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psnet.ahrq.gov/node/49564/psn-pdf
July 01, 2008 - Research has recently shown benefit for monitoring opioid
withdrawal using objective measures such as … the Clinical Opioid Withdrawal Scale (COWS).(7) An
objective measure was not used in this case, but … The Clinical Opioid Withdrawal Scale (COWS) can be a useful objective measure of opioid
withdrawal.
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psnet.ahrq.gov/node/36110/psn-pdf
April 04, 2024 - Sentinel Event Data Summary.
April 4, 2024
Joint Commission.
https://psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
This website provides sentinel event data reported to The Joint Commission, which includes information on
sentinel events reported from January through December 2023. Falls, wrong surgery a…
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psnet.ahrq.gov/issue/ingestion-or-aspiration-foreign-objects-or-toxic-substances-not-just-safety-concern-children
June 05, 2018 - Newspaper/Magazine Article
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.
Citation Text:
Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/root-causes-and-preventability-unintentionally-retained-foreign-objects-after-surgery
June 14, 2023 - Study
Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland.
Citation Text:
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national exper…
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psnet.ahrq.gov/node/60174/psn-pdf
March 30, 2020 - The objective of the report is to provide information to providers,
administrators, researchers, and
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psnet.ahrq.gov/periodic-issue/periodic-issue-408
September 27, 2023 - Study
Intensive care unit critical incident analysis as an objective tool to select … Study
Intensive care unit critical incident analysis as an objective tool to select
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psnet.ahrq.gov/node/50717/psn-pdf
December 04, 2019 - Canada continues to lag behind other OECD countries on
measures of patient safety
December 4, 2019
Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Information; 2019.
https://psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
This fact …
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - The Magnetic Deflection
Citation Text:
Kanal E. The Magnetic Deflection. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - risk factors and identifying oversedation. 6 This assessment should encompass both subjective and objective … Objective data such as heart rate, blood pressure, and respiratory rate illustrate the patient’s cardiorespiratory
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - We have kind of that dual objective of a typical industrial engineering objective to improve quality … and productivity, efficiency, and so on, but also an objective that you would find in other disciplines … The dual objective that I was talking about earlier in the definition of HFE is part of our SEIPS models
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - Your degree, work experience, and technical skills are
not necessarily an objective way to assess competence
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psnet.ahrq.gov/node/39611/psn-pdf
June 16, 2010 - Avoidable mistakes rise despite hospital efforts.
June 16, 2010
Colliver V.
https://psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts
This newspaper article details the incidence of retained foreign objects after surgery in California hospitals
and explains how fines collected by the state will…
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - A 2013 systematic review of 36 studies found few objective data to
inform a strategic approach to improving … handoffs, as most studies relied on nonvalidated provider surveys
alone, with little collection of objective
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psnet.ahrq.gov/web-mm/urinary-retention-dilemma
March 01, 2013 - instrument that allows ultrasonic measurement of post-void residual) would have provided additional objective … Strict intake and output measurements, including BVI readings after voiding and a bladder diary, provide objective
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - presence of preexisting medical conditions such as chronic hypertension or diabetes.( 2,4 ) The primary objective … This objective is achieved by formulating a management plan that takes into consideration severity of
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psnet.ahrq.gov/node/50885/psn-pdf
February 12, 2020 - Impact of staff turnover during cardiac surgical
procedures.
February 12, 2020
Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J
Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051.
https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-su…
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psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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psnet.ahrq.gov/node/44290/psn-pdf
April 10, 2023 - Retained surgical sponge (gossypiboma) and other
retained surgical items: prevention and management.
April 10, 2023
Copeland AW. UpToDate. April 10, 2023.
https://psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-
prevention-and
Retained surgical items are rare and potent…
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psnet.ahrq.gov/node/41159/psn-pdf
September 29, 2017 - A nurse-led approach to developing and implementing a
collaborative count policy.
September 29, 2017
Norton EK, Micheli AJ, Gedney J, et al. A nurse-led approach to developing and implementing a
collaborative count policy. AORN J. 2012;95(2):222-7. doi:10.1016/j.aorn.2011.11.009.
https://psnet.ahrq.gov/issue/nurse…
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psnet.ahrq.gov/issue/clinic-sued-over-towel-left-patient
January 20, 2010 - Newspaper/Magazine Article
Clinic sued over towel left in patient.
Citation Text:
McCarty JF
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January 31, 2007
McCarty JF
This …