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psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
May 04, 2022 - reported that the program was easy to use and implement but noted that insufficient staffing and patient loss-to-follow-up
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Laboratory errors , such as mislabeling , improper collection, or specimen loss, can lead to delays
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psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
February 15, 2023 - These consequences included potential loss of patient trust in the midwife, changes in clinical practice
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psnet.ahrq.gov/issue/peer-support-toolkit
May 03, 2023 - June 15, 2016
Evidence-based Recommendations for Best Practices in Weight Loss Surgery
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psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
September 13, 2023 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - complication prolonged the hospital stay and impaired
mobilization
• Prolonged hospital bedrest leads to loss … fracture repair is harder than in healthy bone
• The clinical team must be prepared for substantial blood loss … tissue injury,
inflammatory load, fluid volume shifts, exposure to anesthetic
medications, heat loss
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psnet.ahrq.gov/issue/power-medical-malpractice-stories-improve-patient-safety
April 06, 2022 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
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psnet.ahrq.gov/issue/mirror-mirror-2021-reflecting-poorly
May 04, 2022 - March 30, 2011
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - May 10, 2017
Diagnostic blood loss from phlebotomy and hospital-acquired anemia during
-
psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
February 12, 2020 - May 25, 2011
A 38-year-old woman with fetal loss and hysterectomy.
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psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
October 10, 2018 - January 5, 2012
A 38-year-old woman with fetal loss and hysterectomy.
-
psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - June 30, 2021
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
September 19, 2018 - July 15, 2009
Addressing the Loss of Trust in Safety Culture.
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psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
January 11, 2023 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
-
psnet.ahrq.gov/issue/amc-pso-resource-center
November 17, 2021 - June 15, 2016
Evidence-based Recommendations for Best Practices in Weight Loss Surgery
-
psnet.ahrq.gov/issue/circle-training
February 22, 2023 - June 15, 2016
Evidence-based Recommendations for Best Practices in Weight Loss Surgery
-
psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
December 14, 2022 - September 27, 2016
Hidden medication loss when using a primary administration set for
-
psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - February 23, 2022
Hidden medication loss when using a primary administration set for
-
psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
April 06, 2022 - April 3, 2005
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011.
-
psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
April 25, 2018 - December 15, 2021
Hidden medication loss when using a primary administration set for