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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
January 01, 2004 - Onsite administrators set up a purchasing
committee to evaluate and recommend a pump, in an attempt … devices considered, those who participated in the
purchasing process, and the general process leading up … a survey asking their opinions on the important features of infusion pumps
and both pumps were set up
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 02, 2025 - The team came up with
three quick ideas on where to find candidates.
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digital.ahrq.gov/ahrq-funded-projects/addressing-hospital-patient-information-needs-using-personal-health-record
January 01, 2023 - All participants completed baseline and follow-up assessments to measure changes in patient activation
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - Revelation
March 1, 2004
WebM&M Cases
Patient Mix-Up
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psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - Apply ophthalmic ointment to the eye and affected lashes, patch the eye closed, and arrange for follow-up
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www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
January 01, 2020 - CoPs were conceived as open, collegial platforms for Medicaid and CHIP staff to use for exchanging up-to-date
-
psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - For example,
during insertion of the insufflation needle, it is important for the assistant to “tent up
-
psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - The following day, the resident attempted to look up the results of the biopsy but found none.
-
psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Incorrect surgical procedures within and outside of the operating
room: a follow-up report.
-
psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - that week, and conversations focus on
medication reconciliation, critical labs and imaging, discharge follow-up
-
psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - care are two:
A complete physical examination remains a key and fundamental component of the work-up
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - regard to failures in diagnostic safety and
quality and repercussions related to financial payouts; up
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_clinician.pdf
November 01, 2016 - Up to 84 percent of adults
have low back pain at some time in their lives, and over one
quarter of … rating scale) to moderate (10 to 20 points) range.
�� Outcomes were mostly measured at short-term (up
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hcup-us.ahrq.gov/db/vars/pay2_n/nisnote.jsp
September 02, 2008 - Last modified 9/17/08
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - The most commonly cited preoperative risk is bleeding, which occurs in up to 3% of patients. … Line Insertion Leads to Cardiac Arrest
January 26, 2022
Outcomes from Wake Up
-
psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - preparing medications for patients ranging in weights from 400 g to 120 kg, resulting in the potential of up … Risk
August 1, 2006
WebM&M Cases
Citrate Mix-Up
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meps.ahrq.gov/data_files/publications/st485/stat485.shtml
December 01, 2015 - to top
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February 01, 2014 - to top
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www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
January 01, 2024 - This was followed up by another IOM report
called “Crossing the Quality Chasm.” … The workshop will be able to accommodate up to 50 PA faculty.
-
www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
July 01, 2017 - to medical services and continuous and coordinated oversight of their conditions deteriorate and end up … Do you use walking aids or need assistance when walking or transferring (getting up and down from a chair