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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - hospitalization, the likelihood of an injury resulting in death, disability, dependence, or admission to institutional
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - patient populations; adapt current systems to better identify medical errors in LEP patients; develop institutional
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - This primer has identified institutional characteristics which
correlate with higher retention rates
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - this Case, the patient was prescribed hydromorphone PCA
without a continuous basal rate
• Several institutional
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - Improving care of the critically ill: institutional and health-care system approaches.
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - , changing vital signs generating BPAs to the health care team should be linked to easy-to-
access institutional
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - A multi-institutional international study of risk factors for hematoma after thyroidectomy.
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - The committee could also ensure all clinical documentation complies with institutional,
local, regional
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - In
addition, having an institutional program such as a PERT in place often leads to the development
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - This primer has identified institutional characteristics which correlate with higher retention rates.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - mitigate the high level of medical error risk presented by devices.( 10 ) In this case, it appears that an institutional
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - ambulating at that point, he still required additional IV antibiotics and lacked any viable option for institutional
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - See More About The Topic
Hospitals
Health Care Executives and Administrators
Surgery
Institutional
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - However,
hospitals may choose to use nurses or case managers based on available resources and
institutional
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psnet.ahrq.gov/node/46098/psn-pdf
July 24, 2017 - Prospective evaluation of a multifaceted intervention to
improve outcomes in intensive care: the Promoting
Respect and Ongoing Safety through Patient Engagement
Communication and Technology study.
July 24, 2017
Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve
…
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psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - Methodological variations and their effects on reported
medication administration error rates.
March 18, 2013
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication
administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.1136/bmjqs-2012-001330.
https://psne…
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psnet.ahrq.gov/node/42342/psn-pdf
December 31, 2014 - The safety of electronic prescribing: manifestations,
mechanisms, and rates of system-related errors
associated with two commercial systems in hospitals.
December 31, 2014
Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and
rates of system-related errors asso…
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psnet.ahrq.gov/node/38674/psn-pdf
February 17, 2011 - Cost implications of reduced work hours and workloads
for resident physicians.
February 17, 2011
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for
resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/43067/psn-pdf
November 23, 2014 - Characterization of adverse events detected in a large
health care delivery system using an enhanced Global
Trigger Tool over a five-year interval.
November 23, 2014
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health
care delivery system using an enhanced glob…
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psnet.ahrq.gov/node/38524/psn-pdf
July 13, 2009 - How does patient safety culture in the operating room and
post-anesthesia care unit compare to the rest of the
hospital?
July 13, 2009
Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and
post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…