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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-3.html
July 01, 2023 - example, atrial fibrillation can be asymptomatic or symptomatic, can be chronic or paroxysmal, and can occur
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
January 01, 2012 - Purpose
Objectives of Study
Medication errors and preventable adverse drug events occur commonly … The alert will only occur if the indicated
laboratory testing has not been completed in the preceding … Baseline alerts only occur one time at the point of the initial prescription. … Ongoing
alerts which arise once a medication requiring laboratory monitoring is in the record, occur … This
approach allows the alert to occur in the clinician’s workflow at the time when consideration of
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - These often occur in a manner creating a situation never seen before by the involved personnel, thus … premium on comprehensive, accurate communication, to help avoid the type of oversight error that did occur … Slight differences may occur between checklists for intraoperative handover between anesthesiologists
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www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 39
Say:
Resolution can truly occur only after the organization has completed its
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Falls that occur within 1-7 days of the report date will be noted in high risk based on change of condition … Likewise, if multiple minor injuries occur, they will only be counted as one and if multiple major injuries … occur, they will only be counted as one. … Regardless of whether the report is monthly or quarterly, a room change must occur within 30 days of
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/murphy-ja-et-al-1997
January 01, 1997 - customization process documented the data flow and the changes to the current state process flows that would occur
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hcup-us.ahrq.gov/reports/statbriefs/sb240-Co-occurring-Physical-Mental-Substance-Conditions-Hospital-Stays.pdf
February 01, 2018 - high as 60
percent among patients with heart failure.3
When physical health conditions and M/SUDs occur
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - diagnostic process and a patient’s journey through the ED and may help prevent the anchoring bias that can occur … documented but solutions to the problem are sparse. 44-46 For example, communication breakdowns can occur
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - all Medicare enrollees, then more than 1,900,000 ADEs—more than a quarter of which are preventable—occur … Most errors associated with preventable ADEs occur at the prescribing and monitoring stages of pharmaceutical … however, problems with patient adherence are cited as a contributing factor in more than 20% of ADEs that occur
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Yes
No
When did the briefing occur?
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - patient harm are often caused by a provider overlooking messages alerting them to a test result or occur
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs017939-carroll-final-report-2013.pdf
January 01, 2013 - screening are not routinely implemented
in primary care settings and that the screening that does occur … any concerns about their children’s development at every visit where screening was
not scheduled to occur … patients
who had a clinic visit outside of the three age groups at which routine screening was to occur
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - existing infrastructure for quality improvement (QI) by which QI and patient safety interventions usually occur
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/bladder-cancer-adults-screening-1996
January 01, 1996 - Over 50,000 new cases and over 11,000 deaths due to bladder cancer are predicted to occur in 1995 in … the U.S. 1 Risk rises steeply with age over half of all deaths from bladder cancer occur after age 70 … relative risk among smokers vs. nonsmokers = 1.5-7) 4 , 5 nearly half of all new cases of bladder cancer occur
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/oral-cancer-screening-1996
January 01, 1996 - oral cancer but 50% of deaths. 1 The median age at diagnosis of oral cancers is 64 years, and 95% occur … About half of all oropharyngeal cancers and the majority of deaths from this disease occur in persons … Studies indicate that many oral cancers occur on the floor of the mouth, the ventral and lateral regions
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-shared-decision-making-items.html
March 01, 2017 - Please note: Some items cover events that occur with low frequency in the general population.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
September 01, 2020 - An example is a “debiasing” checklist that aims to reduce errors that occur due to shortcuts in the diagnostic
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - Disparities in diagnosis occur by race, color, ethnicity, disability, sex, gender expression, gender
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - They can occur anywhere in
the process from ordering to administering regardless of whether it resulted … Moreover, errors with potential to cause harm were three times more likely to occur in pediatric … Since the majority of the medical errors
occur at the ordering stage (9), CPOE has been identified as … At the pharmacy level, errors occur in dose checking, order entry,
dispensing, labeling, etc. … At the nursing level, errors occur in administration (e.g., wrong patient,
wrong drug, wrong route,
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-access-items-cg-survey30-adult.html
December 01, 2018 - Some items cover events that occur with low frequency in the general population.