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psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
July 16, 2019 - Study
Classic
Evaluation of perioperative medication errors and adverse drug events.
Citation Text:
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - High frequency of cancer in cold thyroid nodules occurring at young age. … High frequency of cancer in cold thyroid nodules occurring at young age.
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Chang, MD, and Scott Flanders, MD Despite being underreported, diagnostic error is common ( 1 ), occurring … Poor communication is an underlying cause in 65%–70% of safety events with three types of errors occurring
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - The present case involved the most frequently occurring drug error in anesthesia incident report analyses … We are not informed as to other possibly distracting events occurring at the time the error occurred.
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - represent important missed opportunities to prevent this potentially life-threatening DRESS reaction from occurring … Take-Home Points Implementation of new EHR systems is occurring with increasing frequency across
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - The former, breast
milk jaundice, is an exaggerated physiologic response, occurring in approximately … • Referral to an IBCLC with a visit occurring within the first 24 hours.
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - treatment-challenges-after-discharge
Case Objectives
Understand types and frequencies of adverse events occurring … As illustrated by this case, tests pending at discharge (TPADs) are common, occurring with approximately
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digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project/annual-summary/2010
January 01, 2010 - health care community is struggling to determine how to measure when and if this vital activity is occurring
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digital.ahrq.gov/ahrq-funded-projects/symptom-monitoring-and-reporting-system-pediatric-chronic-illness/annual-summary/2012
January 01, 2012 - computer or smartphone, or a regular telephone via interactive voice response technology to report fatigue occurring
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hcup-us.ahrq.gov/db/vars/cptn/nedsnote.jsp
May 01, 2015 - Anticipation of or lags in response to official coding changes are permitted for discharges occurring
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/iron-deficiency-anemia-in-pregnant-women-screening-and-supplementation
July 07, 2022 - KQ 2: More serious harms; harms leading to discontinuation; accidental overdose
Infant outcomes occurring
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs017939-carroll-final-report-2013.pdf
January 01, 2013 - These charts could be any visit not occurring in the 9, 18, and 30 months visits. … of
7.7 months (p=0.02).
6
Surveillance
In order to determine if surveillance was occurring
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hcup-us.ahrq.gov/db/vars/ecoden/kidnote.jsp
September 01, 2008 - Anticipation of or lags in response to official ICD-9-CM coding changes are permitted for discharges occurring
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hcup-us.ahrq.gov/db/vars/drg10/kidnote.jsp
September 01, 2008 - Caution: The 3M Mapper can translate only those codes with a discharge date occurring after September
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digital.ahrq.gov/sites/default/files/docs/medicaid/OK_CaseStudy_FINAL.pdf
February 01, 2011 - details related to the final rule and also
refined several internal documents to incorporate changes occurring
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digital.ahrq.gov/sites/default/files/docs/page/ok_casestudy_final_0.pdf
February 01, 2011 - details related to the final rule and also
refined several internal documents to incorporate changes occurring
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Case Objectives
Understand types and frequencies of adverse events occurring between patient discharge … As illustrated by this case, tests pending at discharge (TPADs) are common, occurring with approximately
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hcup-us.ahrq.gov/reports/SASpecUnitManuscriptHCUP083010.pdf
August 31, 2010 - Use of mental health care and substance abuse treatment
among adults with co-occurring disorders. … Disparities in use of mental health and
substance abuse services by persons with co-occurring disorders … Addiction treatment
services and co-occurring disorders: Prevalence estimates, treatment practices,
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
January 01, 2011 - To implement an automated surveillance system for measuring the incidence of ADEs
occurring in the … To utilize the automated surveillance system for measuring the incidence of ADEs
occurring in these … for
under a single HMO, and reported an incidence of 50.1 ADEs per 1000 patient-years.(19)
ADEs occurring … Laboratory monitoring of medications and physiologic function, while frequently occurring on a
near-daily … Adverse drug events occurring following
hospital discharge.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Guide%20to%20the%20Healthy%20Weight%20Care%20Assistant.docx
February 15, 2018 - offload some of the strain on the Care Assistant and decrease the likelihood of an unintended consequence occurring