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psnet.ahrq.gov/issue/role-hospital-managers-quality-and-patient-safety-systematic-review
December 30, 2014 - March 5, 2014
Organizational culture and its implications for infection prevention and
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psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - 2019
In-hospital mortality associated with the misdiagnosis or unidentified site of infection
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - often need but have trouble
accessing, such as wound care, hepatitis C treatment, sexually transmitted infection … individuals with opioid
and methamphetamine use disorders, who are often hospitalized for injection-related infections … They also reduce soft tissue skin infections and things like infective endocarditis, yet uptake and legality
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Tacit Handover, Overt Mishap
June 1, 2010
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
The Case
A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3
years earlier to treat an abdo…
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - developed fever and
https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
overt infection
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - discharged from hospitals to HHA care have accounted for 25% of hospital readmissions associated with
infections … appropriate policies resulted in a 21% higher probability of hospital transfer due to urinary tract
infections … patient preferences, as well as the
known risks associated with hospitalization (e.g., nosocomial infections … Urinary catheter policies in home healthcare agencies and
hospital transfers due to urinary tract infection
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - discharged from hospitals to HHA care have accounted for 25% of hospital readmissions associated with infections … appropriate policies resulted in a 21% higher probability of hospital transfer due to urinary tract infections … , patient preferences, as well as the known risks associated with hospitalization (e.g., nosocomial infections … Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - Based on these results, the nodule was felt to be benign and not an active malignancy or infection. … Although malignant cells are more metabolically active (and will therefore "light up" on a PET scan), infections … September 2, 2015
Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - seen a patient with spinal cord injury who was transferred from an outside hospital for urinary tract infection … January 12, 2022
Eliminating central line-associated bloodstream infections: a national … January 15, 2014
Eradicating central line–associated bloodstream infections statewide
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Every long-term care facility also has an
infection prevention advisor from our team assigned to them … Our advisors have decades of experience in
patient safety and infection prevention and come from varied … amendment was made to the
act that required long-term care facilities to report healthcare-acquired infections
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - But the routine stories of medication errors with harm, serious post-op and surgical infections, and … The best boards right now are actually asking for their own data on things like hospital-acquired infections … They're hearing about the rates of central line infections, but they're also hearing storiesstories … computer programmer who is a father of three, admitted with pancreatitis, who developed a central line infection
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - Let's think about central line–associated bloodstream infections, which we know with good scientific … Pronovost's work in Michigan and other studies in preventing central line–associated bloodstream infections … every doctor or nurse to remember to do these five things to prevent catheter-associated bloodstream infections
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - For example, toxic shock syndrome would be a diagnosis node under streptococcal or staphylococcal infections … , which would be a diagnosis node under gram-positive infections, that being under bacterial infections
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - But the routine stories of medication errors with harm, serious post-op and surgical infections, and … The best boards right now are actually asking for their own data on things like hospital-acquired infections … They're hearing about the rates of central line infections, but they're also hearing storiesstories … computer programmer who is a father of three, admitted with pancreatitis, who developed a central line infection
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - For example, toxic shock syndrome would be a diagnosis node under streptococcal or staphylococcal infections … , which would be a diagnosis node under gram-positive infections, that being under bacterial infections
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psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
May 05, 2018 - Newspaper/Magazine Article
Collaboration focused on priority issues promotes safety.
Citation Text:
Collaboration focused on priority issues promotes safety. ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - familiar with the patient, the type of implant used, technical aspects of the
operation, perioperative infection … If the situation looks problematic due to the possibility of infection or
excessive swelling, the patient
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - pneumothorax from central venous catheter placement
anaphylaxis to penicillin
postoperative wound infection … Similarly, postoperative wound infections count as adverse events even if the operation proceeded with
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - patients' goals in the ICU a preventable harm, in the same way a central line–associated
bloodstream infection … ICU should be considered a preventable harm, in the
same way as central line–associated bloodstream infections
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psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
September 23, 2020 - increases in risk of two specific complications—dropped lens fragment and endophthalmitis, a surgical site infection