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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Finally, the NAPA PSO workgroup created a 15-minute training video to teach the Anesthesia Risk Alert … Finally, educate staff on the risk groups and the interventions.
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Finally, an algorithm to detect patients in need of
follow-up after test results was developed and implemented … Finally, one study developed
a dashboard to display various risk factors for multiple hospital-acquired … .19 AHRQ is already
leading efforts in this field with their CDS Innovation Collaborative project.20 Finally
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Finally, an algorithm to detect patients in need of follow-up after test results was developed and implemented … Finally, one study developed a dashboard to display various risk factors for multiple hospital-acquired … AHRQ is already leading efforts in this field with their CDS Innovation Collaborative project. 20 Finally
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - Finally, independent double-checks at the bedside or point-of-care barcode systems are other potentially
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - When the intern asked the nurse to page them,
the rapid response team finally arrived. … Finally, there must be structural changes that promote
team engagement.
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Finally, dosing in mcg/min (e.g. 0.5 - 30 mcg/min)
mitigates the risk of decimal point errors associated … Reduce Distractions and Utilize Comprehensive Closed-loop Communication
Finally, there was a breakdown
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - Luckily, the error was recognized when the patient finally saw his PCP. … case, the lack of feedback was risky and the evidence is that it was
not caught until the patient finally
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - Finally, as institutions create policies and procedures to ensure high quality “handoffs,” the patient … Finally, hospitals should consider back-up systems for essential but difficult parts of a critical pathway
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - Defense 4: A New Attitude and Culture
With EHRs, we can finally find the information that we are looking … And finally,
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
September 01, 2006 - post-anesthesia care unit [PACU]) for 3 hours after last narcotic dose to evaluate for potential sedation, and finally … results in good patient satisfaction and decreased patient-controlled analgesia narcotics use.( 5 ) Finally
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - Millenson, who observed (11):
It was the mirror held up to the profession by news media coverage that finally … In the case of medical errors,
public scandal and the concomitant fear of public shaming finally broke
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - length of stay (6,7), though this remains controversial and cannot be considered standard of care.(8,9)
Finally … Finally, laryngotracheal stenosis occurs in approximately 1.7% of patients following tracheostomy, though
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psnet.ahrq.gov/node/33630/psn-pdf
March 01, 2006 - Finally, class-based teaching is easy to schedule as part of the staff orientation
process, as it does … Finally, encouragement and
feedback, especially from leadership, are essential to the implementation
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - patient grew increasingly uncomfortable with the conversation, the patient in the
neighboring bed finally … Finally, awareness of language barriers should alert providers of the need for an increased focus on
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - Finally, care and
information must be delivered to individuals in a manner that is understandable in … Finally, as noted earlier, we are seeking more safety measures that are patient reported
or patient … Finally,
there are likely improvements in safety that can be gained from creative technology and scientific … Finally, as I noted earlier, we need to simplify and harmonize measures.
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - Then finally we looked at whether there were aspects of technique that could explain why some surgeons … Finally, surgeons were surprised not that skill mattered but at the magnitude of the association between … Finally, I think that the research community will make strides in figuring out the best, most scalable
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Finally, the
only identifiable risk factors for VTE in this patient are pregnancy and obesity.3,23 She … Finally, implementation of an
emergency cesarean simulation involving the obstetrics, nursing, and anesthesia … Finally, simulation has been implemented on many labor and delivery wards to improve team based
medical
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Finally, the only identifiable risk factors for VTE in this patient are pregnancy and obesity. 3 , 23 … Finally, implementation of an emergency cesarean simulation involving the obstetrics, nursing, and … Finally, simulation has been implemented on many labor and delivery wards to improve team based medical
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using
https://psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
Finally
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Emphasizing patient involvement as a means of improving the culture of safety
Finally, hospitals are