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psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
June 22, 2022 - The most commonly cited factors included trainee/resident involvement, absence of a process to address
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - His medical history included Crohn disease with ileocolectomy and ileostomy; chronic pain; schizophrenia … Medications included mesalamine, clonidine, tramadol, haloperidol, olanzapine, venlafaxine, potassium … These medications, which included clozapine, but also olanzapine, risperidone, and quetiapine, were termed … Had the program been notified and included in the discharge process, it could have helped to coordinate
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psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
January 24, 2018 - The initiative included surgical safety checklists , webinars, and other tools, with the goal of enhancing
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psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
December 24, 2008 - Included with the data set is a report of the pilot test of the finding.
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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - -year period to the Pennsylvania Patient Safety Authority, this analysis found that common problems included
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psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - time, and other studies have found no effect of reimbursement policies on other HACs that are not included
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psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
December 20, 2023 - The study included approximately 10,000 patients undergoing noncardiac surgery, with about half in the
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psnet.ahrq.gov/node/33576/psn-pdf
December 15, 2024 - However, this estimate only included procedures performed in the operating room; if procedures
performed … in other settings (for example, ambulatory surgery or interventional radiology) are included, the
rate
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Common recommendations in the three reports included the need to support open discussions about what
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psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
November 23, 2015 - Lessons learned are included to enhance the resilience of the health care system for future emergencies
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psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
July 18, 2018 - safety incidents involved primary care providers or hospital-based nurses, and drugs commonly involved included
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
February 25, 2013 - This year's calculation for identifying Top Performers included a new accountability measure for immunization
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psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
July 27, 2022 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included
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psnet.ahrq.gov/issue/effectiveness-interruptive-prescribing-alerts-ambulatory-cpoe-change-prescriber-behaviour-and
February 02, 2022 - Results of this review indicate that alerts influenced prescriber behavior in most of the included studies
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psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events
February 15, 2023 - Challenges included blame culture, limited awareness of program existence, and lack of financial resources
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
July 08, 2020 - interventions commonly used to support handoffs between the operating room and intensive care units included
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psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - They included 1030 admissions in the baseline period and 1075 in the intervention period.
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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Included studies reported reductions in error rates, but implementation of electronic systems did not
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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - An earlier version of this article included data through 2014.
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review
February 22, 2019 - The 22 included studies reported incidence rates ranging from 0 to 74 preventable adverse drug events