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www.ahrq.gov/hai/pfp/2014-final.htmlJanuary 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010–2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.htmlJuly 01, 2018 - This should occur every few days at the beginning, and once a week as the facility continues operations
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digital.ahrq.gov/organization/northwestern-universityJanuary 01, 2023 - Indication Alerts in CPOE Systems Description This research implemented indication alerts, which occur
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifactMay 11, 2019 - resulted in death or permanent loss of function, as in the present case. 3,4 Communication errors can occur … transitions of care from one team to another remain a particularly weak point during which errors may occur … to produce the radiology reports. 5 Multiple types of communication errors involving radiology can occur
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.htmlSeptember 01, 2013 - Introduction to Adverse Events Say: Adverse events occur when a patient is harmed as a result of … Rarely does an adverse event occur as a result of intent.
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructionsMarch 19, 2019 - PharmD Background Medication errors in the community pharmacy setting have the potential to occur … selected community pharmacies in six metropolitan areas estimated that 51.5 million dispensing errors occur … unpredictable, and unintentional failure in the way we perceive, think, or behave. 5 Human error may occur
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdfNovember 01, 2021 - Many areas for errors to occur especially with increase in test volume. … These policy- and procedure-related events are more likely to occur in a rapidly changing environment
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-preventionJanuary 04, 2024 - With the recognition that retained guidewires, sheaths and catheters occur after interventional vascular … additional actions are taken in the OR (e.g., x-rays, searching, recounting) to reconcile the count, occur … miscounts can influence the responses and reactive behaviors of all personnel when count deviations occur … It is important to remember that RSIs occur because of human error within complex systems.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/mx2Ko29RH46mTYb36f-UBeJune 20, 2023 - They are often unrecognized in primary care settings and substantial delays in treatment initiation occur … disorders are often unrecognized in primary care settings and substantial de- lays in treatment initiation occur … However, full recovery may occur.1,5 According to US data collected from 2001 to 2002, the life- time … Furthermore, these harms are likely to occur to varying degrees across different popula- tions and in … 47.8%), pain (34.7%), and sleep disturbance (32.5%).22 Delays in treatment initiation also com- monly occur
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www.ahrq.gov/patient-safety/reports/liability/silence.htmlAugust 01, 2017 - Yet, when harm does occur, and honest and transparent conversations are not conducted, you harm us again
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digital.ahrq.gov/health-care-theme/human-factorsJanuary 01, 2023 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur
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digital.ahrq.gov/goal/knowledge-creationJanuary 01, 2023 - Indication Alerts in CPOE Systems Description This research implemented indication alerts, which occur
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_2.jspJanuary 01, 2009 - Facts and Figures Exhibit 5.2 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
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digital.ahrq.gov/health-care-theme/medication-safetyJanuary 01, 2023 - showing the utility of a void alert tool to prospectively capture the broad range of errors that may occur
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digital.ahrq.gov/type-care/behavioral-healthJanuary 01, 2023 - adding in an automated language translation process to allow multi-language clinical evaluations to occur
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psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-reviewFebruary 09, 2022 - Nursing and Patient Safety April 21, 2021 Do falls and other safety issues occur
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psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-reviewJanuary 30, 2019 - Diagnostic Safety and Quality April 26, 2023 Do falls and other safety issues occur
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017September 30, 2020 - More Related Resources Review of medication errors that are new or likely to occur
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigueOctober 28, 2020 - Adrenal insufficiency (AI) may occur at the level of the adrenal glands (primary), the pituitary gland … Crisis may also occur in patients who are receiving treatment for AI if they miss their daily medications … Adrenal crisis is life-threatening and can occur in patients with AI due to any physiologic stress, including
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/flowchartJanuary 01, 2023 - To examine the handoffs that occur in a process.
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