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psnet.ahrq.gov/node/35288/psn-pdf
September 12, 2016 - A number of dramatic cases are described (including several that were fatal), as
are some of the challenges
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - However, since 2000, the number of states with authorized systems has almost doubled, and many of the … Following the analysis and subsequent protocols, the number of such events decreased from 25 in 2002 … During 2006, Pennsylvania collected the greatest number of adverse event and near miss reports (almost … use of propofol to the anesthesia department, and reducing the use of verbal orders.( 9 )
A growing number … of a health care facility
This project was funded under contract number
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psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - We already have a substantial number of hospitals, a third with basic electronic health
records. … It does seem like the vendor field is
narrowing to a relatively small number of winners, and once you're … Places
like UCSF, MGH, Duke, and Hopkins have a relatively small number of options. … I find it
somewhat perplexing, and perhaps discouraging, that a relatively small number of companies … So that's number one.
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - The Commentary
Background Errors in laboratory services encompass a number of problems occurring outside … A Representative Taxonomy of Laboratory Errors in Use by a Number of Laboratories with
Minor Modifications … Consolidation from two different analyzers to one reduces
number of procedures and complexity of training … Front-end automation eliminates a number of manual
processes. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - coronary artery disease with significant narrowing of the
proximal left anterior descending artery and a number … A number of attempts were made to place more distal stents, but they could
not be positioned correctly … In 2004, the estimated number of
inpatient diagnostic catheterizations was 1,471,000, and the number … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=12859162
This project was funded under contract number
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psnet.ahrq.gov/node/35277/psn-pdf
April 27, 2010 - potential-drug-interactions-hospitalized-cancer-patients
This retrospective study found that, in hospitalized cancer patients, length of stay and number
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psnet.ahrq.gov/node/40366/psn-pdf
April 13, 2011 - Evidence Report/Technology Assessment: Number 199.
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - the need for a flexible naming system that can rapidly create unique names linked to a medical record number … https://doi.org/10.1016/j.jss.2019.01.027
This project was funded under contract number … June 2, 2019
Effect of restriction of the number of concurrently open records in an electronic
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - 80 per week, with no more than 30 consecutive hours worked.( 1 ) These mandates have increased the number … continuity, researchers found fewer medication errors, as well as a decrease in length of stay and number … Comm J Qual Improv. 1998;24:77-87.[ go to PubMed ]
This project was funded under contract number
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psnet.ahrq.gov/node/36493/psn-pdf
January 01, 2010 - hospital-acquired-infections-pennsylvania-1
This collection of reports provides annual findings on the number
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psnet.ahrq.gov/node/37383/psn-pdf
March 28, 2012 - issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
The authors introduce a number
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psnet.ahrq.gov/node/36930/psn-pdf
September 09, 2011 - team-structure-and-adverse-events-home-health-care
The investigators examined the role of team variables, such as workload and number
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - method
of insulin delivery in select patients.(1-3) No national data are available regarding the exact number … On the other hand, given the complexity of insulin pump therapy and the number of
different devices … The number of insulin pump patients who require hospitalization each year and the
frequency and types … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/node/34002/psn-pdf
March 17, 2011 - https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
Utah established a number of collaborative
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - events were twice as common in ICUs as in non-ICUs.( 3 ) However, when these data were adjusted for the number … A recent Food and Drug Administration (FDA) report listed a number of human factors associated with medication … An Illustration of the Large Number of IV Medications Administered to Some ICU Patients … This project was funded under contract number 75Q80119C00004 from the Agency
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Adverse events following immunization are tracked by a number of agencies.(11) The Vaccine Errors
Reporting … In order to prevent future errors, the proper
recording of the vaccine, date, and lot number are vital … pediatric vaccination error reports, look-alike and sound-alike
confusion accounted for a disproportionate number … pubmed/19442422
https://www.ncbi.nlm.nih.gov/pubmed/27208143
This project was funded under contract number
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - A number of human factors design principles could be
useful in preventing these interruptions and distractions … environments increases adherence to protocols, reduces complications,
and lowers mortality rates in a number … environments increases adherence to protocols, reduces
complications, and lowers mortality rates in a number … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/40520/psn-pdf
June 08, 2011 - wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
This newspaper article discusses wrong-site surgeries and explores why the number
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - regarding FHR monitoring
List known hazards of centralized FHR monitoring
Describe impact of increasing the number … observers asked to monitor multiple displays detected fewer signals and had more false alarms as the number … research study had participants monitor one, two, or four FHR tracings and distinguish critical signals
As number … Time and number of displays impact critical signal detection in fetal heart rate tracings.
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - non-traumatic subarachnoid hemorrhage occurs in roughly 20%-30% of cases (1-3) and results in an
inordinate number … However, clinicians operate with a number of misconceptions about
patients with headaches in general … Pathophysiologically, a limited number of pathways mediate head pain. … However, the
95% confidence intervals around this number are wide, and therefore most still recommend … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research