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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - January 15, 2020
TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - September 18, 2024
Improving appropriate use of peripherally inserted central catheters
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - The core problem here consisted of failure to identify the appropriate limb of colon to bring up for … With these initial steps complete, the appropriate segment of colon is mobilized and identified.
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - year-old man with severe but well-controlled congestive heart failure, on spironolactone and other appropriate … For example, if a hospitalist fails to arrange appropriate follow-up for a patient with a solitary pulmonary … patients, they need to anticipate the opportunities for post-discharge adverse events and put in place appropriate
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - for both the original and 2013 revision of the National Standards for Culturally and Linguistically Appropriate … CB : Since then, the new National Standards for Culturally and Linguistically Appropriate Services (CLAS … cultural competence is reflected in the updated National Standards for Culturally and Linguistically Appropriate … April 3, 2024
Appropriate use of medical interpreters in the breast imaging clinic.
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - erroneous MRI interpretation was identified in a timely manner,
the patient’s caregivers were contacted, appropriate … Early recognition and appropriate
diagnostic imaging are vital for timely intervention.
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - May 4, 2016
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - March 9, 2016
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - transfer, they fail to serve as concrete guidelines that can assist providers in selecting patients most appropriate … and acute stroke patients prior to transfer.( 23,24 ) Additionally, telemedicine could facilitate the appropriate … advance of patient transfer might have facilitated rapid diagnosis and expedited treatment as well as appropriate
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Shared decision-making has been demonstrated to support appropriate medication prescribing in patients
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - EHR itself; review requires a provider to search for the result and manually open a media file on an appropriate … Ideally, these alerts are appropriate, timely, and displayed to a provider with the necessary expertise
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psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
June 28, 2010 - Study
Development of a measure of patient safety event learning responses.
Citation Text:
Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x.
Copy Ci…
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - teach-back are likely the most effective way to limit medication discrepancies and address them in
an appropriate
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - finding highlights the difficulty inherent to diagnosing such injuries and emphasizes the importance of appropriate … Referral and Follow-up Depending on local practice patterns and consultant availability, it may be appropriate … November 25, 2020
WebM&M Cases
Delay in Appropriate
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psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
June 24, 2020 - Study
Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.
Citation Text:
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - Additionally, the facility should have the appropriate equipment, in this case a Hoyer lift, that would … RCFE administrators are responsible for appropriate staff training based on the needs of the residents
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - the proportion of patients with a scheduled or completed chest computed tomography (CT) scan after appropriate … framework for optimal radiologist recommendations that requires three key aspects to ensure capture of appropriate … patient and (2) the proportion of patients for whom the safety net was able to identify and implement appropriate
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psnet.ahrq.gov/node/33585/psn-pdf
March 15, 2025 - The alert
emphasized the importance of educating physicians on appropriate test utilization and standardizing
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - is not only attributable to inappropriate prescribing; it also reflects excessive
prescribing for appropriate
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psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
October 17, 2018 - June 13, 2011
Application of human factors methods to ensure appropriate infant identification