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psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
November 06, 2015 - April 3, 2019
Surgical fires: decreasing incidence relies on continued prevention efforts
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psnet.ahrq.gov/issue/improving-diagnosis
November 28, 2018 - April 3, 2019
Surgical fires: decreasing incidence relies on continued prevention efforts
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psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007
March 21, 2012 - The results of this study and other recent literature provide continued urgency for the safety movement
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psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
January 27, 2019 - research , such as lack of physician engagement in QI and limited use of information technology , continued
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psnet.ahrq.gov/issue/outcomes-emergency-department-patients-presenting-adverse-drug-events
April 22, 2011 - Patients presenting to an emergency department (ED) with an adverse drug event (ADE) are a source of continued
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - These include the lack of evidence to support continued work shifts of more than 24 hours and a paucity
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - Adverse events after hospital discharge are a continued threat to patient safety and the basis for
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - Despite increased adoption of computerized provider order entry , medication errors are a continued
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psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs
September 07, 2016 - In 2013, the FDA released a strategic plan for preventing drug shortages, but the problem has continued
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - The authors advocate for continued error disclosure training among providers with further study of the
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psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
June 16, 2011 - Investigators found a continued decline in CLABSIs from 2005 through 2013, with many participating hospitals
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psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and
January 23, 2019 - Improving teamwork and communication is a continued focus in the hospital setting.
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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
July 03, 2016 - According to this analysis, because CMS continued to reimburse hospitals for conditions present on arrival
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Readmissions and adverse events after discharge are a continued patient safety problem, as evidenced
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - A previous PSNet perspective advocated for continued appropriate supervision to augment patient safety
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - on long-standing anticoagulation with warfarin for his atrial fibrillation, and this medication was continued … Appropriate Warfarin Management
Many aspects of management in this case were appropriate:
Warfarin was continued
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - In the emergency department (ED), the patient’s AICD continued to fire shocks. … Case: To Transfer or Not (4)
Unfortunately, the patient continued to have more ventricular arrhythmias
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psnet.ahrq.gov/issue/do-variations-hospital-mortality-patterns-after-weekend-admission-reflect-reduced-quality
April 12, 2019 - However, patients with cancer-related diagnoses continued to have elevated mortality risk for the full
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psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
August 26, 2011 - March 27, 2019
Surgical fires: decreasing incidence relies on continued prevention efforts
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psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
July 18, 2018 - Related Resources From the Same Author(s)
Surgical fires: decreasing incidence relies on continued