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psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
November 21, 2016 - Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/verbal-protocol-analysis
January 01, 2023 - Add the frequency of each occurrence in each category.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-to-quality-analysis
January 01, 2023 - Similarly, these can be steps where the next occurrence in the process is determined by input.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.docx
March 01, 2022 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.docx
March 01, 2022 - Such serious reactions are so rare that their occurrence prompts the submission of case reports.
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www.uspreventiveservicestaskforce.org/uspstf/behavioral-counseling-interventions-an-evidence-based-approach---table-2
November 01, 2013 - Relapse is a common occurrence and part of the normal process of change.
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - psnet.ahrq.gov/issue/making-business-case-patient-safety
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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psnet.ahrq.gov/node/41535/psn-pdf
December 31, 2014 - minimizing-electronic-health-record-patient-note-mismatches
https://psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
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psnet.ahrq.gov/node/41557/psn-pdf
August 01, 2012 - integrated public
health care system evaluated the usefulness of six laboratory triggers to detect the occurrence
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psnet.ahrq.gov/node/39948/psn-pdf
December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal
Protocol era: analysis of a prospective database of
physician self-reported occurrences.
December 21, 2014
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol
era: analysis of a prospective database of p…
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Organizational factors can contribute to the occurrence of patient safety events and how health systems
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psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
January 09, 2019 - paper describes a tool that employs triggers to identify adverse events and measure their rate of occurrence
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psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
September 26, 2018 - medications involved, recommendations for improvement, and technologies to be employed to minimize error occurrence
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psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
July 27, 2005 - Medmarx database, what factors contributed to those errors, and what can be done to minimize their occurrence
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psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
April 20, 2022 - April 25, 2018
Tubing misconnections—a persistent and potentially deadly occurrence.
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - January 5, 2017
Tubing misconnections—a persistent and potentially deadly occurrence.
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psnet.ahrq.gov/issue/exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
April 21, 2021 - October 12, 2016
The occurrence of adverse events potentially attributable to nursing
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psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
May 03, 2023 - January 5, 2017
Tubing misconnections—a persistent and potentially deadly occurrence.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.pdf
March 01, 2022 - Such serious reactions are so rare that their occurrence prompts the submission
of case reports.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.pdf
March 01, 2022 - Such serious reactions are so rare that their occurrence
prompts the submission of case reports.