-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Joice GA, Deibert CM,
Study defined by the Center for Medicare and
Medicaid Services) complications occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - members were aware
of the study and were allowed to implement interventions to prevent falls from occurring
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hcup-us.ahrq.gov/reports/methods/2011_05.pdf
January 01, 2011 - The aim was to
financially incentivize hospitals to prevent HACs from occurring in their facilities.
-
psnet.ahrq.gov/node/43309/psn-pdf
August 02, 2015 - Wrong-side thoracentesis: lessons learned from root
cause analysis.
August 2, 2015
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis.
JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learne…
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psnet.ahrq.gov/node/60641/psn-pdf
July 01, 2020 - Predictors and triggers of incivility within healthcare
teams: a systematic review of the literature.
July 1, 2020
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a
systematic review of the literature. BMJ Open. 2020;10(6):e035471. doi:10.1136/bmjopen-2019-035471.…
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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
-
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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - May 18, 2022
Preventable harm occurring to critically ill children.
-
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