, 2013 - Study
A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.
Citation Text:
Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - address unintended consequences that were
occurring as a result of patients seeking medical care in United … States hospitals.
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
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psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - Newspaper/Magazine Article
AHRQ patient safety project reduces bloodstream infections by 40 percent.
Citation Text:
AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012.
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psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
October 16, 2012 - Study
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Citation Text:
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…
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psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
June 15, 2011 - Review
Incidents and errors in neonatal intensive care: a review of the literature.
Citation Text:
Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8.
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psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
November 17, 2014 - Study
Evaluation of a measurement system to assess ICU team performance.
Citation Text:
Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431.
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Fo…
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psnet.ahrq.gov/issue/infection-preventionist-checklist-improve-culture-and-reduce-central-line-associated
January 15, 2014 - Commentary
Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and reduce central line-associated bloodstream i…
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - The Resurgence of Home-Based Primary Care Models in the United States. … Caregiving in the United States 2020 . Washington, DC: AARP. May 2020. … https://www.aarp.org/ppi/info-2020/caregiving-in-the-united-states.html Accessed April 1, 2022. … Long-term care providers and services users in the United States, 2015-2016.
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - More than 77 million adults in the United States possess limited health literacy skills and will likely … Recognize that about half of the population in the United States has literacy skills below the level … Well, it cannot be that 50% of individuals in the United States have a problem. … inequitably distributed across different health systems and accounting for that, as is done in the United
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - Recognize that about half of the population in the United States has literacy skills below the level … Well, it cannot be that 50% of individuals in the United States have a problem. … inequitably distributed across different health systems and accounting for that, as is done in the United … More than 77 million adults in the United States possess limited health literacy skills and will likely
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - On May 11, 2023, more than three years after the first cases
were documented in the United States, the … Many states have the ability to make these telehealth flexibilities permanent to allow
continued access