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psnet.ahrq.gov/node/73534/psn-pdf
July 28, 2021 - "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room.
July 28, 2021
Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
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psnet.ahrq.gov/node/34063/psn-pdf
September 18, 2011 - Risk factors for retained instruments and sponges after
surgery.
September 18, 2011
Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery.
N Engl J Med. 2003;348(3):229-35.
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
Th…
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psnet.ahrq.gov/node/46869/psn-pdf
April 11, 2018 - Opioid prescribing practices from 2010 through 2015
among dentists in the United States: what do claims data
tell us?
April 11, 2018
Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the
United States: What do claims data tell us? J Am Dent Assoc. 2018;149(4):237-24…
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www.ahrq.gov/news/newsroom/case-studies/criteria.html
December 01, 2019 - AHRQ Impact Case Studies Criteria
AHRQ Impact Case Studies provide evidence of how AHRQ-funded projects impact health care outcomes, quality, cost, use, and access. Each Impact Case Study demonstrates how AHRQ-funded resources are actually being used to improve the health care system.
Impact Case Studies are …
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psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports.
June 4, 2024
St Paul, MN: Minnesota Department of Health.
https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
The National Quality Forum has defined 29 never events—patient safety problems that should never occur,
such as wrong-…
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hcup-us.ahrq.gov/reports/statbriefs/sb158.pdf
August 11, 2013 - can be
used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least
frequently occurring cause overall. … Clostridium difficile infection was
the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most
frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_clinician.pdf
July 01, 2016 - milliliters after vaginal birth or cesarean section.1 PPH is
often classified as primary/immediate/early (occurring … within 24 hours of birth) or secondary/delayed/late
(occurring from more than 24 hours postbirth to
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - Wrong drug errors are typically a smaller proportion of these, occurring in about
0.2% of all doses … increase the risk assessment carried out when naming medicinal
products, to minimize the risks of mix-ups occurring
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - Preoperative care is crucial as well—to make sure that
the operation is occurring on the right part … look at it from an interdisciplinary perspective, the more that system will help prevent errors
from occurring
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/suda-final-protocol.pdf
October 02, 2018 - research and experience with adults.”14 The
AACAP also recommended that psychiatrists consider co-occurring … health disorders,
since the majority of adolescents with substance use problems present with a co-occurring … of
pharmacotherapy for adolescent and young adult patients with severe opioid use disorders or co-
occurring … meet criteria for any of the above categories)
Integrated interventions for substance use and a co-occurring … a treatment approach that combines an intervention for substance use and
an intervention for a co-occurring
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - references
https://psnet.ahrq.gov//#references
by nursing staff to prevent serious breakdown from occurring … constitute nearly 10% of Medicare admissions to acute care, with nearly 40% of these hospitalizations
occurring … taking high risk medications such as anticoagulants are monitored daily to assure
no adverse events are occurring
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - Opioid addiction is common in aging Americans who often have comorbid medical disorders and other co-occurring … First is the recognition that those with opioid dependence often have co-occurring illnesses that must … Those with co-occurring medical and mental disorders may benefit from being opioid maintained rather
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - September 24, 2016
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - June 2, 2021
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - October 30, 2010
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - October 16, 2024
Review of reported adverse events occurring among the homeless veteran
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psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
April 11, 2011 - March 10, 2011
Medication errors occurring with the use of bar-code administration technology
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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - August 29, 2012
Classification of adverse events occurring in a surgical intensive care
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psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - May 18, 2022
Preventable harm occurring to critically ill children.
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - March 2, 2022
Analysis of risk factors for patient safety events occurring in the emergency