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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - Orders on file but no labs drawn: investigation of machine and
human errors caused by an interface idiosyncrasy
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - the primary care
doctor all met with the patient to disclose the mistake, but clearly the error had caused
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - a rate of 7.5 per 100
patient-days of care.(3) Erroneous actions stemming from shift changes have caused
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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - While the harm caused by these additional CT scans is arguable, some studies have
estimated that as
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - likelihood of future clinically relevant UTIs and also increases the chances of having future UTIs caused
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - Moment 4 may have caused the most notable harm in this case.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
September 01, 2022 - A throat infection in childhood could have been caused by a virus, and the rash was actually a viral
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - ACOG Simulations Consortium Learning Objectives: Postpartum Hemorrhage Caused by Uterine Atony. n.d.
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - members (175/1,160) reported they had experienced a patient safety event within the past year that caused
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psnet.ahrq.gov/node/73456/psn-pdf
June 30, 2021 - This delay then caused the anesthesia
team to persist with further unsuccessful attempts at intubation
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - The surprise for me was that two thirds of them were caused
by errors. I'll never forget?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
October 01, 2014 - members will be more inclined to participate in interventions that might improve the health problems that caused
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
January 01, 2025 - , 94% of physicians surveyed by the American Medical Association reported that prior authorizations caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
August 25, 2015 - An adverse event is "any injury caused by medical care" and doesn't imply "error," "negligence," or poor
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - ACOG Simulations Consortium Learning Objectives: Postpartum Hemorrhage Caused by Uterine Atony. n.d.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
October 01, 2015 - Use of a comparable control group that did not undergo transformation can help to distinguish changes caused
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hcup-us.ahrq.gov/db/vars/totchg_x/nisnote.jsp
September 01, 2008 - Wisconsin
An error during HCUP processing of 1993 discharges caused negative values of total charges
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www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - suggests that adverse events affect patients with limited English proficiency more frequently, are often caused
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - /L.
12
12
The Role of Potassium (2)
Hypokalemia, defined as serum potassium <3.5 mEq/L, can be caused
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hcup-us.ahrq.gov/reports/statbriefs/sb16.jsp
November 16, 2006 - Introduction
Influenza (flu) is a contagious respiratory disease caused by a virus that, on average