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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Acute care edition. October 19, 2023;28(21):1-4. … Acute care edition. October 19, 2023;28(21):1-4. … Acute care edition. October 19, 2023;28(21):1-4. … April 5, 2023
A hard look at hard stops and workarounds in the acute care setting.
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psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
December 04, 2024 - Acute Care. August 08, 2024;29(16). … Acute Care . August 08, 2024; 29 (16) . … Acute Care. August 08, 2024;29(16).
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psnet.ahrq.gov/cme
February 26, 2025 - The commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging … December 31, 2024
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency … Diagnostic tests revealed acute heart failure exacerbation with pulmonary edema, marked elevation of … The commentary discusses the contraindications for beta-blockers in the setting of acute decompensated … The commentary discusses risk factors for delayed acute subdural hematoma and the importance of repeat
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psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
January 25, 2023 - This review sought to understand the variability in adverse event detection in acute care and study … Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute
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psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
June 22, 2022 - hospital-acquired pressure ulcers, falls ) over time among patients hospitalized for four common conditions – acute … patient safety and 30-day mortality and unplanned readmission for Medicare fee-for-service patients with acute
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psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
November 16, 2022 - Medication reconciliation is a widely used strategy to reduce medication adverse events in acute care … interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - 1, 2021
Exploring patient safety outcomes for people with learning disabilities in acute … 2021
Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute … September 9, 2011
Adverse incidents, patient flow and nursing workforce variables on acute … psychiatric wards: the Tompkins Acute Ward Study.
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psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
June 03, 2020 - Acute care edition. May 7, 2020;25(9). … Acute care edition. May 7, 2020;25(9). … Acute care edition. May 7, 2020;25(9). … December 7, 2022
WebM&M Cases
Saline Flush Leads to Acute
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - In-hospital, general
Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute … Effective teamwork is critical in acute and intensive care settings. … thematic analysis identified four key factors that frame the evidence on interprofessional teams in acute … Effective teamwork is critical in acute and intensive care settings. … thematic analysis identified four key factors that frame the evidence on interprofessional teams in acute
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - urologist's office, the patient began to feel progressively "woozy, headache-y, and dizzy," but without acute … More serious complications of BPH include acute urinary retention and, in the case under discussion, … Men with acute or chronic urinary retention usually have evidence of bladder decompensation including … with a 5-ARI is associated with greater improvement in symptoms and a reduced risk of progression to acute … Serum prostate-specific antigen concentration is a powerful predictor of acute urinary retention and
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psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
May 08, 2019 - Findings from this survey of infection prevention professionals from acute care hospitals in the United … May 8, 2019
A program to prevent catheter-associated urinary tract infection in acute
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psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional
January 20, 2021 - After the training, safety attitudes improved, but the effect was more pronounced at the acute care hospital … Differences between professionals' views on patient safety culture in long-term and acute
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Acute Care. 2024;29(6):1-4. … Acute Care. 2024;29(6):1-4 . … Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an … Diagnosing Diagnostic Mistakes
May 1, 2005
Opioid prescribing for acute
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
December 24, 2008 - strategy to develop and test a bundle of interventions in the ambulatory care , long-term care , and acute … September 28, 2022
Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - These rates would represent more than 1000 falls per year in a large acute hospital ( 2 ) and perhaps … Nurse staffing and patient falls on acute care hospital units. Nurs Outlook. 2004;52:53-59. … A volunteer companion-observer intervention reduces falls on an acute aged care ward. … Falls in an acute hospital and their relationship to restraint use. Ir J Med Sci. 2005;174:28-31. … Prevalence and variation of physical restraint use in acute care settings in the US.
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - This article focuses on the implementation of AHRQ’s Safety Program for Improving Antibiotic Use in acute … July 17, 2024
Clinical characteristics and short-term outcomes of acute kidney injury
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psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
December 08, 2021 - December 8, 2021
Missed acute myocardial infarction in the emergency department-standardizing … December 15, 2021
A structured approach to EHR surveillance of diagnostic error in acute … December 16, 2020
Analyzing diagnostic errors in the acute setting: a process-driven … December 16, 2020
Missed acute myocardial infarction in the emergency department-standardizing
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - Applications Acute care The AHRQ PSIs were designed as indicators of patient safety in the acute care … Post-Acute Care Settings A 2018 report by the Office of the Inspector General (OIG) concluded that … and other findings and concerns by developing a set of indicators to measure patient safety for post-acute … Health Information developed a Hospital Harm measure, which captures 31 types of adverse events in acute … demonstrated a significant decline in the rates of adverse events among hospitalized patients with acute
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psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
March 15, 2022 - Acute Care Edition. March 27, 2008;13:1-2. … Acute Care Edition. March 27, 2008;13:1-2. … Acute Care Edition. March 27, 2008;13:1-2.