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  1. Final Progress Report: Workload effects on response time to life-threatening arrhythmias (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
    January 01, 2024 - Final Progress Report: Workload effects on response time to life-threatening arrhythmias Workload effects on response time to life-threatening arrhythmias Principal investigator: Noa Segall, PhD Team members: Christopher Granger, MD Melanie Wright, PhD Gene Hobbs, CHT Alberto Bonifacio, RN, BSN, MHA, CEN Jeffr…

  2. Observing Patient Care Rounds | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
    December 01, 2012 - Observing Patient Care Rounds CUSP Toolkit Communication among disciplines can be improved if viewed through the eyes of an objective observer. Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…

  3. Step 5: Set the Stage for Conducting the Survey | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
    December 01, 2019 - plan survey results can be reported at the level of products, health plan, purchasers, regions, or states

  4. Public Health Notification from FDA: Vail Products Enclosed Bed Systems. | PSNet

    psnet.ahrq.gov/issue/public-health-notification-fda-vail-products-enclosed-bed-systems
    December 16, 2020 - Press Release/Announcement Public Health Notification from FDA: Vail Products Enclosed Bed Systems. Citation Text: Public Health Notification from FDA: Vail Products Enclosed Bed Systems. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; December 4, 2007. Copy …

  5. ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). | PSNet

    psnet.ahrq.gov/issue/relion-insulin-syringes-use-u-100-insulin-tyco-healthcare-covidien
    September 30, 2015 - Press Release/Announcement ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). Citation Text: ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 6, 2…

  6. Understanding the role of non-technical skills in patient safety. | PSNet

    psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
    August 28, 2024 - Commentary Understanding the role of non-technical skills in patient safety. Citation Text: White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  7. A piece of my mind. I'm sorry. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-im-sorry
    November 22, 2017 - Commentary A piece of my mind. I'm sorry. Citation Text: Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet

    psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
    June 12, 2013 - Memory set out to understand what was known about the scale and nature of serious failures in the United … The findings and analysis have been used to modernize the United Kingdom’s process for understanding

  9. Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. | PSNet

    psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
    August 01, 2012 - Government Resource Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Citation Text: Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13…

  10. Strategies used by nurses to recover medical errors in an academic emergency department setting. | PSNet

    psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
    September 26, 2016 - July 28, 2010 Emergency nursing and medical error—a survey of two states.

  11. Handoff Communication Tools. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…

  12. Benefits of a rapid response system at a community hospital. | PSNet

    psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
    July 02, 2019 - Commentary Benefits of a rapid response system at a community hospital. Citation Text: Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. Copy Citation Fo…

  13. Collegiality vs. Competence | PSNet

    psnet.ahrq.gov/web-mm/collegiality-vs-competence
    August 28, 2024 - The United States District Court for the Eastern District of Louisiana refused to dismiss the case and

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49631/psn-pdf
    July 01, 2011 - "(2) Of all medication-related hospital admissions in the United States, up to 69% may be due to poor

  15. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
    April 01, 2013 - CLABSI Investigation Process: Walk the Process (Transcript) September 14, 2010 Operator: Good day, ladies and gentlemen and welcome to the CUSP content call. At this time, all participants are in a listen-only mode. Later, we will have a question-and-answer session, and instructions will be given at that tim…

  16. Implementation of an Electronic Care Plan for People With Multiple Chronic Conditions (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/ecare-plan-final-report.pdf
    November 01, 2022 - Users outside the United States must get permission from AHRQ to reprint or translate this product. … Multiple Chronic Conditions in the United States. Santa Monica, CA: RAND; 2017. 3. … Diabetes and CKD in the United States population, 2009-2014. … United States Core Data for Interoperability (USCDI). … https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi.

  17. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - complication in children, occurring in around 10 per 1,000 surgical pediatric discharges.1 • In the United … States, the overall incidence of sepsis has increased significantly in recent decades.2 • One study

  18. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - complication in children, occurring in around 10 per 1,000 surgical pediatric discharges.1 • In the United … States, the overall incidence of sepsis has increased significantly in recent decades.2 • One study

  19. Disposition of Comments Report for Enzyme-Replacement Therapies for Lysosomal Storage Disease (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/lysosomal-storage-diseases-therapies_disposition-comments.pdf
    January 01, 2014 - The text reflects the shortage of Cerezyme and Fabrazyme in the United States: “Shortages of Cerezyme … ® and Fabrazyme® in the United States were reported by the manufacturer in Fall 2011. … States. … States. … States.

  20. Services (pdf file)

    meps.ahrq.gov/data_stats/nhc/services.pdf
    September 30, 1997 - information, including suggestions for reducing this burden, to Reports Clearance Officer, Attention: PRA, United … States Public Health Service, Paperwork Reduction Project (0935-0099), Hubert H.
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