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psnet.ahrq.gov/node/866109/psn-pdf
June 12, 2024 - The RIM consists of two elements—whether the intervention occurs
before or after the event and whether
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
May 20, 2012 - prophylaxis included as peer review (OPPE) indicator for many services
Review of EVERY VTE event that occurs
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/workflow-diagram
January 01, 2023 - The diagram is comprised of a map (such as a floor plan) of the area where the process occurs and uses
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/surveillance.html
October 01, 2024 - prevalence of MRSA within a specific patient population and identifying when and where transmission occurs
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psnet.ahrq.gov/node/847056/psn-pdf
April 05, 2023 - This commentary examines how cancer diagnosis delay in primary care occurs.
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psnet.ahrq.gov/node/846750/psn-pdf
March 29, 2023 - expanding-frame
Latent errors or conditions are subtle and can be difficult to identify before an incident occurs
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
Inattentional blindness occurs
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psnet.ahrq.gov/node/73911/psn-pdf
October 06, 2021 - This systematic review found
that misdiagnosis of acute myocardial infarction (AMI) occurs in approximately
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psnet.ahrq.gov/node/47887/psn-pdf
August 07, 2019 - that nurses are more willing to report medication errors if they perceive
that feedback on errors occurs
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psnet.ahrq.gov/node/838135/psn-pdf
January 01, 2023 - https://psnet.ahrq.gov/issue/fallacy-single-diagnosis
Premature closure occurs when clinicians accept
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Undermining is the destruction that occurs under the skin.
31. … Shear is the force that occurs when the skin sticks to a surface and the body slides.
42. … Undermining is the destruction that occurs under the skin.
True
31. … Shear is the force that occurs when the skin sticks to a surface and the body slides.
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psnet.ahrq.gov/node/34948/psn-pdf
February 17, 2011 - data indicates that acquisition of
methicillin-resistant Staphylococcus aureus (MRSA) infection now occurs
-
psnet.ahrq.gov/node/866317/psn-pdf
July 17, 2024 - psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
"Second victim syndrome" occurs
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.doc
May 01, 2014 - : Phase 2
Checklist for Identifying Nursing Home Specific Antibiogram Modifications
Wide variation occurs
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
May 01, 2024 - situation is likely due to the difficulty of objectively measuring cognitive load because it inherently occurs … Cognitive Overload Cognitive overload occurs when working memory becomes overly burdened, leading to
-
psnet.ahrq.gov/node/35597/psn-pdf
June 21, 2010 - prescribing patterns of potentially dangerous medications to nonpregnant young
women, suggesting it occurs
-
psnet.ahrq.gov/node/47494/psn-pdf
January 01, 2020 - The authors raise the question of whether reporting bias by race occurs in patient
safety reporting
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psnet.ahrq.gov/node/60821/psn-pdf
August 19, 2020 - has-united-patients-and-providers-against-institutional-betrayal-
health-care-battle
Institutional betrayal occurs
-
psnet.ahrq.gov/node/865869/psn-pdf
May 15, 2024 - psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records
Although most care occurs
-
psnet.ahrq.gov/node/37564/psn-pdf
June 12, 2008 - further risk
assess patients who may benefit from increased monitoring before a clinical deterioration occurs