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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - still be fatal in up to 3% of patients.( 10 ) Fourth, the efficacy of anticoagulation needs to be assessed
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - Hospitals were assessed administrative penalties after a determination that the
facilities noncompliance
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - both in and out of the hospital, it is essential that therapies and issues such as fluid monitoring be assessed
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - which the list is reviewed; ISMP recommends
review at least annually.7 Medications that should be assessed
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - the
surgical team is to mitigate risk once the risks and benefits of the planned procedure have been assessed
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psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - She had bilateral infiltrates on her
chest radiograph and was assessed as having septic shock due to
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/837192/psn-pdf
May 25, 2022 - Declaration to Advance Patient Safety.
May 25, 2022
National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May
2022.
https://psnet.ahrq.gov/issue/declaration-advance-patient-safety
Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…
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psnet.ahrq.gov/node/45496/psn-pdf
May 09, 2017 - The application of the Global Trigger Tool: a systematic
review.
May 9, 2017
Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review.
Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115.
https://psnet.ahrq.gov/issue/application-global-trigger-tool-…
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psnet.ahrq.gov/node/73677/psn-pdf
September 08, 2021 - Toolkit for Engaging Patients to Improve Diagnostic
Safety.
September 8, 2021
Rockville, MD: Agency for Healthcare Research and Quality; August 2021. AHRQ Publication No.
21-0047-2-EF.
https://psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety
Patient and family engagement is core to ef…
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psnet.ahrq.gov/node/865931/psn-pdf
July 22, 2024 - Examining the Impact of Artificial Intelligence (AI) on
Healthcare Safety (R18).
July 22, 2024
Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261.
https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-
artificial
Health systems are increasingly …
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psnet.ahrq.gov/node/73613/psn-pdf
August 18, 2021 - Implementing universal suicide risk screening in a
pediatric hospital.
August 18, 2021
Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric
hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/73638/psn-pdf
August 25, 2021 - The pain was unbearable. So why did doctors turn her
away?
August 25, 2021
Szalavitz M. Wired Magazine. August 11, 2021.
https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…
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psnet.ahrq.gov/node/42839/psn-pdf
January 09, 2014 - Teaching medical error disclosure to residents using
patient-centered simulation training.
January 9, 2014
Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered
simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.0000000000000046.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
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psnet.ahrq.gov/node/47289/psn-pdf
October 24, 2018 - ASHP guidelines on managing drug product shortages.
October 24, 2018
Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm.
2018;75(21):1742-1750. doi:10.2146/ajhp180441.
https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
Drug shortages are a pe…
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psnet.ahrq.gov/node/38059/psn-pdf
September 17, 2008 - Characteristics and outcomes of patients receiving a
medical emergency team review for respiratory distress
or hypotension.
September 17, 2008
Quach J, Downey A, Haase M, et al. Characteristics and outcomes of patients receiving a medical
emergency team review for respiratory distress or hypotension. J Crit Care. …
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - June 22, 2022
Factors associated with missed nursing care and nurse-assessed quality
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed