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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - patients to engage with their own safety and how to effectively communicate with patients should an error occur
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - Serious or fatal iatrogenic complications occur in 2.9% to 3.7% of hospitalized patients ( 1 ), and medical
-
psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - feedback) matures, one could imagine the day when ACLS practice, certification, and recertification all occur
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - medications through an improperly placed NG tube is considered a “never event,” or an event that should not occur
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Pulmonary damage shown to occur within a few hours of mechanical ventilation. 7 Clinicians often miss
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - Armed with data, your team can isolate where system breakdowns occur.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-quantitative-synthesis-learning-objectives-recommendations.pdf
July 01, 2019 - • Addresses the issues commonly encountered conducting CERs,
in the order they occur.
-
www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - omissions of critical information – as well as provision of outdated or frankly
erroneous information – occur … substantial concerns with both the process and content of handoffs,
with adverse events identified to occur
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
June 30, 2024 - patients
experiences a diagnostic error firsthand and that diagnostic-
related communication failures occur … systematic process in place to capture and learn
from near misses and no-harm adverse events that occur
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effectivehealthcare.ahrq.gov/products/search-strategy/white-paper
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hcup-us.ahrq.gov/reports/methods/MS2024-01-NHQDRMethodsReport.pdf
November 25, 2024 - AHRQ QUALITY INDICATORS
The AHRQ QIs are measures of quality associated with processes of care that occur … behavrl synd assoc w physiol disturb and physcl factors
'F988' Oth behav/emotn disord w onset usly occur … in chldhd and adol
'F989' Unsp behav/emotn disord w onst usly occur in chldhd and adol
'R452' Unhappiness
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digital.ahrq.gov/sites/default/files/docs/citation/health-it-research-priorities-to-support-health-care-delivery-system-of-future.pdf
October 19, 2014 - created an environment that
supports the innovative changes to the health care system expected to occur … The Visionary Panel suggested that significant
change will occur in all three areas. … created an environment that supports the innovative
changes to the health care system expected to occur … Monitoring can occur in the patient’s daily living environment rather
than in the artificial and sometimes
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gout-management-disposition-160721.pdf
March 15, 2016 - By acute gouty
arthritis is normally used for the short episodes (1-2 weeks) of inflammation that occur … of anti-inflammatory drugs since symptoms are due to
inflammation related to urate crystals, which occur … And then one has
to consider what kind of AEs might occur as
a result of trying to achieve and maintain … TEP Reviewer #1 Clarity and
Usability
KQ for next time: WHEN do allopurinol rxns occur?
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hcup-us.ahrq.gov/reports/annualreport/HAR_2005.pdf
January 01, 2005 - This group experienced 1,212 hospitalizations per 1,000
neonates, because nearly all births occur in … The
variation by year is related to outbreaks of strains of influenza
which occur in cycles.2 Like
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hcup-us.ahrq.gov/db/nation/nrd/NRDIntroduction2021.pdf
March 01, 2024 - records indicating a combination of transfers and other same-day events seem
odd, but they do rarely occur … For the first set of readmission rates, the 30-day readmission for any cause was
required to occur in … For the second set
of readmission rates, the 30-day readmission for any cause was allowed to occur in
-
effectivehealthcare.ahrq.gov/sites/default/files/08_functional_limitations_potential_high_impact_2012-12-10.pdf
January 01, 2012 - Re-treatment is sometimes
required and is intended to occur no sooner than 4 weeks after the initial … for this indication.
28
These effects are purported to prevent the action-potential
bursts that occur … Re-treatment is sometimes required and
is intended to occur no sooner than 4 weeks after the initial … A potential shift in care setting and
management could occur, transitioning to more outpatient care
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-screening_disposition-comments.pdf
November 27, 2012 - provider encourages behavior change based on that knowledge, behavior change (in
the short term) does occur … with HCV infection will not
have adverse consequences from the condition, and if they did they do not occur … Response
Donna Geiger Discussion/
Conclusion
“Much of the benefits from screening are likely to occur … As stated on ES-14 of the review, “much of the
benefits from screening are likely to occur as a result … In other words, patients want hepatitis C screening to occur in a similar fashion as
HIV.
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hcup-us.ahrq.gov/db/nation/nrd/NRDIntroduction2022.pdf
December 01, 2024 - records indicating a combination of transfers and other same-day events seem
odd, but they do rarely occur … For the first set of readmission rates, the 30-day readmission for any cause was
required to occur in … For the second set
of readmission rates, the 30-day readmission for any cause was allowed to occur in
-
digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - , 42, 54, 63, 73-90 From those studies, we know that medical
errors and preventable adverse events occur … derived from
sociotechnical systems research on health IT are as follows:
• CDS fit with workflow must occur
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Initiation of MAT can occur in primary care offices, EDs,
hospitals, and community-based centers and … Where can initiation of the pharmacotherapy component of MAT occur?
2.