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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - Therefore, we can try to
minimize either the impact of making those mistakes, or the occurrence of them
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - of the team to perform
documentation of the time out: nurses and anesthesiologists documenting its occurrence
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - NYPORTS—New York Patient Occurrence and Tracking System—Annual Report 1999.
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - Therefore, the re-occurrence of ascites in someone who is supposedly abstinent raises the possibility
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - site, wrong procedure, and wrong person surgery was created by
the Joint Commission to address the occurrence
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Breadcrumb
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Created By: Dr. Yan Xiao, AHRQ TEP Member
Date…
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - Dropping the Ball Despite an Integrated EMR
March 1, 2011
Karsh B-T. Dropping the Ball Despite an Integrated EMR. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
The Case
A patient followed at a community-based clinic that is part of a large health care system with an
in…
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psnet.ahrq.gov/node/33633/psn-pdf
May 01, 2006 - Patient Safety in the Physician Office Setting
May 1, 2006
Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
Perspective
Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 …
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - in a Patient with Recurrent Pneumothorax
August 25, 2021
Minimization of occurrence
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - potential complications, along with specific training in the techniques necessary to prevent their occurrence
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psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - August 28, 2013
Implementation of a protocol to reduce occurrence of retained sponges
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - About 80% of normal term newborns become jaundiced.( 1,2 ) Most of the time this is a benign occurrence
-
psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - and is mandated by CMS under Medicare's conditions for coverage.(9)
Future investigation into the occurrence
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Almost half of all sentinel events—defined as "an unexpected occurrence involving death or
serious physical
-
psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - New York Patient Occurrence Reporting and Tracking System, Version 2.1.
-
psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - providers on future admissions about opportunities for early intervention and the risk for a repeated
occurrence
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - But is location a factor in the occurrence of the complication reported in the aforementioned case?
-
psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - A study of adverse occurrence and failure to rescue. Med Care. 1992;30:615-629.
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - common symptoms of acetaminophen overdose, but the nonspecific nature of these symptoms and their common occurrence
-
psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - A study of adverse occurrence and failure to rescue. Med Care. 1992;30:615-629.