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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - disrupt hospital equipment or patient devices (e.g., pacemakers)
Can be easily lost and may not have adequate
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psnet.ahrq.gov/node/39402/psn-pdf
August 08, 2010 - The quest to eliminate intrathecal vincristine errors: a 40-
year journey.
August 8, 2010
Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf
Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874.
https://psnet.ahrq.gov/issue/quest-eliminate-intratheca…
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psnet.ahrq.gov/node/37499/psn-pdf
January 10, 2017 - Medicare's decision to withhold payment for hospital
errors: the devil is in the details.
January 10, 2017
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in
the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23.
https://psnet.ahrq.gov/issue/medicares-deci…
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psnet.ahrq.gov/node/37362/psn-pdf
December 01, 2010 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2007.
December 1, 2010
Oakbrook Terrace, IL: Joint Commission; 2007.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2007
This report summarizes the quality …
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psnet.ahrq.gov/node/49399/psn-pdf
May 01, 2003 - First, was the method used to diagnose an ectopic pregnancy
adequate? … Furthermore, patients must have
adequate access to medical care (including a reliable source of transportation
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - Continue to assure adequate medical/neurologic training for psychiatrists, and adequate psychiatric training
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - The determination of seizure control was based largely on an adequate seizure-free interval and was a … Finally, in my opinion, one thing that does not receive adequate emphasis is the need to develop viable
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - institutions that
frequently use floating as a staffing solution, one might prioritize not only hiring an adequate … staffing represents both a management and leadership responsibility, which
encompasses the hiring of adequate
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
January 01, 2006 - responsible physician doubled the prophylaxis rate and reduced the VTE rate at 90 days by 41%
Hospitals with adequate … hospitalized patients
Use hospital information systems to increase awareness of VTE and implement adequate
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - A process change is needed to ensure that only health care professionals who have
received adequate … CVC insertion and removal should only be performed by health care professionals who have
received adequate
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Consequently, an
atypical antipsychotic (administered IM or possibly orally) would likely have been adequate … IV haloperidol at doses
of 2 mg IV (range 0.5-10 mg) and doubling the dose every 20 minutes until adequate
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - psnet.ahrq.gov//#references
Much of this debate centers around the degree to which individual results have adequate … iii) privacy and
confidentiality are maintained; and (iv) when appropriate, "the research plan makes adequate
-
psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - Is there adequate space for administrative activities?
Is there adequate space for storage?
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - procedure-oriented fields or who are
interested in becoming competent at medical procedures to have adequate …
1
Deficient: unable to complete
procedure without assistance.
2
3
Adequate
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - Figure and Table ) to guide the process, individualizing it for each patient and family and ensuring adequate … padding: 10px; text-align: left} Return huddle checklist to charge nurse when completed Ensure you have adequate
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - hemodialysis.( 10 ) Strategies to prevent contrast nephropathy include administering and maintaining adequate … Retroperitoneal hematomas can result from improper arterial puncture or failure to achieve adequate hemostasis
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psnet.ahrq.gov/node/43766/psn-pdf
September 26, 2016 - Driven to distraction: a prospective controlled study of a
simulated ward round experience to improve patient
safety teaching for medical students.
September 26, 2016
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward
round experience to improve patient saf…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
htt…
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psnet.ahrq.gov/node/37032/psn-pdf
May 27, 2011 - Effects of computerized physician order entry and clinical
decision support systems on medication safety: a
systematic review.
May 27, 2011
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision
support systems on medication safety: a systematic review. Arch Intern Me…
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psnet.ahrq.gov/node/44826/psn-pdf
February 14, 2017 - Validity of the Agency for Healthcare Research and
Quality Patient Safety Indicators and the Centers for
Medicare and Medicaid Hospital-acquired Conditions: a
systematic review and meta-analysis.
February 14, 2017
Winters BD, Bharmal A, Wilson RF, et al. Validity of the Agency for Health Care Research and Quality
…