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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Patients at the highest TE risk (e.g., mechanical mitral valve or VTE within the prior 3 months) typically … receive bridging anticoagulation, while patients at the lowest risk (e.g., single VTE event >12 months … 0-2, bileaflet mechanical aortic valve replacement with no other risk factors, single prior VTE >12 months … HIGH (Atrial fibrillation with CHADS score 5-6, mechanical mitral valve, VTE within 3 months)
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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - June 10, 2018
Any new process poses a risk for errors: learning from 4 months of Coronavirus
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psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
September 02, 2020 - July 22, 2020
COVID-19 can last for several months.
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psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
January 01, 2021 - September 22, 2021
Any new process poses a risk for errors: learning from 4 months of
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - November 18, 2015
Any new process poses a risk for errors: learning from 4 months of
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psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
November 01, 2023 - August 28, 2024
Top Penn State Health surgeon warned leaders about transplant problems months
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psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
March 29, 2023 - March 29, 2023
Hospital bosses ignored months of doctors' warnings about Lucy Letby.
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - The child was delivered 2 months
prematurely (likely due to domestic violence) in Puerto Rico. … She had an intracerebral hemorrhage and was
in the neonatal intensive care unit (NICU) for 6 months.
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle
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May 29, 2024
View more articles from the same authors.
Inno…
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - CEDAR provided
eligible patients with automated calls at one and four months after starting one of the … automated follow-up call with an option to speak to a live pharmacist for
counseling at one month and four months
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psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
June 10, 2018 - June 4, 2014
Any new process poses a risk for errors: learning from 4 months of Coronavirus
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psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
May 07, 2018 - June 10, 2018
Any new process poses a risk for errors: learning from 4 months of Coronavirus
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - November 28, 2018
Top Penn State Health surgeon warned leaders about transplant problems months
-
psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
April 06, 2016 - Related Resources
Top Penn State Health surgeon warned leaders about transplant problems months
-
psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - Professional experience ranged between 6 months and 36 years
(mean = 13.5 years). … Time lapse since the unanticipated clinical event ranged from 3 weeks to 44 months
(mean = 14 months
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - Organization-wide survey scores improved 12 months after the coaching program was launched.
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psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
June 14, 2023 - Newspaper/Magazine Article
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.
Citation Text:
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED management : the monthly update on emergency department m…
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psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
December 21, 2018 - December 21, 2017
Diagnostic trajectories in primary care at 12 months: an observational
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psnet.ahrq.gov/issue/adoption-electronic-medical-record-technology-order-prevent-medical-errors-matter-american
March 07, 2018 - Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months
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psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
April 29, 2018 - June 4, 2014
Any new process poses a risk for errors: learning from 4 months of Coronavirus