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psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
March 20, 2024 - The discovery of a high medication prescribing error rate among physician trainees in the United Kingdom … Exploring error in team-based acute care scenarios: an observational study from the United
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psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
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psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure
November 30, 2016 - Review
Medication errors in critical care: risk factors, prevention and disclosure.
Citation Text:
Camiré E, Moyen E, Stelfox HT. Medication errors in critical care: risk factors, prevention and disclosure. CMAJ. 2009;180(9):936-43. doi:10.1503/cmaj.080869.
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Format: …
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psnet.ahrq.gov/issue/prevalence-and-burden-healthcare-associated-infections-hais-2016-2021-hcup-statistical-brief
December 18, 2024 - This data analysis from the AHRQ Healthcare Cost and Utilization Project examined data from 38 states
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
March 01, 2015 - Measure: Child HCAHPS–Hospital Consumer Assessment of Healthcare Providers and Systems
Measure Fact Sheet – The AHRQ-CMS CHIPRA Pediatric Quality Measures Program (PQMP)
Measure: Child HCAHPS–Hospital Consumer
Assessment of Healthcare Providers
and Systems
Measure Developer: Center of Excellence for Pediatric Q…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - Methods
Site
Kaiser Permanente is the largest nonprofit, integrated health care system in the
United … States, with 8.2 million members in nine states and the District of
Columbia.
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hcup-us.ahrq.gov/db/nation/nis/NIS_Sources_and_Restrictions_2001.pdf
January 01, 2001 - Sources of NIS Data and State-Specific Restrictions
2001
AZ Arizona Department of Health Services
No restrictions
CA Office of Statewide Health Planning & Development
No restrictions
CO Colorado Health & Hospital Association
No restrictions
CT CHIME, Inc. …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-technical-specifications.pdf
November 26, 2013 - Technical Specifications for Section II. Detailed Measure Specifications
Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic Prophylaxis for C…
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psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
June 28, 2023 - Book/Report
Leadership To Improve Diagnosis: A Call to Action.
Citation Text:
Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
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psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-acute-change
September 17, 2008 - Study
Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias.
Citation Text:
Downey A, Quach J, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for acute ch…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Slide 1
Preventing CAUTI in Specialized Patient Populations: The ICU
1
Hannah Wunsch, MD, MSc
Herbert Irving Assistant Professor of Anesthesiology and Epidemiology
Columbia University
Eugene Chu, MD, FHM
Director of Hospital Medicine
Boulder Community Hospital
Associate Clinical Professor of Medicine
University of Co…
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - On May 11, 2023, more than three years after the first cases were documented in the United States, the … category of healthcare-acquired conditions, where we had made progress prior to the pandemic, in the United … States, we have since experienced higher rates of preventable infections, as well as increases in … COVID-19 Action Network to create and provide free training and support to nursing homes across the United … States to increase the implementation of evidence-based infection prevention and safety practices to
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - category of healthcare-acquired conditions, where we had made progress prior to the pandemic, in the United … States, we have since experienced higher rates of preventable infections, as well as increases in … COVID-19 Action Network to create and provide free training and support to nursing homes across the United … States to increase the implementation of evidence-based infection prevention and safety practices to … On May 11, 2023, more than three years after the first cases were documented in the United States, the
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www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - The United
States Department of Energy (DOE) employs a standardized methodology of prospective risk … Care for Children
Annually, children make ~29 million visits to Emergency Departments (EDs) in the United … Although most pediatric ED visits are made by children >5 years old, nearly 97 of 100 infants in the
United … Collected and Analyzed
Sixteen risk assessments were collected from different institutions across the United … States.
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - including 2 clinically significant errors per week—or 51.5 million errors dispensed each year across the
United … States.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Between 1995 and 2008, the incidence of pressure injuries in the United States increased by as much as
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www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
December 01, 2024 - If the policy states that in-person consultation
is advised and a consultation is requested, the on-call
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Arrest (SCA)
SCA is leading cause of death worldwide, claiming more than 300,000 lives each year in the United … States alone
Requires a complex set of resuscitative actions to be instituted within minutes
Thom
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meps.ahrq.gov/data_files/publications/mr12/mr12.shtml
June 01, 2001 - The bulk of the mailings, grouped in nine waves defined by groups of States, was completed by … was given as a free sample in a physicians office), pharmacies located outside the United … States. … States. … States Public Health Service.
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psnet.ahrq.gov/node/867020/psn-pdf
October 23, 2024 - This article discusses an effort in
the United Kingdom to learn from preventable deaths reported to