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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/perspective/conversation-christine-cassel-md
January 31, 2024 - A number of states have different approaches to these measures. … CC : We have a number of interactions with the electronic health record industry. … with the Office of the National Coordinator for Health Information Technology, we participate in a number … the specifics of the case, can you talk about how you manage this issue, given that you have a huge number … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
April 24, 2024 - Albert Wu: Traveling around the country, I have been struck by the number of people who spontaneously … The root cause analysis identified a number of problems, but what the team really wanted to do was to … A number of policies and changes were made, but things were not safer. … hospitals in the United States do several root cause analyses a year, and there is not an indigestible number … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
April 30, 2024 - Most outbreaks occurred in hospitals, but a large number of cases also came from outpatient pain management
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psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
December 16, 2020 - Report Number 19-07507-214. … Report Number 19-07507-214.
Patient suicide is a never event . … Report Number 19-07507-214. … January 31, 2006
Less is more: a project to reduce the number of PIMs (potentially inappropriate
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psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
May 29, 2019 - Related Resources From the Same Author(s)
Effect of restriction of the number … September 4, 2019
A national survey assessing the number of records allowed open in electronic … December 8, 2021
Effect of number of open charts on intercepted wrong-patient medication … Unidentified – John Doe and the EHR
October 30, 2019
Effect of restriction of the number
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psnet.ahrq.gov/issue/automated-detection-look-alikesound-alike-medication-errors
August 28, 2019 - June 29, 2011
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 … August 17, 2022
Effect of number of open charts on intercepted wrong-patient medication … July 10, 2019
Effect of restriction of the number of concurrently open records in an
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psnet.ahrq.gov/web-mm/worst-headache
October 25, 2023 - 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 … December 16, 2015
New mother number 14.
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psnet.ahrq.gov/glossary/forcing-function
September 13, 2021 - Forcing Function
September 13, 2021
Anonymous (not verified)
An aspect of a design that prevents a target action from being performed or allows its performance only if another specific action is performed first. For example, automobiles are now designed so that the driver cannot shift into reverse without first…
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psnet.ahrq.gov/periodic-issue/periodic-issue-325
January 07, 2022 - This study compared the number of self-reported (to the study team) safety incidents during interhospital … transport and the number of incidents submitted to the hospital’s reporting system. … This study compared the number of self-reported (to the study team) safety incidents during interhospital … transport and the number of incidents submitted to the hospital’s reporting system. … discharge with outpatient therapy; he was discharged with outpatient resources, the crisis hotline phone number
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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 20, 2024 - 2016 review identified the following factors as contributing to errors reported in pediatrics: a high number … The Pennsylvania Patient Safety Authority highlighted a number of possible failure modes in the BCMA … in technologically advanced medication management systems, it is worthwhile to try to minimize the number … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency
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psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
November 30, 2022 - August 19, 2020
Association between limiting the number of open records in a tele-critical … August 25, 2021
Effect of restriction of the number of concurrently open records in an … February 1, 2023
A national survey assessing the number of records allowed open in electronic … December 21, 2022
Correlation between the number of patient-reported adverse events,
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psnet.ahrq.gov/web-mm/workaround-error
January 17, 2024 - Environment Nurses are being held responsible for care, protection, and safety of an ever-increasing number … We can no longer assume that any nurse should be able to care for “X” number of patients on any given … Insulin Vial
This project was funded under contract number 75Q80119C00004
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - Their old approach was to get a number of clients, to sign contracts with them, and then, by using these … You have a very large number of companies on the outpatient setting, a smaller number on the inpatient … side, but still quite a number for a mature market. … history of drug–drug interaction alerts, which have override rates of greater than 80% across a large number … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - that competence to perform a procedure safely and effectively is determined based on experience (i.e., number … The declining number and variety of procedures done by general internists: a resurvey of members of the … 17339620
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Ensuring Procedural Safety (2)
Experience alone does not guarantee competence
The number … [Available at http://www.jgme.org/doi/abs/10.4300/JGME-D-11-00161.1]
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Number of Procedures
In
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - (A PSNet primer summarized the prevalence and challenges that resulted in the enormous number of COVID … facilities also provide supervised services but are not licensed to provide nursing care; however, a growing number … AHRQ has also developed a number of resources to examine and address safety in long-term care, including … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/web-mm/dangerous-detour
May 01, 2018 - From 1995 to early 2003, 324 inpatient suicides were reported in US institutions.( 1 ) This number, drawn … Such systems are typically geared toward identifying and responding to signs of distress through a number … for treating suicidal patients on the medical ward, but aspects have been addressed separately in a number … Psychiatr Nurs. 1994;8:366-372.[ go to PubMed ]
This project was funded under contract number
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMRs Despite their possible benefits and the push for implementation, EHRs are associated with a number … example, data displayed in the chart are usually without additional identifying information such as room number … TobiasJonahN TobiasJonahNoel
This project was funded under contract number … October 10, 2018
Effect of number of open charts on intercepted wrong-patient medication
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 07, 2019 - documenting an increased risk of patient safety events , morbidity , and even mortality as the number … In one British study , missed nursing care episodes were strongly associated with a higher number of … . 2017;26(11-12):1524-34. [ Free full text ]
This project was funded under contract number
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - However, 3-5% of 800 million scans a year… that’s a huge number. … A large number of radiologists are burned out. We’re in an environment where we can’t succeed. … better than the general radiologist in a rural facility reading 250 cases overnight, including a large number … and fractures. 2,3 AI may be particularly beneficial when using imaging devices that produce a high number … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research