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psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
July 10, 2019 - One element of conservative prescribing is minimizing the number of medications prescribed. … This study compared the number of unique, newly prescribed medications (personal formularies) of primary … Results indicated wide variability in the number of unique medications at the physician and institution … August 28, 2019
Effect of restriction of the number of concurrently open records in an … November 16, 2022
Correlation between the number of patient-reported adverse events,
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psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
April 28, 2010 - Study
Impact of system-level activities and reporting design on the number of incident … Impact of system-level activities and reporting design on the number of incident reports for patient … Impact of system-level activities and reporting design on the number of incident reports for patient
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psnet.ahrq.gov/issue/growing-number-primary-care-doctors-are-burning-out-how-does-affect-patients
May 28, 2014 - Newspaper/Magazine Article
A growing number of primary-care doctors are burning out
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psnet.ahrq.gov/taxonomy/term/3447
For names and numbers, the problem often is confusing the sound of one letter or number with another.
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psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians
March 23, 2016 - The number of hospitalists —physicians practicing exclusively in acute care settings—continues to grow … After adjustment for patient characteristics (e.g., age and number of chronic conditions) and for physician … characteristics (e.g., number of years in practice), the investigators did not find differences in … March 1, 2017
Effect of number of open charts on intercepted wrong-patient medication … November 25, 2015
Effect of restriction of the number of concurrently open records in
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psnet.ahrq.gov/issue/decimal-numbers-and-safe-interpretation-clinical-pathology-results
July 16, 2014 - Study
Decimal numbers and safe interpretation of clinical pathology results.
Citation Text:
Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865.
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
April 30, 2024 - We publish an annual report that shows the number of events that happened in each facility, the types … So I don't subscribe to that skeptical viewpointthat 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.
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psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
March 11, 2015 - opportunity for improvement (i.e., the variation in performance), and the impact (i.e., the potential number
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psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
September 08, 2021 - patients from six hospitals and different clinical departments and found that hospitals differed in the number … professionals involved, and when and where the medication reconciliation interviews took place, influence the number … August 19, 2020
Correlation between the number of patient-reported adverse events, adverse … 2021
Effect of medication reconciliation with and without patient counseling on the number … November 16, 2022
Correlation between the number of patient-reported adverse events,
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psnet.ahrq.gov/issue/medical-errors-harm-huge-number-patients-what-will-it-take-make-americas-hospitals-safer
June 17, 2015 - Newspaper/Magazine Article
Medical errors harm huge number of patients.
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Case #2 Details
Two cases of retained vaginal packing: when writing an order is not enough
Slide Number … Packing (1)
Orifice Packing (2)
Orifice Packing (3)
Approach to Improving Patient Safety
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Cultural and Social Issues
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Take Home Points
Take-Home Points
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psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center
January 23, 2020 - Investigators removed a clinical decision support tool that automatically calculated the number of opioid … They found that the number of units per prescription declined when physicians had to specify the frequency … When they subsequently implemented a default number of 30 pills for pill-form opioid medications , there … January 26, 2022
Association between limiting the number of open records in a tele-critical
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psnet.ahrq.gov/issue/guideline-skirted-obesity-surgeries
July 20, 2011 - Massachusetts that continue to perform obesity surgeries, despite falling short of the recommended number
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - Annual Perspective 2016
The Prevalence of Deaths Due to Preventable Adverse Events
The number … to estimate the prevalence of adverse events in specific patient populations and also reported the number … Regardless of the true magnitude of deaths from medical errors, it is clear that an unacceptably large number … Summary
The number of deaths due to preventable harm is controversial. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back
January 13, 2016 - June 29, 2016
Less is more: a project to reduce the number of PIMs (potentially inappropriate
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psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
August 28, 2019 - recommend that these alerts be implemented to decrease medication errors, they suggest narrowing the number … 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 … June 27, 2018
Effect of number of open charts on intercepted wrong-patient medication
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psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
May 18, 2022 - The concept of "number needed to treat" is used to quantify the number of patients who would need to … Studies such as this help quantify the number needed to treat for computerized warnings, a critical step … September 4, 2019
Effect of restriction of the number of concurrently open records in
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
April 24, 2024 - initiative is to teach healthcare teams to provide Universal Education about IPV to patients, increase the number … of patients screened and identified as experiencing IPV, and thereby increase the number of patients … of screenings resulting in positive identification of patients who have experienced IPV, the total number … of patients identified as experiencing IPV increased, which led to an overall increase in the number … of teams involved or the number of patients who received the BHVS.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - layers of care in the hospital environment to eliminate some of the holes and thereby minimize the number … Graduate Medical Education (ACGME) implemented in 2011, post-graduate residents are limited in the number … This has increased the number of handoffs, which has been associated with more medical errors. 10 As … among effective processes that have been identified and can be implemented to plug or decrease the number … Radiology . 2021;301(1):123-130. [ Free full text ]
This project was funded under contract number
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psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
November 08, 2006 - previous test results because—unknown to them—the patient had been assigned a second medical record number … pediatric inpatients have also identified patient misidentification as a potential contributor to a large number … September 4, 2019
Effect of restriction of the number of concurrently open records in … May 29, 2019
A national survey assessing the number of records allowed open in electronic