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psnet.ahrq.gov/node/848358/psn-pdf
May 03, 2023 - Identifying electronic health record contributions to
diagnostic error in ambulatory settings through legal
claims analysis.
May 3, 2023
Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in
ambulatory settings through legal claims analysis. JAMA Netw Open. …
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psnet.ahrq.gov/node/74098/psn-pdf
January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient
setting: a 9-year quality improvement study.
November 24, 2021
McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in?patient setting:
a 9?year quality improvement study. Nurs Crit Care. 2023;28(1):72-79. doi:10.1111/ni…
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psnet.ahrq.gov/node/74266/psn-pdf
January 19, 2022 - Outcomes and patient safety in overlapping vs.
nonoverlapping total joint arthroplasty: a systematic
review and meta-analysis.
January 19, 2022
Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs.
nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. …
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psnet.ahrq.gov/node/36409/psn-pdf
September 28, 2016 - The multitasking clinician: decision-making and cognitive
demand during and after team handoffs in emergency
care.
September 28, 2016
Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive
demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76…
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psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the
VA National Center for Patient Safety's prospective risk
analysis system.
January 4, 2017
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis s…
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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