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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_8.pdf
January 01, 2008 - Stays with a secondary MH condition often co-occur with a principal MH or SA diagnosis. … M
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MH and SA conditions often co-occur
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - have addressed this problem, it is clear from anecdotal reports that this type of error can and does occur … or a ward may initially distract one from appreciating the many ways that “wrong patient” errors can occur … that these 'flukes' do happen, and the thousands of medication administrations and procedures that occur … Table How Wrong Patient Medication Errors Occur Stage at Which Error Is Introduced Example
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digital.ahrq.gov/sites/default/files/docs/page/delrahim-howlett-podcast-transcript.pdf
June 16, 2021 - Fetal Alcohol Spectrum Disorders result from prenatal exposure to alcohol and occur in about
one in
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psnet.ahrq.gov/node/34973/psn-pdf
September 29, 2017 - respect for patient autonomy plays in
developing disclosure policies, and the culture change that must occur
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psnet.ahrq.gov/node/41896/psn-pdf
December 12, 2012 - bar-code-verification-reducing-not-eliminating-medication-errors
This simulation study identified several mechanisms by which medication errors could occur
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psnet.ahrq.gov/node/47309/psn-pdf
August 22, 2018 - for patient safety as it applies to inpatient psychiatry, define the types of
adverse events that occur
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psnet.ahrq.gov/node/44184/psn-pdf
June 24, 2015 - to this retrospective chart review study, clinically significant prescription errors continued to
occur
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psnet.ahrq.gov/node/45431/psn-pdf
November 22, 2017 - interpretation errors associated with chest radiographs of
children to illustrate common mistakes that can occur
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - worrisome adverse effects (hypotension, renal insufficiency, angioedema, and hyperkalemia) tend to occur … Points The addition of a new medication requires monitoring for adverse drug events, which typically occur … overdose) Hyperkalemia following acute overdose predicts poor outcome Heparin Can occur … supplements Potassium-sparing diuretics (amiloride, triamterene) Hyperkalemia can occur
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - interventions after CPOE implementations identified increases in duplicate therapy events--presumed to occur … However, some clinically relevant drug-drug interactions will occur and such important messages may be
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psnet.ahrq.gov/node/40745/psn-pdf
September 07, 2011 - verbal communication
occurred in only a small minority of cases, and several preventable errors did occur
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psnet.ahrq.gov/node/45254/psn-pdf
February 01, 2012 - working
successive 12-hour shifts accrue significant sleep debt, regardless of whether these shifts occur
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psnet.ahrq.gov/node/46713/psn-pdf
April 12, 2019 - The authors found that unsolicited patient complaints occur less
frequently among older ophthalmologists
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psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - received increased attention in health care, miscommunications that affect
patient safety continue to occur
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psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - operating room environment that increase risks, and reviews legal responses for
when such incidents occur
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psnet.ahrq.gov/node/34904/psn-pdf
February 27, 2009 - This AHRQ-funded study illustrates potentially harmful drug-drug and drug-disease combinations that occur
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psnet.ahrq.gov/node/44298/psn-pdf
July 08, 2015 - as preparation of insulin and use of ampules to illustrate situations in which scanning errors
may occur
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psnet.ahrq.gov/node/42360/psn-pdf
April 16, 2018 - submitted to the Pennsylvania Patient Safety Authority discusses why wrong-
patient medication errors occur
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psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - reducing-risk-adverse-drug-events-older-adults
This commentary outlines types of adverse drug events that occur
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psnet.ahrq.gov/node/42995/psn-pdf
September 12, 2016 - mortality rates have been attributed to failure to rescue patients when
postoperative complications occur