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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - A review of reported cases indicates that the risk of local tissue injury with
peripheral infusion is
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - The seemingly oxymoronic term, “normal accident,” indicates that accidents are a
consequence of the
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - The case indicates
that the heparin infusion order set in question "now contained dosing and monitoring
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - currently available clinical software but exist in other
applications, such as a word processor that indicates
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - in African health systems.(2,3)
While exact data remain elusive, a steadily growing knowledge base indicates
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - complex medication regimen
(polypharmacy) are likely contributors to nonadherence.(4)
Current evidence indicates
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psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - go to PubMed]
Figure
Figure: Illustration of Pneumothorax and Chest Tube Three-bottle System (–20 Indicates
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - Recent literature also indicates that the manner in which opioids are prescribed and used by patients
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - hospitals at discharge or physician’s offices can include similar details if the healthcare provider indicates
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psnet.ahrq.gov/node/39746/psn-pdf
August 11, 2010 - Analysis of adverse events in pediatric surgery using
criteria validated from the adult population: justifying the
need for pediatric-focused outcome measures.
August 11, 2010
Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteria
validated from the adult populat…
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psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - Care management implementation and patient safety.
July 14, 2010
Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
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psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
December 24, 2008 - Measurement Tool/Indicator
Workplace Safety Supplemental Item Set for Hospital SOPS.
Citation Text:
Workplace Safety Supplemental Item Set for Hospital SOPS. Rockville, MD: Agency for Healthcare Research and Quality; 2021.
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psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
June 04, 2014 - Study
Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes.
Citation Text:
Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…
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psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
June 05, 2018 - Study
Emerging Classic
Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.
Citation Text:
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
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psnet.ahrq.gov/node/39358/psn-pdf
October 13, 2010 - Hospital safety climate and safety outcomes: is there a
relationship in the VA?
October 13, 2010
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in
the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/35462/psn-pdf
February 18, 2011 - Effect of the transformation of the Veterans Affairs Health
Care System on the quality of care.
February 18, 2011
Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System
on the quality of care. N Engl J Med. 2003;348(22):2218-27.
https://psnet.ahrq.gov/issue/effe…
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psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Ambulatory Surgery Center Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
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Save
Save to yo…
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psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Developing and evaluating an automated all-cause harm
trigger system.
July 18, 2017
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger
System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
https://psnet.ahrq.gov/issue/developing-and-e…
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psnet.ahrq.gov/node/35855/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO: HealthGrades; 2006.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-
study
This third annual report on the safety of hospitalized Medicare patien…