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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - are always trying ensure that we are keeping up with the science and applying efficient and effective methods … Not only does the agency have to ensure they are applying efficient and effective methods for evaluating
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psnet.ahrq.gov/node/49564/psn-pdf
July 01, 2008 - Two methods of community detoxification from opiates: an open-label
comparison of lofexidine and buprenorphine … Three methods of opioid detoxification in a primary care
setting. A randomized trial.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - for development and maintenance.24
33
Approach to Improving Patient Safety (7)
• Other potential methods … • These methods, however, rely the clinician to actively do something on
their own without any behavioral
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psnet.ahrq.gov/periodic-issue/periodic-issue-278
February 10, 2021 - The authors discuss the role of infection prevention and control procedures, and the potential implications … Based on recordings of complex laparoscopic general surgery procedures, this qualitative study identified … The authors discuss the role of infection prevention and control procedures, and the potential implications … This on-demand video collection reinforces core TeamSTEPPS; methods that enhance clinician teamwork and
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - Not only does the agency have to ensure they are applying efficient and effective methods for evaluating … are always trying ensure that we are keeping up with the science and applying efficient and effective methods
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psnet.ahrq.gov/issue/evaluation-healthcare-safety-climate-measurement-tool
August 08, 2018 - March 8, 2017
Assessment of incorrect surgical procedures within and outside the operating … January 28, 2015
Patient Safety Culture: Theory, Methods and Application.
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - May 25, 2022
A comprehensive quality assurance program for personnel and procedures in … July 15, 2020
Assessing patient safety in a pediatric telemedicine setting: a multi-methods
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psnet.ahrq.gov/issue/safety-issues-and-concerns-neurological-patient-emergency-department
March 19, 2014 - November 30, 2016
Comparison of military and civilian methods for determining potentially … January 27, 2010
Incorrect surgical procedures within and outside of the operating room
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - management of hypertension in
pregnancy, including mechanisms to improve education, training, and methods … They should
also include procedures for regularly monitoring both adherence to protocols and quality
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - For example, if you had a surgical procedure, did you actually feel better? … Indicators (PSIs) focus on measuring if potentially preventable complications occurred during a patient’s procedure … or hospital stay and include measures such as accidental punctures/lacerations during a procedure or … These measures may be a low-cost method to track adverse events as the data are already collected and … advances, federal agencies such as CMS and AHRQ continue to push the envelope and strategize for better methods
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Indicators (PSIs) focus on measuring if potentially preventable complications occurred during a patient’s procedure … or hospital stay and include measures such as accidental punctures/lacerations during a procedure or … These measures may be a low-cost method to track adverse events as the data are already collected and … advances, federal agencies such as CMS and AHRQ continue to push the envelope and strategize for better methods … For example, if you had a surgical procedure, did you actually feel better?
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psnet.ahrq.gov/periodic-issue/periodic-issue-379
February 01, 2023 - Researchers used three systems thinking methods (ActorMap, AcciMap, and PreventiMap) and stakeholder … problems, requiring venoarterial extracorporeal membrane oxygenation (VA-ECMO) and subsequent cardiac procedures … During these subsequent procedures, he was found to have florid mediastinitis including multiple pockets
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - The answer is probably
not, unless one defines methods to improve patient-provider communication as … Patients may ask for
medications or procedures that could cause them more harm than benefit, and these … Others argue that clinicians hold an
obligation to restrict the use of very expensive, low-yield procedures
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - CME activity which has been mitigated through UC Davis Health, Office of Continuing Medical Education procedures … A physician performed an outpatient dilation procedure for a suspected postoperative stricture. … Two days after this procedure, the patient was treated for dehydration in an outpatient clinic. … In the case presented, the patient underwent a procedure (gastric bypass surgery), aimed at treating … input from all members of the diagnostic team, and it is imperative that health care systems identify methods
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - routine
transfusion without a prior consistent blood type.(5) In the case under discussion, the routine procedure … Practical methods to improve transfusion safety by using novel
blood unit and patient identification
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psnet.ahrq.gov/issue/healthcare-411-patient-safety-organizations-proposed-regulation
April 25, 2018 - April 1, 2009
10-State project to study methods to reduce central line-associated bloodstream
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psnet.ahrq.gov/issue/healthcare-411-mistake-proofing-health-care-environment
October 12, 2011 - July 2, 2014
10-State project to study methods to reduce central line-associated bloodstream
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psnet.ahrq.gov/issue/manitoba-institute-patient-safety
March 06, 2005 - January 30, 2024
- February 1, 2024
Improving Patient Safety with Human Factors Methods
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - clinicians failed to document a rectal exam in 29% of cases and failed to order imaging or a diagnostic procedure … PCP for rectal bleeding found that clinicians ordered a colonoscopy in 74% of patients for whom the procedure … Endoscopists performing screening colonoscopies should have lifetime colonoscopy experience of at least 400 procedures … can influence the development of interval colorectal cancers are the quality of preparation for the procedure … Reflexive" Diagnosis in Primary Care
April 1, 2014
Accuracies of diagnostic methods
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - alerts, order sets, or web-based tools.( 13 ) Alternative approaches to skin testing and test dose methods … Test dose procedures use 1/10th of the dose for parenteral beta-lactams and 25% dose for oral beta-lactams … Unlike desensitization procedures, which typically require intensive care unit monitoring, test dose … procedures can be performed on the medical floors.