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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Misidentification Report published by the Ponemon Institute, 64% claimed that patient misidentification errors happen
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - A fall can happen for different reasons, such as being given too much pain
medication, or having too … Or, it may
just happen. This information is for patients admitted during [insert year]. … • In some cases, the specific topics track serious failures in a hospital’s
performance which happen … If one hospital takes care of people who happen to be older, or sicker, that
hospital’s patients are
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - If we're not going to reimburse, it's just not going to happen. … this is what works, we will need to figure out the financial models, logistically how you make this happen … Suddenly, it was a conversation that could happen at the dinner table, at the bowling alley, or at the … There’s lots of ways to do this and many places where this can happen. For instance, medications.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 7. Layering Interventions and Moving Toward Excellence
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. A…
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - One Toxic Drug Is Not Like Another
February 1, 2011
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
Case Objectives
Distinguish between the three distinct regulatory processes of board certification, medical licensure,
and credential…
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
Editor's note: John D. Birkmeyer, MD, is an internationally recognized health services researcher with
expertise in perfo…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - Guide to Sustainability Planning: Long-Term Care Facilities
AHRQ Safety Program for
Improving Antibiotic Use
Guide to Sustainability Planning:
Long-Term Care Facilities
Sustainability Planning 2 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Introduction
Johns Hopkins Medicine and NOR…
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - You have this great EHR, you should be harnessing it for safety, but these transcription errors still happen
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digital.ahrq.gov/sites/default/files/docs/medicaid/contracting-guidelines-for-ehr-vendors.pdf
June 16, 2021 - Contracting Guidelines
Doctors’ Office Quality - Information Technology (DOQ-IT) Project
Contracting Guidelines with EHR Vendors
In general, if a contract is presented to your group from a software company, it will be written from
the perspective of the software company. You can request language changes t…
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
November 03, 2023 - Multi-use Website
Recognizing Excellence in Diagnosis.
Citation Text:
Recognizing Excellence in Diagnosis. The Leapfrog Group.
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - We are testifying to things
that didn't actually happen, physical exam findings that we didn't do, or
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - It has
moved to include supporting physicians when mistakes happen but way beyond that.
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - have
this great EHR, you should be harnessing it for safety, but these transcription errors still happen
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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - Newspaper/Magazine Article
The wrong goodbye.
Citation Text:
The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019.
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psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
May 13, 2020 - Audiovisual
Uncovering the shocking dangers of misdiagnosis.
Citation Text:
Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
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digital.ahrq.gov/principal-investigator/nahm-eun-shim
January 01, 2023 - Nahm, Eun-Shim
A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report
Citation
Nahm E. A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report. (Prepared by the University of Marylan…
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Every patient
is different and things happen in the hospitalization, so to get the acute situation under
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psnet.ahrq.gov/issue/when-surgeon-too-old-operate
February 12, 2016 - Newspaper/Magazine Article
When is the surgeon too old to operate?
Citation Text:
When is the surgeon too old to operate? Span P. New York Times. February 1, 2019.
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psnet.ahrq.gov/issue/patient-safety-article-collection
December 19, 2012 - Multi-use Website
Patient Safety Article Collection.
Citation Text:
Patient Safety Article Collection. American Patient Rights Association. 2012-2022.
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psnet.ahrq.gov/issue/mistaking-error
July 06, 2011 - Book/Report
Mistaking error.
Citation Text:
Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004.
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