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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Disclosure.pdf
September 30, 2024 - disclosure
statement would no longer be required, but the PSO is encouraged to inform the Secretary of such
circumstances … calendar days of the date on which the PSO enters
into a contract with the provider if any of the circumstances … If these circumstances subsequently arise during
the contract period, the Secretary must receive a disclosure … Provider
City State
Date PSO entered into a Patient Safety Act contract with this provider:
Date the circumstances … Lieu of completing: Off
Disclosure Type: Off
Type of Disclosure:
Date PSO entered:
Date the circumstances
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - For example, if something is judged to be preventable, was it preventable under the circumstances at … the time or preventable under ideal circumstances? … failures passing through multiple holes in layers of “defenses” and explains that a confluence of many circumstances … often contribute to a final failure. 23 While this model oversimplifies actual clinical circumstances … Safety-II more often views the human actor as an asset, capable of reacting and adapting to novel circumstances
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2025.xlsx
January 01, 2025 - Introduction
Introduction-Blood or Blood Product
The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2024. They include the frequencies of report type (i.e., Inci…
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digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
January 01, 2023 - Digital Healthcare Solutions
By individualizing drug–drug interaction alerts to individual patient circumstances … He hypothesized that contextualizing DDI alerts to specific patient circumstances would reduce overall
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances … of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumstances
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
August 01, 2022 - Clinicians who work there must make diagnoses under trying circumstances while patients who seek care
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www.ahrq.gov/sites/default/files/publications/files/ccreroadmap.pdf
July 01, 2013 - Interventions should be flexibly tailored
when indicated to accommodate local circumstances. … Future research that elucidates the circumstances under which the basic six factors are most
important … • Given the diversity of local circumstances, what are the best methods for assessing and
reporting … Local circumstances may especially present challenges to the successful
implementation and evaluation … And, given the great variety of local
circumstances in which this research occurs, researchers should
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role3.html
September 01, 2024 - Circumstances may affect a patient’s ability to evaluate complex decisions and their consequences. … Such circumstances include limited English proficiency, lack of housing or adequate employment, addiction
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - TRIPS DATA
After evaluating and treating the resident immediately, the nurse should investigate the circumstances … assistant(s) who cared for the resident at the time of the fall and encourage full disclosure of the circumstances … Section B of the TRIPS form
Section B of the TRIPS form contains 18 items and is used to document circumstances … Circumstances of the fall
Item 1 asks if the fall was witnessed or unwitnessed or if the resident
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - no-blood-please
https://psnet.ahrq.gov//#references
transfusions, which are particularly important in circumstances … involving Jehovah's Witness patients.(1,2)
Only in emergency circumstances where a patient lacks capacity … to perform such treatment on the basis of assumed
consent and public policy rationales.(1,3,4) In circumstances … such as
emergency department, laboratory medicine, and anesthesia staff, will likely encounter such
circumstances
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Vincent and
Amalberti identified that there are medical circumstances where you avoid risk and there … are medical
circumstances where you acknowledge risk. … There are circumstances in healthcare delivery where you
want to exclude risk as far as possible, and … So, there are circumstances in which the Safety-I approach of constraining options is appropriate, and … Debriefing skills learned in simulation are very applicable to real patient care circumstances.
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www.ahrq.gov/evidencenow/tools/social-needs-tool.html
June 01, 2021 - so-called social determinants of health (SDOH) which, when identified, can help tailor care to patients’ circumstances
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www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - It is not considered appropriate, in most circumstances, to adjust for other sociodemographic characteristics … Many statisticians believe that under these circumstances, it is appropriate to adjust scores using a
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - describe this concern within the patient’s context and express the patient’s values, preferences, and circumstances … The clinician will incorporate the patient’s values, preferences, and circumstances to provide recommendations … Clinicians use shared decision making that integrates patient values, preferences, and circumstances, … The patient’s values, preferences, and circumstances should provide the foundation on which team goals … carefully considered and that the team’s shared goals coalesce around patients’ values, preferences, and circumstances
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psnet.ahrq.gov/issue/cancer-drug-shortages-grow-some-doctors-are-forced-ration-doses-or-delay-care
April 26, 2023 - Related Resources From the Same Author(s)
Cancer drug shortages are creating dire circumstances … July 5, 2023
Cancer drug shortages are creating dire circumstances for some patients.
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www.ahrq.gov/funding/grant-mgmt/nces.html
November 01, 2020 - second no-cost extension can only be considered by AHRQ if the grantee can demonstrate that unusual circumstances … request for a second no-cost extension, which will include at a minimum: an explanation of the unusual circumstances
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www.ahrq.gov/nursing-home/resources/considerations-antigen-tests.html
June 01, 2022 - This document guides the interpretation of results when antigen tests are used in the following circumstances
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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - areas, the protocol may be written that
delivers the patient to the specialty hospital under most circumstances … EMS quality improvement begins when the EMS providers know what would
happen in ideal circumstances … but are always prepared for unusual circumstances where external factors
influence how care is delivered … That not only
carries to the medical director, but also in some circumstances, that iPad can carry information … There are always unexpected situations and circumstances that quality measures are
not designed to take
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-privacy-factSheet.pdf
October 01, 2021 - Authorized access to confidential
information is typically limited to specified
circumstances, purposes … The
circumstances under which they apply, the
kinds of information they protect, and the legal
situations
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - To address nonprofessional conduct, we use a "disruptive behavior pyramid" to help us match
circumstances … Unfortunately, we now have many
circumstances in which we've identified individuals at one institution … Unfortunately, about half of this group do not respond, and in those
circumstances, the organization … I am not unsympathetic to the challenges that medical leaders face in
circumstances where the high-risk … I also worry about what I refer to as premature disclosure and apology in circumstances where there is