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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - DiagnosisCellulitis
· Relatively sudden onset of redness, warmth, tenderness, and swelling of the skin1-3
· Nonpurulent: no evidence of abscess/phlegmon; most cases caused by beta-hemolytic streptococci (usually group A strep but also B, C, G) that are sucepti…
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www.ahrq.gov/research/shuttered/hospevactab6.html
July 01, 2018 - Hospital Evacuation Decision Guide (Table 6)
Public Health Emergency Preparedness
Table 6. Factors to Consider in Deciding Whether to Begin a Pre-Event Evacuation
Factor
Issues to Consider
Implications
Event Characteristics
Arrival
When is the event expected to "hit" the …
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psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared
March 11, 2011 - Study
Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records.
Citation Text:
Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …
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psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
June 28, 2011 - Study
Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.
Citation Text:
Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupi…
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psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
August 07, 2013 - Study
Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.
Citation Text:
Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…
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psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
September 23, 2020 - Study
Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study.
Citation Text:
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…
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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