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psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
February 28, 2024 - Nursing homes face serious, ongoing patient safety challenges.
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - post-discharge events, initiate risk-specific interventions to reduce risk, and communicate risk and ongoing … Ongoing refinement : Based on findings from the evaluation, the team should continue to improve the … Sustaining This Innovation
Continue to monitor and refine the discharge process: Ongoing, regularly … Patient Safety Innovations
Team-Developed Care Plan and Ongoing
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psnet.ahrq.gov/node/42250/psn-pdf
June 03, 2013 - The article provides an excellent example of
the ongoing monitoring and adaptation required to effectively
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psnet.ahrq.gov/node/46874/psn-pdf
March 21, 2018 - july-spike-fatal-medication-errors-possible-effect-new-medical-residents
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
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psnet.ahrq.gov/node/47598/psn-pdf
November 28, 2018 - accurate medication lists in the medical record and ensuring patient medication adherence
remains an ongoing
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psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - never-events-and-quest-reduce-preventable-harm
https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
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psnet.ahrq.gov/node/38255/psn-pdf
December 03, 2008 - The authors argue for better methods for evaluating ongoing physician
performance, including continuing
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Used and Skills Needed
Staffing: The program required no new hiring, as all upfront planning and ongoing … On an ongoing basis, approximately 50 registration, admissions, and unit-based staff take pictures of … Used and Skills Needed
Staffing: The program required no new hiring, as all upfront planning and ongoing … On an ongoing basis, approximately 50 registration, admissions, and unit-based staff take pictures of
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psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
April 03, 2019 - These results collectively convey ongoing, large-scale safety gaps in health care delivery.
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psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
February 14, 2024 - Medication errors and adverse drug events are an ongoing threat to patient safety.
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psnet.ahrq.gov/issue/making-care-safer
December 18, 2008 - The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety.
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur between
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Preventable maternal morbidity is an ongoing challenge in the United States.
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - After delivery, the patient became tachycardic and hypotensive, suggesting ongoing blood loss or sepsis … CT imaging is helpful if ongoing intraabdominal bleeding is occurring, but it is not a
prerequisite … to take someone back to the operating room when there is strong suspicion for ongoing
hemorrhage, particularly … There were multiple points when
earlier recognition of ongoing obstetric hemorrhage could have changed
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psnet.ahrq.gov/node/43709/psn-pdf
December 04, 2014 - In addition, physicians and nurses used a log to document the need for ongoing
cardiac monitoring and
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psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - Many states are implementing prescription drug monitoring programs (PDMPs) in an attempt to curb the
ongoing
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psnet.ahrq.gov/node/35264/psn-pdf
June 29, 2009 - the setting also carries noted risks for
adverse events and errors, and it is important to promote ongoing
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psnet.ahrq.gov/node/45710/psn-pdf
December 22, 2017 - A recent Annual Perspective explores ongoing
problems with the RCA process and sheds light on opportunities
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psnet.ahrq.gov/node/40561/psn-pdf
March 23, 2012 - psnet.ahrq.gov/issue/principles-conservative-prescribing
Strategies to prevent medication errors are an ongoing
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psnet.ahrq.gov/issue/mind-power-gap-how-hierarchical-leadership-healthcare-risk-patient-safety
February 26, 2025 - RN, CPHQ about TeamSTEPPS 3.0
February 28, 2024
Community Health Systems’ ongoing