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psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
September 01, 2016 - August 28, 2019
A national survey assessing the number of records allowed open in electronic … July 9, 2018
Effect of restriction of the number of concurrently open records in an electronic … 2018
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Related Resources
Effect of restriction of the number
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Additionally, the program saw residences experience a decrease in the number of falls. … Date First Implemented
2009
Problem Addressed
A large, growing number … Large, increasing number of older adults who need assistance: By 2030, more than 70 million Americans … will be age 65 or older, twice the number as in 2000. … Fewer falls: The number of residents experiencing falls declined by 22 percent in the first year after
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psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
November 16, 2022 - January 26, 2022
Effect of restriction of the number of concurrently open records in … May 18, 2022
Effect of number of open charts on intercepted wrong-patient medication
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Evidence Rating
Moderate: The evidence consists of pre- and post-implementation comparisons of the number … In a substantial number of these cases, the error stems from orders being entered into the wrong patient's … percent of the time. 3 Although an infrequent occurrence, these mistakes can result in a meaningful number … The impetus for this program came in 2009, when organizational leaders responded to a number of errors … the problem, including limiting the number of records a provider can have open at the same time.
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psnet.ahrq.gov/node/43161/psn-pdf
December 12, 2014 - issue/nurse-staffing-burnout-and-health-care-associated-infection
https://psnet.ahrq.gov/issue/growing-number-primary-care-doctors-are-burning-out-how-does-affect-patients … https://psnet.ahrq.gov/issue/growing-number-primary-care-doctors-are-burning-out-how-does-affect-patients
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psnet.ahrq.gov/node/45671/psn-pdf
November 23, 2016 - Joint Commission annual report describes performance data for United States hospitals across a large
number … Medicaid Services
Hospital Inpatient Quality Reporting Program, The Joint Commission decreased the number
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - Picture: Medical Tourism in Context
The roots of "medical tourism" lie in the practice of a modest number … global market is being driven by the complex and costly needs of an aging population, an
increasing number … underinsured people trying to cope with large out-of-pocket costs.(8) A relatively limited
group, the number … Patients need to be informed that complications occur in a predictable
number of interventions under … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - the other hand, it is abundantly clear that health care delivery is far
from safe and that the vast number … https://psnet.ahrq.gov//#ref8
be one exception, as they do appear to lower premiums, but not the number … Even this can be problematic because the majority of injuries
go uncompensated, and a greater number … We have seen the launch of a small number of projects testing newer
and more comprehensive interventions … Given the number of stakeholders with varying interests, making
decisions based on solid data will be
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - of central venous cannulation in children and adults, the experience of the proceduralist and a low
number … Perhaps equally troubling as the excessive number of cannulation attempts in this case is the delay in … facial, or
external jugular vein, or ultrasound guidance should have been used to help minimize the number … In addition, the number of cannulation attempts by the trainee should
have been limited, and care providers … Curr Psychiatry. 2011;10(9):67-71. [
Free full text]
This project was funded under contract number
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - 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.
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - In a substantial number of these cases, the error stems from orders
being entered into the wrong patient's … percent of the time.3Although an infrequent occurrence, these mistakes
can result in a meaningful number … The impetus for this program came in 2009, when organizational leaders responded to a number of errors … Choosing specific strategy: The team and IT staff generated a number of potential strategies to
address … the problem, including limiting the number of records a provider can have open at the same
time.
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - The sponges are packaged and sold
by weight, not by the number of sponges. … Correct
Final
Count
At the end of the operation, the number of items counted into the case equals … the number of
items counted out. … by using an electronic pad to scan the patient and a handheld scanner to
interrogate the OR, and a number … Retention of broken parts or pieces of devices is common, given the very large number of different devices
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Factors (“holes in the slice of cheese”) Example Manufacturers/ Distributors of products Incorrect number … The sponges are packaged and sold by weight, not by the number of sponges. … Correct Final Count At the end of the operation, the number of items counted into the case equals the … number of items counted out. … by using an electronic pad to scan the patient and a handheld scanner to interrogate the OR, and a number
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - In 2015, for the fourth consecutive year, ECRI listed alarm fatigue as the number one hazard of health … A number of different forces result in an excessive number of cardiac monitor alarms. … This could minimize the number of false alarms for asystole, pause, bradycardia, and transient myocardial … Clinicians should learn how to tailor alarm thresholds to an individual patient to avoid an excessive number … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - Within 100 feet of the ED nurses' station were several ED doctors, a number of nurses, and a pharmacy … on limited clinical information and in which clinicians are required to provide care to an unlimited number … There are a number of things that nurses and other clinicians can do to prevent medication errors. … Moreover, limits should be placed on the number of vials that can be removed from a single dispensing … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Due to
the extremely high number of drug administration episodes in the operating room, it is not feasible … Due to the very large number of medication administration episodes in the operating room it is not usual … anesthesia professionals that include sterility, convenience, and perceived safety.13
Limiting the number … attention when drawing up medications
Prefilled syringes reduce dilution and labelling errors
Limit the number … Anesthesia Safety Foundation Newsletter
1987;2(4)
This project was funded under contract number 75Q80119C00004
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psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
December 21, 2017 - November 3, 2015
Effect of restriction of the number of concurrently open records in … September 4, 2019
A national survey assessing the number of records allowed open in electronic … July 29, 2020
Effect of restriction of the number of concurrently open records in an
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - In the first year of the COVID-19 pandemic, there
was a disproportionate number of COVID-19-related … In response to the rapid spread of COVID-19 and
increasing number of deaths in NHs, federal and state … Due to the highly contagious nature of COVID-19 and the number of deaths in NHs, the
Senate asked the … Tag number F885, the second tag, pertains to the requirement for NHs to report the presence of COVID- … State Health Facts: Total Number of Residents in Certified Nursing
Facilities. 2020.
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psnet.ahrq.gov/node/47071/psn-pdf
January 23, 2019 - editorial from leaders at the National Institute on Drug Abuse highlights strategies to increase the number … The editorial also notes the alarming number of patients
who received prescriptions for short-acting
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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Numerous incident reports
may indicate either a high number of errors or a robust safety culture that … They
found no association between mortality or patient satisfaction and number of reports, and more