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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gamm-ld-et-al-1998-pre
January 01, 1998 - This occurs less among the clinical staff and even less among the support staff."
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psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
April 29, 2015 - November 16, 2022
Misdiagnosis of thoracic aortic emergencies occurs frequently
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL24ProcessFlowchart.jsp
April 24, 2011 - FTP site
After the joined record set is uploaded to the FTP site, independent contractor analysis occurs
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psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - March 20, 2024
Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers
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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - February 18, 2011
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
December 07, 2016 - September 26, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after
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psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
December 18, 2013 - June 19, 2024
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
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psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
December 04, 2016 - June 5, 2013
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
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psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
March 17, 2014 - January 16, 2013
Misdiagnosis of thoracic aortic emergencies occurs frequently among
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Drug allergy interaction
checking occurs during the entry of new medication. … Drug condition checking occurs for important interactions between
drugs and selected conditions. … CPOE CDS Dose range checking occurs before medication orders are submitted. … Drug allergy interaction checking occurs during the entry of new
medication. … checking occurs for important interactions between drugs and selectedconditions.
3).
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/rPyJKLWYZhmQ-Cc4pe2oMJ
April 01, 2023 - • The most common type of melanoma among Black persons occurs mostly on skin not frequently exposed
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/colorado
January 01, 2023 - Interfacing occurs via Web services.
Messages are in HL7 2.3.1 format.
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digital.ahrq.gov/ahrq-funded-projects/improving-health-care-through-hit-morgan-county
January 01, 2023 - MHMC are Morgan County residents; yet 76 percent of the hospital care received by county residents occurs
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Importantly for institutions, it is not necessary to capture every incident or every near miss that occurs … undesirable, as in the case of repeated reporting of the same incident.(7)
Active clinical monitoring occurs … If a near
miss incident occurs commonly and has a high probability to cause great harm, it may take
-
psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - subclavian vein placement.(6) However, it is more difficult to
control excessive bleeding when it occurs … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#figure
Arterial puncture occurs … attempts.(3,9)
Although pulsatile bright red blood is typically encountered when arterial puncture occurs
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Shift
changeover occurs when two or more workers exchange mission-specific information, responsibility … Second, message failure occurs
when there is poor or non-existent transfer of information. … Third, reception failure occurs with
misinterpretation or late arrival of proper information.
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Patient death or serious injury associated with intravascular air embolism that occurs while being cared … in children can be considered but has not been recommended. 3 , 5 , 15
If an adverse event occurs … Once a complication occurs, escalation of care requires three fundamental communication steps as identified
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - probability that each error will be detected before causing harm, and the impact of the error if it actually occurs … ) and also requires performance of RCA under certain circumstances (such as when a sentinel event occurs
-
psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - probability that each error will be detected before causing harm, and the impact of the
error if it actually occurs … FMEA) and also requires performance of RCA under certain circumstances (such as
when a sentinel event occurs
-
psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - When an adverse event
occurs in health care, it is critical to understand why and implement measures … For example, if a medication error occurs, healthcare organizations can complete a root cause
analysis