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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - in the context of poorly designed systems (e.g., expected lapses in human vigilance in the face of long … to analyze errors, including retrospective methods such as root cause analysis (or the more generic term … February 1, 2023
View More
Related Glossary Term(s)
Systems Approach
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - We have difficulty measuring long-term impact, which could be considered a morbidity issue. … The primary platform for her term is mental health for both the clinician and the patient. … It took a long time before I had adequate support to address these feelings. … I do not know what the long-term effects of that are, but I carry pieces of that still. … term to enhance our understanding of the full impact of mental health on both the mother and infant.
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - Pharmacist-led interventions are being studied in both long-term care and outpatient
settings.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - Placement and management of long-term venous access catheters and ports.
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - prescribing patterns and risk for opioid-related adverse events (overdose, opioid use disorder, or long-term
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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - Beta-blockers after myocardial infarction: influence of first-year clinical course on long-term effectiveness … • Long duration (greater than 7 beats) ( 1 ) • Increasing frequency • Polymorphic appearance
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - vendor lock-
in, where once you've made the choice to go with a certain vendor you're stuck for a long … The term is sometimes used, strangers at the bedside. … NS: If we had you look a bit into your crystal ball, how long it will take to get us to a better or perfect … I don't think we used the term big data. There certainly weren't wearable
patient sensors.
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - CL: A number of mistakes were largely due to failure to remain vigilant throughout the long shift in … Consequently, it is
not clear to me that in the long run that this intervention would cost more. … Our study didn't address the issue of comparing what the safety of nurses
working long hours versus … While the
medical community appreciates the frequency of these long work hours, the general public is
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Because of her
previous pituitary resection and radiation, the patient had a long history of central … She did not experience any serious or long-term
consequences. … Orders to "continue previous meds" continue a long standing problem. ISMP Medication Safety Alert!
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psnet.ahrq.gov/node/49430/psn-pdf
January 01, 2004 - , 1.8 million patients
walked out of EDs without being seen.(4) Increased ED volume and associated long … that a hospital may violate
the patient antidumping statute if it routinely keeps patients waiting so long … Task Force of the American College of Emergency Physicians developed
recommendations for short- and long-term
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Shallow chest compression depths
Hyperventilation
Defibrillation delivered for non-shockable rhythms
Long … Majority of failures/delays due to user errors
Holding the defibrillator in a charged state too long … He suffered no long-term ill effects.
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - A fixed team stays together for a long time, just like a great sports team whose players have been together … are just put together for the mission, they tend to follow the rules and are probably safer in the long … That's a long process, because a 4- to 8-hour seminar won't suddenly change behaviors. … March 12, 2025
Long-term impacts faced by patients and families after harmful healthcare
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - Libby Hoy
Patient Family Advisor
Founder/CEO
PFCCpartners
Long Beach, CA
Stephen Hoy
COO
PFCCpartners … Long Beach, CA
Eleanor Fitall, MPH
Senior Research Associate, IMPAQ Health
IMPAQ International … LH : It is a challenge, and we've been on this journey for a very long time. … improvement, but I think that consistency of approach where you look at PFE as a strategy would go a very long
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - She was eventually discharged to a long-term facility for neurorehabilitation. … Diagnosing Diagnostic Mistakes
May 1, 2005
Incident and long-term
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - The CDC guideline cited AHRQ-
sponsored clinical evidence reviews on the minimal effectiveness of long-term … The Effectiveness and Risks of Long-Term Opioid Treatment of
Chronic Pain. … The effectiveness and risks of long-term opioid therapy for
chronic pain: a systematic review for a
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - Long story short, I was a second-year medical student, and I had this crazy idea to start a website called … The second activity is to solve a two-minute long
clinical problem-solving case. … www.doximity.com/
https://econsult.net/
graph-based data structure, machine learning, AI, or however you want to term
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - That was a long time ago and I don't remember, but I think there's a lot of that. … We were blissfully ignorant of that, and we still have a
long way to go on the other.
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - In a setting of patients residing in an academically affiliated long-term care facility, alerts directed … Prescribers' responses to alerts during medication ordering in the long term care setting.
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - A short-term study of chimeric monoclonal antibody cA2 to tumor necrosis factor alpha for Crohn's disease … Long MD, Martin CF, Pipkin CA, Herfarth HH, Sandler RS, Kappelman MD. … July 22, 2009
Patient outcomes in dose reduction or discontinuation of long-term opioid
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - reputation, or litigation.(13) Error disclosure for
patients, however, is merely the first step in a long … Disclosing an error that has had serious consequences could be damaging if these longer-
term issues … Error disclosure must be accompanied by offers of long term support,
remedial treatment where possible