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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - pregnancy-related deaths. 5 In 2023 the CDC reported 20% of mothers who had given birth within the last
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - Over the last 6 years, health care reporting systems have proliferated, and some have become well established … And we always tell people to plan on at least 12 to 18 months, or perhaps even 2 to 3 years, before you … He's had the same cleaning lady for probably the last 4 or 5 years but never knew her first name.
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - For example, we had an event a few months ago where a patient‘s finger was amputated in a wheelchair. … For example, for nurses, safety training should start from the first day of nursing school and last until
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - For example, we had an event a few months ago where a patient‘s finger was amputated in a wheelchair. … For example, for nurses, safety training should start from the first day of nursing school and last until
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - Rates of opioid use, and long-term use for chronic non-cancer pain, have markedly increased over the last … Hospitals were receiving chronic opioid therapy, defined as 90 days or more of opioids prescribed in the 6
months
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - For example, by 12 months, residents should be able to effectively communicate with other
caregivers
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - with numerous distractions, for more than 80% of the wrong-patient electronic orders examined. 5 The last
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - 10 kg; 2 mL/kg/hour x 10 kg = 20 mL/hour for
the second 10 kg; 1 mL/kg/hour x 5 kg = 5 mL for the last
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - Second, during the last 2 to 3 days of a patient's admission, staff should verify the accuracy of written
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - The last important element of SEIPS is feedback. … For a couple of months, we could not
collect data, and then patients had no care partners with them.
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - relevant
financial relationships as “financial relationships in any amount occurring within the past 24 months
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - Rates of opioid use, and long-term use for chronic non-cancer pain, have markedly increased over the last … Hospitals were receiving chronic opioid therapy, defined as 90 days or more of opioids prescribed in the 6 months
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … Thus, in cases of serial drain removal, a radiograph should be performed following removal of the last
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - may be one reason that, despite an awful lot of effort thrown at improving patient safety over the last … epidemiology of patient safety has been changing with the interventions that have been going on over the last … We've spent an awful lot on this in the last 11 years since the IOM report. … We published a paper in Health Affairs last year that looked at the challenges of developing complicated … three studies together, which suggests that there may not have been a whole lot of improvement over the last
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - may be one reason that, despite an awful lot of effort thrown at improving patient safety over the last … epidemiology of patient safety has been changing with the interventions that have been going on over the last … We've spent an awful lot on this in the last 11 years since the IOM report. … We published a paper in Health Affairs last year that looked at the challenges of developing complicated … three studies together, which suggests that there may not have been a whole lot of improvement over the last
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - The last important element of SEIPS is feedback. … For a couple of months, we could not collect data, and then patients had no care partners with them. … Its use has increased in the last 5-10 years.
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - patient has an appointment for a physical, but forgot to record their blood pressure readings for the last … If you only check a patient’s blood pressure once every six months, but it is regularly high for those … six months, then you could potentially intervene earlier than at the next physical appointment.
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - patient has an appointment for a physical, but forgot to record their blood pressure readings for the last … If you only check a patient’s blood pressure once every six months, but it is regularly high for those … six months, then you could potentially intervene earlier than at the next physical appointment.