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psnet.ahrq.gov/node/46046/psn-pdf
April 19, 2017 - issue/teaching-students-administer-medications-safely
Students are likely to make mistakes as they develop
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psnet.ahrq.gov/node/34583/psn-pdf
July 03, 2015 - AHRQ challenged the
health care community and other organizations to develop innovative solutions for
-
psnet.ahrq.gov/node/39175/psn-pdf
December 16, 2009 - impact-standard-medication-chart-prescribing-errors-and-after-audit
A multidisciplinary collaborative process was used to develop
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psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - draws from AHRQ's
Comprehensive Unit-based Safety Program to help ambulatory surgical center teams develop
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psnet.ahrq.gov/node/44678/psn-pdf
July 05, 2017 - Exploring principles
of high reliability and enterprise risk management, this publication discusses how to develop
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psnet.ahrq.gov/node/42695/psn-pdf
August 02, 2015 - composite-measures-profiling-hospitals-bariatric-surgery-performance
This study used clinical registry data from the Michigan Bariatric Surgery Collaborative to develop
-
psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - exercise involved having students assess adverse event scenarios to uncover
contributing factors and develop
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psnet.ahrq.gov/node/38305/psn-pdf
January 15, 2009 - psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
Clinician surveys were used to develop
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psnet.ahrq.gov/node/41161/psn-pdf
February 22, 2012 - competencies-nursing
This commentary describes how a nursing college and regional health care system collaborated to develop
-
psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - toolkit
provides checklists, resources, and implementation guidance to help clinical nurse specialists develop
-
psnet.ahrq.gov/node/44109/psn-pdf
November 06, 2015 - The program engages teams to identify
problems in care delivery, develop innovations, and then test
-
psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - The author
underscores the importance of an established culture of safety to help clinicians develop
-
psnet.ahrq.gov/node/40955/psn-pdf
March 08, 2017 - kaiser-permanentes-performance-improvement-system-part-4-creating-
learning-organization
This article discusses Kaiser Permanente's efforts to develop
-
psnet.ahrq.gov/node/44232/psn-pdf
January 29, 2019 - optimizing-medication-safety-home
https://psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
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psnet.ahrq.gov/node/46018/psn-pdf
January 16, 2019 - NHS to inform its discussion of key patient safety
topics, including how to learn from failure and develop
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - below baseline
Timing: within 5-10 days of heparin exposure
Thrombosis: up to half of patients will develop … daily during treatment Patients with renal insufficiency: initial bolus =0.2mg/kg
Half of patients develop … 3286901
Heparin Related Skin Reaction in HIT
Skin reaction
10%-20% of patients with HIT will develop … antibody positivity is 85 days
If antibodies present at time of re-challenge with heparin, patient can develop
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psnet.ahrq.gov/node/42823/psn-pdf
December 18, 2013 - orthopaedic-error-index-development-and-application-novel-national-indicator-
assessing
Investigators used reports from the National Reporting and Learning System to develop
-
psnet.ahrq.gov/node/42134/psn-pdf
July 16, 2013 - This study reports on an effort to develop process measures for monitoring the quality
of specimen identification
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psnet.ahrq.gov/node/47253/psn-pdf
September 05, 2018 - fellowship-patient
This commentary describes the deployment of a interprofessional fellowship program designed to develop
-
psnet.ahrq.gov/node/45565/psn-pdf
May 24, 2017 - This report
discusses how executives can develop a culture of safety in health care organizations.