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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Five
subscales emerged for “reasons why MAE occur”; four subscales emerged for
“reasons why MAE are … medication
administration errors occur. … Reasons why medication errors occur (19 items in 1994 and 29 in
subsequent surveys).
2. … In the first content area, “why MAEs occur,” five factors emerged. … Nurses’ perceptions of why medication administration
errors occur.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Five
subscales emerged for “reasons why MAE occur”; four subscales emerged for
“reasons why MAE are … medication
administration errors occur. … Reasons why medication errors occur (19 items in 1994 and 29 in
subsequent surveys).
2. … In the first content area, “why MAEs occur,” five factors emerged. … Nurses’ perceptions of why medication administration
errors occur.
-
psnet.ahrq.gov/node/851658/psn-pdf
July 26, 2023 - This article summarizes potential
patient harm that can occur during hospitalization for older adults
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psnet.ahrq.gov/node/867224/psn-pdf
December 04, 2024 - safety-inpatient-care-surgical-settings-cohort-study
Despite decades of safety improvement efforts, surgical complications continue to occur
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psnet.ahrq.gov/node/841199/psn-pdf
December 07, 2022 - houses collections of materials to support constructive communication should a failure or near-miss occur
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psnet.ahrq.gov/node/844772/psn-pdf
September 18, 2019 - psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
Diagnostic errors occur
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psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - This commentary reviews
examples of bias that commonly occur in medical practice and describes debiasing
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psnet.ahrq.gov/node/72484/psn-pdf
November 18, 2020 - focuses on management of, and preparation for, perioperative critical events and rescue should they
occur
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur?
Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur?
Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur?
Which reports will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Nursing homes investigate adverse events after they occur. … Is it possible to intervene before adverse events occur? … Analysis: Reviews process for conducting investigations or root cause analyses when adverse events occur … When will the meeting occur?
Which report(s) will be used at the meeting? … How will communication occur with other disciplines to confirm changes in care?
-
pcmh.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - This can occur as early as after the first day the patient is on antibiotics; thus, the Moment 3 questions … Moment 4 should occur when the patient’s diagnosis becomes clear.
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pbrn.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - This can occur as early as after the first day the patient is on antibiotics; thus, the Moment 3 questions … Moment 4 should occur when the patient’s diagnosis becomes clear.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.docx
March 01, 2022 - However, as with any product, side effects may occur. … Local CHG side effects are estimated to occur in 1–3 percent of patients.
-
psnet.ahrq.gov/node/37752/psn-pdf
May 07, 2019 - been adopted in hospitals to prevent medication errors, but accidents
associated with their use still occur
-
psnet.ahrq.gov/node/73326/psn-pdf
June 01, 2021 - model was designed to support early error
disclosure with patients and families after mistakes in care occur
-
psnet.ahrq.gov/node/843322/psn-pdf
February 01, 2023 - psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
Active errors are evident when they occur
-
psnet.ahrq.gov/node/73327/psn-pdf
January 25, 2022 - ismp-medication-safety-self-assessmentr-perioperative-settings
The perioperative setting is a high-risk area for medication errors, should they occur
-
psnet.ahrq.gov/node/838326/psn-pdf
October 12, 2022 - people-color-long-covid-face-uphill-battle-be-heard
Gaslighting women and patients of color is known to occur