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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Although these difficult questions may vary across institutions, addressing such issues is critical to
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Risk Management Foundation of the Harvard Medical Institutions. Reducing office practice risks.
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - Although many institutions currently utilize naloxone co-prescribing alerts for patients on higher opioid
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psnet.ahrq.gov/curated-library/diagnostic-error
September 01, 2025 - Despite these decreases, the authors estimate that for modern U.S. institutions, there is likely a major
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - Implementation and Sustainability of the ICU Liberation Bundle,” which may
have garnered interest among other institutions
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hcup-us.ahrq.gov/db/nation/nis/severity_overview.jsp
March 01, 2006 - population. 4 Based on research conducted by the National Association of Children’s Hospitals and Related Institutions
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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - term "Just Culture" refers to a safety-supportive system of shared accountability in which health care institutions
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Monitoring Specific protocols for monitoring patients after neck surgery vary across institutions.
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hcup-us.ahrq.gov/reports/statbriefs/sb7.jsp
May 01, 2006 - defined as short-term, non-Federal, general, and other hospitals, excluding hospital units of other institutions
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hcup-us.ahrq.gov/reports/statbriefs/sb18.pdf
November 01, 2006 - defined as short-term, non-Federal, general and other
hospitals, excluding hospital units of other institutions
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hcup-us.ahrq.gov/reports/statbriefs/sb16.jsp
November 16, 2006 - defined as short-term, non-Federal, general and other hospitals, excluding hospital units of other institutions
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hcup-us.ahrq.gov/reports/statbriefs/sb12.pdf
September 01, 2006 - defined as short-term, non-Federal, general and other
hospitals, excluding hospital units of other institutions
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hcup-us.ahrq.gov/reports/statbriefs/sb8.jsp
May 01, 2006 - defined as short-term, non-Federal, general, and other hospitals, excluding hospital units of other institutions
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hcup-us.ahrq.gov/reports/statbriefs/sb18.jsp
May 18, 2016 - defined as short-term, non-Federal, general and other hospitals, excluding hospital units of other institutions
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hcup-us.ahrq.gov/reports/statbriefs/sb6.jsp
May 01, 2006 - defined as short-term, non-Federal, general and other hospitals, excluding hospital units of other institutions
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - provider's role in reducing adverse events at discharge Create an action plan for patient, provider and institutions
-
digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units
January 01, 2023 - provide important information on methods for improving the design and usage of CPOE/EHR in health care institutions
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - Dedicated Transport Team and Standardized Transport Workflows
Institutions can utilize a centralized
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - quality-patient-safety/patient-safety-
resources/resources/candor/index.html
CANDOR is a process that healthcare institutions
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
August 01, 2023 - , for the two studies
used to estimate harms, about 92 percent of clinicians under study at those
institutions