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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - These one-size-fits-all systems often generate a ton of alerts, which then lead to fatigue.
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - their care across the continuum, across
transitions, and understanding where a mistake here might lead
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psnet.ahrq.gov/node/40641/psn-pdf
July 27, 2011 - Error in body weight estimation leads to inadequate
parenteral anticoagulation.
July 27, 2011
Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate
parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - Medication overdoses leading to emergency department
visits among children.
August 26, 2009
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits
among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
https://psnet.ahrq.gov/issue/medication…
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effectivehealthcare.ahrq.gov/sites/default/files/s149.pdf
October 01, 2007 - medications, it is essential to account parsimoniously for
patients’ longitudinal characteristics that lead … This
choice can lead to unstable estimates due to small sample
sizes, especially for skewed data such
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018912-mcconnochie-final-report-2014.pdf
January 01, 2014 - As shown in the table above, among the 14,075 of situations in which the process designed to lead to … 24% increase in overall acute care use among the intervention group,
raising concern that HeA might lead
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psnet.ahrq.gov/node/46463/psn-pdf
October 04, 2017 - Effectively leading for quality.
October 4, 2017
Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236.
doi:10.1177/0840470417706705.
https://psnet.ahrq.gov/issue/effectively-leading-quality
Hospital boards and executives can help drive safety improvement. This commentary …
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psnet.ahrq.gov/node/41331/psn-pdf
October 03, 2017 - Leading a highly visible hospital through a serious
reportable event.
October 3, 2017
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm.
2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
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psnet.ahrq.gov/node/38619/psn-pdf
May 07, 2018 - Failed check system for chemotherapy leads to
pharmacist's "no contest" plea for involuntary
manslaughter.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.
https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-
involuntary-manslaughter
…
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psnet.ahrq.gov/node/37417/psn-pdf
March 28, 2012 - Medication use leading to emergency department visits
for adverse drug events in older adults.
March 28, 2012
Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for
adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765.
https://psnet.ahrq.gov/issue/med…
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psnet.ahrq.gov/node/39110/psn-pdf
June 10, 2018 - Order scanning systems may pull multiple pages through
the scanner at the same time, leading to drug omissions.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3.
https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-
leading-dru…
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psnet.ahrq.gov/node/46081/psn-pdf
April 19, 2017 - Why are medical errors still a leading cause of death?
April 19, 2017
Headley M.
https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
This magazine article explores the need for robust research and effective reporting to better understand the
prevalence of medical errors and how to prevent…
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psnet.ahrq.gov/node/44239/psn-pdf
September 29, 2017 - When medical care leads to harm—difficulty finding
words: a teachable moment.
September 29, 2017
Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a
teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.2015.2334.
https://psnet.ahrq.gov/…
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hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
January 01, 2005 - Sources of NIS Data and State-Specific Restrictions 2005
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…
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hcup-us.ahrq.gov/db/nation/nis/nis_2004_stspecific_restr.jsp
January 01, 2004 - Sources of NIS Data and State-Specific Restrictions 2004
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…
-
psnet.ahrq.gov/node/38598/psn-pdf
June 03, 2010 - Leading successful rapid response teams: a multisite
implementation evaluation.
June 3, 2010
Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite
implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819c9ce9.
https://psnet.ahrq.gov/issue/leading-…
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psnet.ahrq.gov/node/43201/psn-pdf
May 21, 2014 - New HHS Data Shows Major Strides Made in Patient
Safety, Leading to Improved Care and Savings.
May 21, 2014
Washington, DC: US Department of Health and Human Services; May 7, 2014.
https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-
care-and-savings
Comparing safety…
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psnet.ahrq.gov/node/45357/psn-pdf
October 09, 2016 - Leading article: how can I optimise my role as a leader
within the surgical team?
October 9, 2016
Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the
surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035.
https://psnet…
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hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2000.pdf
January 01, 2000 - Microsoft Word - KID_Sources_and_Restrictions_2000.doc
Sources of KID Data and State-Specific Restrictions
2000
HCUP KID (1/28/03) 1 Sources of KID Data and
State-Specific Restrictions
AZ Arizona Department of Health Services
No restrictions
CA Office of Statewide Health Planning & …
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hcup-us.ahrq.gov/db/nation/nis/nis_2003_stspecific_restr.jsp
January 01, 2003 - Sources of NIS Data and State-Specific Restrictions 2003
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…