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psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - However, 19 "potentially avoidable" arrests occurred during one calendar year, most of which were
attributable
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - However, 19 "potentially avoidable" arrests occurred during one calendar year, most of which were attributable … June 1, 2011
A 5-year analysis of rapid response system activation at an in-hospital
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psnet.ahrq.gov/training-catalog/save-date-qsc-2025
January 01, 2025 - American College of Surgeons (ACS)
Event Description: Mark your calendars
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - Case #2: A 38-year-old man was brought to the hospital with altered mental status after crashing while … Final Policy, Payment, and Quality Provisions Changes
to the Medicare Physician Fee Schedule for Calendar … Year 2019. … newsroom/fact-sheets/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year … newsroom/fact-sheets/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - preventable hospital-acquired conditions by 40% and all-cause 30-day readmissions by 20% by the end of calendar … The baseline year was 2010 when none of the Partnership for Patients interventions were in the field, … We have analyzed with the 2010 baseline and through the end of calendar 2014, and this is a nationally … Harm rates were calculated by clinical data abstraction from approximately 30,000 charts reviewed each year … thousand discharges from the baseline of 145 harms per thousand, to 121 harms per thousand by the end of calendar
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - preventable hospital-acquired conditions by 40% and all-cause 30-day readmissions by 20% by the
end of calendar … The baseline year was 2010 when none of the Partnership for Patients interventions were in the field, … We have analyzed with the 2010 baseline and through the end of
calendar 2014, and this is a nationally … rates were calculated by clinical data abstraction from approximately 30,000 charts reviewed each
year … thousand discharges from the baseline of 145 harms per
thousand, to 121 harms per thousand by the end of calendar
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - The Case
A 74-year-old male with a history of hypertension, hyperlipidemia, paroxysmal atrial fibrillation … (95% confidence interval,
10,592,000–11,747,000) red blood cell units were transfused in the US in calendar … year 2015.2 A case of
transfusion-transmitted HIV has not been reported to the Centers for Disease … agencies if required; errors classified
as blood product deviations (BPDs) must be reported within 45 calendar … Annual Summary for Fiscal
Year 2017. Accessed December 26, 2019. [Free full text]
15.
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - https://psnet.ahrq.gov/web-mm/2-week-itch
The Case
A 40-year-old woman with bipolar disorder (on trazodone … http://www.usp.org/reporting/review/rev_076.htm
http://www.ismp.org/MSAarticles/Calendar/Oct96.html
http … ://www.ismp.org/MSAarticles/Calendar/Oct96.html
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - The Case A 74-year-old male with a history of hypertension, hyperlipidemia, paroxysmal atrial fibrillation … (95% confidence interval, 10,592,000–11,747,000) red blood cell units were transfused in the US in calendar … year 2015. 2 A case of transfusion-transmitted HIV has not been reported to the Centers for Disease … agencies if required; errors classified as blood product deviations (BPDs) must be reported within 45 calendar … Annual Summary for Fiscal Year 2017.
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psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - an outpatient geriatrics rotation, an internal medicine resident visited one of his patients—an 80-
year-old … Providing patients with a medication
calendar that includes the times of day to take medications can … The calendar can also be used to record when the medications were taken to reduce omitted
or extra doses … Unit dose calendar packaging and elderly patient
compliance. N Z Med J. 1991;104:495-497.
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - A was a 78-year-old man admitted with non-ST elevation myocardial infarction with acute kidney injury … B was a 62-year-old man admitted to the same medicine unit with
hypoglycemia and a diabetic foot ulcer … errors
and near miss
errors
120 CPOE facilities that voluntarily reported
medication errors in calendar … year 2003; from the
MEDMARX 5th Anniversary Data Report.
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - ), lack of profitability for a particular product, or when production quotas
have been met for the year … Report on Drug Shortages for Calendar Year 2017. U.S. Food and Drug Administration.
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - https://psnet.ahrq.gov/web-mm/shake-well
The Case
A 35-year-old patient on the neurology service was … products when possible (there have been reports of pharmacy
compounding errors, such as a case where a 5-year-old … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
http://www.ismp.org/MSAarticles/Calendar
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - an outpatient geriatrics rotation, an internal medicine resident visited one of his patients—an 80-year-old … Providing patients with a medication calendar that includes the times of day to take medications can … The calendar can also be used to record when the medications were taken to reduce omitted or extra doses … Unit dose calendar packaging and elderly patient compliance. N Z Med J. 1991;104:495-497.
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - A was a 78-year-old man admitted with non-ST elevation myocardial infarction with acute kidney injury … B was a 62-year-old man admitted to the same medicine unit with hypoglycemia and a diabetic foot ulcer … Medical errors and near miss errors 120 CPOE facilities that voluntarily reported medication errors in calendar … year 2003; from the MEDMARX 5th Anniversary Data Report.
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - demand), lack of profitability for a particular product, or when production quotas have been met for the year … Report on Drug Shortages for Calendar Year 2017. U.S. Food and Drug Administration.
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - In calendar
year 2006, AHS hospitals had 302,784 admissions.(1)
The AHS journey toward high quality … One example is our current 3-year initiative (2007–2009) to improve hyperglycemia management in
our … The
Task Force spent the next year creating a strategy for mitigating risk and improving fetal and maternal
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - These new partnerships applied a more refined APPS Improvement Framework.(
14) Two-year partnership … 22709651
https://psnet.ahrq.gov//#ref16back
https://www.who.int/news-room/events/detail/2013/09/09/default-calendar
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
The Case
A 52-year-old … Subsequent investigation uncovered that the patient was
properly scheduled on the nuclear medicine calendar
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - The Cases Case #1: A 56-year-old man being treated for hypertension and diabetes requested a copy of … Case #2: A 38-year-old man was brought to the hospital with altered mental status after crashing while … Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar … Year 2019.