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psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
December 01, 2021 - Study
Effect of barcode technology on medication preparation safety: a quasi-experimental study.
Citation Text:
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…
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psnet.ahrq.gov/issue/medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
February 12, 2020 - Study
Medication discrepancy rates and sources upon nursing home intake: a prospective study.
Citation Text:
Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836. do…
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psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
November 13, 2024 - Study
Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit.
Citation Text:
Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient from the emergency de…
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psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
June 14, 2023 - Study
Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout.
Citation Text:
D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…
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psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
February 28, 2024 - Study
The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims.
Citation Text:
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…
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psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
April 03, 2018 - Study
Classic
Electronic health record–related events in medical malpractice claims.
Citation Text:
Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…
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psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
September 12, 2016 - Study
National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.
Citation Text:
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…
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hcup-us.ahrq.gov/reports/statbriefs/sb193-Neonatal-Maternal-Hospitalizations-Substance-Use.jsp
July 01, 2015 - 15.5
14.0
Midwest
24.0
23.7
South
39.0
37.0
West
21.5
25.3
Co-occurring … 15.2
14.2
Midwest
26.6
23.3
South
35.5
37.4
West
22.7
25.2
Co-occurring … Over one-fourth of maternal stays related to substance use included mental disorders as a co-occurring … use were substantially more likely than all other maternal stays to include mental disorders as a co-occurring … alcohols
Alcohol
E8609
Accidental poisoning by unspecified alcohol
Alcohol
Co-occurring
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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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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/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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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