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psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - On a Saturday afternoon, well into her prolonged hospital stay, her condition worsened. … Although
her condition improved slightly, she could not be weaned from the ventilator and developed … Unfortunately, the delay in diagnosis was crucial for a condition that, even when diagnosed and treated … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
August 01, 2012 - Care Needs Through Health IT Grant Initiative. … October 5, 2015
AHRQ Health Information Technology Research: 2018 Year in Review. … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … September 15, 2010
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See More About The Topic
Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/speak-video-posters
November 27, 2018 - April 27, 2022
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … April 29, 2020
Condition Help.
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psnet.ahrq.gov/issue/medication-errors-homes-children-chronic-conditions
April 27, 2010 - difficult to detect in ambulatory care , as patients or caregivers administer medications instead of health … November 15, 2011
Measuring harm in health care: optimizing adverse event review. … Primary care providers' opening of time-sensitive alerts sent to commercial electronic health … June 25, 2008
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Home Care
Health Care
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psnet.ahrq.gov/issue/facing-our-mistakes
September 23, 2020 - Related Resources From the Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health … September 7, 2022
Anti-black racism as a chronic condition. … May 11, 2022
What COVID-19 teaches us about implicit bias in pediatric health care. … July 15, 2020
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes
May 26, 2021 - July 1, 2020
Hospital-Acquired Condition Reduction Program (HACRP). … May 4, 2015
Medicare and Medicaid Programs and the Children’s Health Insurance Program … September 30, 2020
Health Worker Safety: A Priority for Patient Safety. … More About The Topic
Long-Term Care
Quality and Safety Professionals
Geriatrics
Public Health
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psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
January 23, 2017 - J Health Life Sci Law. 2020;13(2):71-88. … J Health Life Sci Law . 2020; 13 (2) :71-88 . … J Health Life Sci Law. 2020;13(2):71-88. … Health Act. … neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition
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psnet.ahrq.gov/issue/when-errors-occur
March 12, 2011 - Hospitals & health networks. 2010;84(10):41-2, 44, 2. … Hospitals & health networks . 2010; 84 (10) :41-2, 44, 2 . … Hospitals & health networks. 2010;84(10):41-2, 44, 2. … August 31, 2022
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition … June 1, 2012
Methods for studying medication safety following electronic health record
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … December 13, 2017
AHRQ Health Information Technology Research: 2018 Year in Review. … View More
See More About The Topic
Operating Room
Ambulatory Care
Health
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psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
December 24, 2008 - December 24, 2008
AHRQ Health Information Technology Research: 2018 Year in Review. … July 27, 2018
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … View More
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Operating Room
Ambulatory Care
Health
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - subject to multiple prescribing if there is poor communication amongst providers
Chronic condition … (s)
Regardless of age, having a chronic condition increases a patient’s risk for polypharmacy to … address the condition(s)
Data sharing/security
The risk for multi-prescribing and polypharmacy … is higher for patients of health systems that do not share patient health data with other systems … Department of Health and Human Services.
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psnet.ahrq.gov/issue/role-non-icu-staff-nurse-medical-emergency-team-perceptions-and-understanding
April 12, 2006 - From the Same Author(s)
Mirror, Mirror on the Wall: An Update on the Quality of American Health … March 27, 2018
Costs and Benefits of Health Information Technology. … September 14, 2022
Patient safety in inpatient mental health settings: a systematic review … February 5, 2020
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Related Resources
Implementation of Condition
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psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals
December 24, 2008 - November 23, 2016
AHRQ Health Information Technology Research: 2018 Year in Review. … A Pharmacy Health Literacy Assessment Tool User's Guide. … October 19, 2022
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … January 4, 2006
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - The team was somewhat surprised by
the code status given the patient's general good health. … must be entered into the EHR so everybody on the team is
aware of them in the event the patient’s condition … • Best practice is to explore individual patient preferences, providing all
options based on their condition … DN(A)R status because of
misconceptions
– Fear that care teams will not address acute changes in condition … rates
• Hospital CPR survival from cardiac arrest to hospital discharge among all age
groups and health
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. … Telehealth is a rapidly expanding approach of adopting technology to deliver health care services and … Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. … May 7, 2014
AHRQ Health Information Technology Research: 2018 Year in Review. … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - Thoracic spinal epidural abscess is a rare but serious
condition that may only present with low back … Improving Diagnosis in Health Care. … Chicago, IL: Health Research & Educational Trust;
2018. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
November 04, 2020 - Related Resources From the Same Author(s)
A high-reliability organization framework for health … November 4, 2020
Nursing crew resource management: a follow-up report from the Veterans Health … A follow-up study from US Veterans Health Administration medical centers. … November 21, 2016
Implementation of Condition Help: family teaching and evaluation of … View More
See More About The Topic
Hospitals
Physicians
Nurses
Health
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psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
December 04, 2019 - Download Citation
Related Resources From the Same Author(s)
Hospital-Acquired Condition … Resources
Interview
In Conversation With...Amy Helwig about Health … Initiatives
July 10, 2024
Perspectives on Safety
Health … July 18, 2019
Use of a public health law framework to improve medication safety by anesthesia … View More
See More About The Topic
Operating Room
Physicians
Health
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psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united
October 09, 2019 - Related Resources From the Same Author(s)
Medicare's Hospital-Acquired Condition … October 27, 2021
Patient safety monitoring in acute care in a decentralized national health … July 28, 2021
Unintended consequences of health care reform: impact of changes in payor
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psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
January 02, 2017 - Despite efforts to enhance health care safety, there is limited evidence that patients are receiving … Plan Patient Safety Initiatives
July 10, 2024
Hospital-Acquired Condition … January 2, 2017
Developing a measure of value in health care. … November 16, 2015
Restoring trust in VA health care. … July 28, 2014
Financial incentives to promote health care quality: the hospital acquired