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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - fluid management, and decompensation during bedside tracheostomy.1
The evaluation of the innovation included … short online survey accessed via QR code post-RIC
Other clinical pathways developed alongside the RIC included
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - health agencies in the United States found that 70% of observed hospital-to- home health transitions included … One study found that implementing bundled transition strategies that included a post-discharge telephone … These blind spots included inaccurate descriptions of symptoms, inaccurate patient history, and omission
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - Types of
events which required reporting included, medication errors, wrong surgery cases, child abduction … Another case (#2),
which is included with the correct count cases because the case was documented as … Here in discussion, I have included it with the ICRC because it demonstrates communication and
knowledge
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - health agencies in the United States found that 70% of observed hospital-to- home health
transitions included … One study found that implementing bundled transition strategies that included a post-
discharge telephone … These blind spots included inaccurate descriptions of
symptoms, inaccurate patient history, and omission
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - Included resources explore strategies with the potential to improve maternal care delivery and outcomes … Implementing a comprehensive safety program, which included teamwork training, additional staffing and … The strategy was developed after consultation with obstetric safety experts and included teamwork training
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - These included usability issues, such as poor information display, complicated screen sequences and navigation … Additional safety hazards included data entry errors created by the use of copy-forward, copy-and-paste
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - May 13, 2009
Intervention of pharmacist included in multidisciplinary team to reduce
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psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
August 17, 2022 - , 2019
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Related Resources
Intervention of pharmacist included
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psnet.ahrq.gov/issue/stakeholder-perceptions-and-attitudes-towards-problematic-polypharmacy-and-prescribing
July 10, 2019 - July 17, 2024
Intervention of pharmacist included in multidisciplinary team to reduce
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psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
March 08, 2023 - June 26, 2024
Intervention of pharmacist included in multidisciplinary team to reduce
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psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
October 23, 2019 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Included resources explore understanding harms from preventable medication use, medication safety improvement … review found that incidence rates of medication errors in primary care ranged between 1% and 90% across included
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - However, the capitated benefit included a major prerequisite: that all care related to the terminal illness … written to focus care on the “goals of hospice”, emphasizing comfort at the end of life, the consequences included … Pilot studies for adults 12,13 and children 14 included in the Medicare advantage plan are planned … A family conference that included the home-based team, his primary physician, and the inpatient hospice
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - She was seen by three physicians, all of whom documented a differential diagnosis that included sepsis … 7,8 The patient’s hemorrhage risk should be embedded in the EHR, easy to locate, and automatically included … The parameters commonly included in MEWS are outlined in Table 1 . 12 Many institutions have implemented
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - continued interest and importance to AHRQ PSNet users and therefore was selected to be updated and included … Updates included expansion of the target population, noting a large increase in the number of systems … Planning and Development Process
Key steps in the planning and development process included the following … Ensure multidisciplinary buy-in and support: Factors contributing to the success of GRACE have included
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - intrahospital transfers varies across
studies.(1) Alarmingly, one prospective observational study that included … Notably, most
interventions that facilitate communication across hierarchies have not included health
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psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
May 31, 2017 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - This engagement included working with the patient and their available friends and family to (a) identify … and October 31, 2018, used a nonrandomized controlled trial with a stepped wedge design. 3 The study included
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - First, we consulted a technical expert panel (TEP) that included experienced TeamSTEPPS trainers, TeamSTEPPS … Some of the top priorities we identified included the transition to virtual teams and how changes in … We included patient representatives in the TEP to gain insights on the ways healthcare professionals … Revising TeamSTEPPS In 2014, AHRQ released TeamSTEPPS 2.0, which included updates for measuring and quantifying
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - Her symptoms, which developed over four hours and felt like prior asthma exacerbations, also included … Importantly, patients on anticoagulation therapy for more than 24 hours were not included in the study … In one radiology study that included 301 critical findings in 3054 reports, 233 (77%) were flagged and … Briefly, the most obvious errors included:
Anchoring bias with premature closure on an asthma diagnosis