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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please
Teryl K. Nuckols, MD, MSHS | September 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Nuckols TK. Incident Reporting: More Attention to the …
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - July 30, 2014
Surgical safety does not happen by accident: learning from perioperative
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psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting
April 22, 2020 - Newspaper/Magazine Article
Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt.
Citation Text:
Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. Hopkins E, Kohler J. ProPublica. April 3, …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - clinically-integrated digital health apps have the potential to more accurately predict risk of adverse events that may happen
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www.ahrq.gov/ncepcr/data-resources/index.html
September 01, 2024 - AHRQ’s Primary-Care Related Data Resources
AHRQ's Compendium of U.S. Health Systems The Compendium is the foremost public resource for data on characteristics of healthcare organizations over time. Enumerating each organization and detailing its key features, the annual files enable users to see the changing la…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit1_5.pdf
January 01, 2009 - These high rates of hospital stays occur because
nearly all births happen in the hospital and some infants
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - June 27, 2012
Could it happen here?
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psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
February 16, 2011 - Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients,
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Brief defect description
Why did it happen?
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_GZ-JwUgQJykdbvhgpTNph
January 21, 2025 - Fractures, or breaking a bone, can happen in people of all ages, but because they become more common
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - This can happen when someone touches you, or by touching something that has the bacteria on it, such
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - We never figure out why they happen. We think it's part of being in the hospital. … My part of the talk will focus on what else can happen, and obviously the big pathogen that we are troubling … You then acquire C. diff from the environment and one of the two things will very quickly happen. … attractive because if they get C. diff colitis, then of course there's all the treatment that needs to happen … What will happen if somebody gets a recurrence of C. diff or they get severe disease?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - We never figure out why they happen. We think it’s part of being in the hospital. … My part of the talk will focus on what else can happen, and obviously the big pathogen that we are troubling … You then acquire C. diff from the environment and one of the two things will very quickly happen. … attractive because if they get C. diff colitis, then of course there’s all the treatment that needs to happen … What will happen if somebody gets a recurrence of C. diff or they get severe disease?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - This nursing home lets the same mistakes happen again and again. (D3R) 69% 65% 66% 63%
2. … This nursing home lets the same mistakes happen again and again. (D3R) 64% 68%
2. … This nursing home lets the same mistakes happen again and again. (D3R) 67% 63%
2. … This nursing home lets the same mistakes happen again and
again. … This nursing home lets the same mistakes happen again and again. (D3R) 63% 72%
2.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-hsu.html
May 01, 2023 - AHRQ funding serves as the catalyst to make all of this happen,” Dr. Hsu said.
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - A good leader makes the change happen and then uses infrastructure to
sustain the change and make it … High reliability needs to happen on the frontlines
every day. … are surfacing things earlier when you can actually correct them or improve the system so
they do not happen
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - What needs to happen now is to say that it doesn't matter where you go, there's always going to be immediate
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.pdf
October 01, 2016 - An allergic reaction doesn’t
often happen, but sometimes it does.
2. … Side effects happen
sometimes, but usually aren’t too much of a problem.
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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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digital.ahrq.gov/sites/default/files/docs/resource/James_Veline_IQHIT_Q6_Compliance_and_Adherence_Patient_Handout.pdf
June 16, 2021 - It can happen to anyone. Try
making a schedule for yourself on a calendar.