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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46803/psn-pdf
    April 12, 2019 - risk, the Centers for Disease Control and Prevention recommend that frontline providers minimize the number … The intervention changed prescribing habits but did not reduce the already low overall number of tablets
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33651/psn-pdf
    June 01, 2007 - We publish an annual report that shows the number of events that happened in each facility, the types … that one to three is a safe number. … One was a facility that had a high number of pressure ulcers. … RW: A number of other states have taken your example and run with it. … We get a certain number of events reported each year.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36391/psn-pdf
    December 22, 2010 - Safety in numbers. December 22, 2010 Robeznieks A. https://psnet.ahrq.gov/issue/safety-numbers This article discusses the Leapfrog Group's first annual list of "Top Hospitals" (according to the group's quality standards) and the health care industry's response to the list and the measures used to create it. https…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41162/psn-pdf
    June 27, 2018 - Safety in numbers? Try connectivity. June 27, 2018 Dyell D. https://psnet.ahrq.gov/issue/safety-numbers-try-connectivity This magazine article describes problems with medical devices and recommends that device connectivity and integration can improve safety. https://psnet.ahrq.gov/issue/safety-numbers-try-connect…
  5. psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool
    June 30, 2013 - Special or Theme Issue Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool. Citation Text: Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool. Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.  Copy Citation …
  6. psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
    July 28, 2021 - August 4, 2021 Effect of restriction of the number of concurrently open records in an … May 29, 2019 A national survey assessing the number of records allowed open in electronic … February 22, 2023 Correlation between the number of patient-reported adverse events,
  7. psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
    September 30, 2020 - Report Number 19-07507-214. … Report Number 19-07507-214. Patient suicide is a never event . … Report Number 19-07507-214.
  8. psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
    May 29, 2019 - Related Resources From the Same Author(s) Effect of restriction of the number … March 13, 2019 Effect of number of open charts on intercepted wrong-patient medication … July 16, 2015 Reducing emergency department charting and ordering errors with a room number
  9. psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
    May 08, 2017 - The authors conclude with a number of lessons learned from this case example, including the tension that
  10. psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
    March 02, 2011 - staffing on nosocomial infection rates in the intensive care unit (ICU) and found that a slightly higher number
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836850/psn-pdf
    March 31, 2022 - of opioid prescriptions, increased the number of patients with chronic pain who switched to nonopioid … The analysis revealed that state regulations appeared to reduce opioid use by limiting the number of … As a result, the health system saw reductions in (1) the total number of opioid prescriptions per 100 … patient discharges, (2) the number of opioid prescriptions exceeding a three-day supply, (3) the number … of prescriptions exceeding 30 MME, and (4) the number of prescriptions written for opioids that were
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44879/psn-pdf
    February 10, 2016 - Soaring numbers of 111 callers forced to wait for a call back. February 10, 2016 Donnelly L. The Telegraph. January 31, 2016. https://psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back Delays in care and diagnosis can result in patient harm. This news article reports on the trend of delays in …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - In a sense, event reports supply the numerator (the number of events of a particular type–and even here … , this number only reflects a fraction of all such events) but do not supply the denominator (the number … of patients vulnerable to such an event) or the number of "near misses."
  14. psnet.ahrq.gov/primer/reporting-patient-safety-events
    March 30, 2022 - In a sense, event reports supply the numerator (the number of events of a particular type–and even … here, this number only reflects a fraction of all such events) but do not supply the denominator (the … number of patients vulnerable to such an event) or the number of "near misses." … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49766/psn-pdf
    August 21, 2016 - near the nurses' station, and looking at the board to determine first call provider's name and pager number … First call teams are required to have an associated service pager number. … now appears prominently as "1st Call" in the EHR header for the patient, and the associated pager number … At the time of shift change, the oncoming provider signs the virtual pager number assigned to a particular … service (e.g., the pager number for Medicine A Intern 1) over to their personal pager number, which
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36691/psn-pdf
    January 18, 2011 - emergency department and identified factors associated with risk for ADEs, such as the type of drug, number … of medications, and number of clinical problems.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45869/psn-pdf
    March 25, 2017 - data-driven-implementation-alarm-reduction-interventions-cardiovascular- surgical-icu Reducing the number … In this study, researchers successfully implemented a number of interventions which led to a 61% decrease
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34644/psn-pdf
    December 23, 2008 - Findings include a marked increase in the number of errors from 1987 to 1995, including increases in … The authors conclude by suggesting a number of strategies, such as the use of information technology
  19. psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
    February 26, 2025 - I've talked to a number of payers as they're getting into value-based arrangements and quite a number … So we have a number of users both upstream and downstream of our programs and processes.  … But we have a number of different programs that try to identify where there are critical measure gaps … How do you see the evolution of the list over time, and do you see the list growing in both number and … You've identified a number of them.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46411/psn-pdf
    April 12, 2019 - researchers found no significant difference between the intervention and control groups with regard to the number … patients who underwent medication reconciliation with access to pharmacy insurance data had a higher number

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