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psnet.ahrq.gov/node/866907/psn-pdf
October 09, 2024 - A review of modifiable health care factors contributing to
inpatient suicide: an analysis of coroners' reports using
the Human Factors Analysis and Classification System
for Healthcare
October 9, 2024
Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contributing to inpatient
suicide: a…
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psnet.ahrq.gov/node/37386/psn-pdf
January 06, 2017 - Medication reconciliation in ambulatory oncology.
January 6, 2017
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual
Patient Saf. 2007;33(12):750-7.
https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
The Joint Commission mandates systems…
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psnet.ahrq.gov/node/72825/psn-pdf
March 10, 2021 - The burden of opioid-related adverse drug events on
hospitalized previously opioid-free surgical patients.
March 10, 2021
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized
previously opioid-free surgical patients. J Patient Saf. 2021;17(2):e76-e83.
doi:10.1097/p…
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psnet.ahrq.gov/node/42232/psn-pdf
May 08, 2013 - The Measurement and Monitoring of Safety.
May 8, 2013
Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations are still learning how to identify safety problems, es…
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psnet.ahrq.gov/node/73339/psn-pdf
June 02, 2021 - Effects of nurse-to-patient ratio legislation on nurse
staffing and patient mortality, readmissions, and length of
stay: a prospective study in a panel of hospitals.
June 2, 2021
McHugh MD, Aiken LH, Sloane DM, et al. Effects of nurse-to-patient ratio legislation on nurse staffing and
patient mortality, readmissio…
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psnet.ahrq.gov/node/39122/psn-pdf
January 03, 2017 - Empowering frontline nurses: a structured intervention
enables nurses to improve medication administration
accuracy.
January 3, 2017
Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables
nurses to improve medication administration accuracy. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/node/865534/psn-pdf
April 10, 2024 - Improving formal incivility reporting in ambulatory
oncology: implementing the CIVIC Duty program.
April 10, 2024
Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty
program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - informatics and technology changes associated with monitoring medication supplies or when systems are operating
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - propagation of errors.( 10,11 ) Checklists are associated with improved communication and teamwork in operating … Do safety checklists improve teamwork and communication in the operating room? A systematic review.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - The patient was transported to the operating room. … Upon arrival in the operating room, the patient became progressively hypotensive, coded, and died.
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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - The
patient was transported to the operating room. … Upon arrival in the operating room, the patient became
progressively hypotensive, coded, and died.
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - The patient began to bleed, and bled out in the operating room. … We now have policies and standard operating procedures for handling the patients.
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - The patient was transported to the operating room. … Upon arrival in the operating room, the patient became progressively hypotensive, coded, and died.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - In the operating room, a necrotizing infection that tracked from a perirectal horseshoe abscess, through … evaluate perianal pain and tenderness in an acutely ill patient with examination under anesthesia in the operating
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - WebM&M Cases
If You Say So: Taking a Syringe at Face Value in the Operating … April 1, 2006
View More
See More About The Topic
Hospitals
Operating
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - ref2
https://psnet.ahrq.gov//#ref3
harm.(5) In Michigan, bariatric surgical outcomes were better in operating
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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - 2009
View More
See More About The Topic
Surgical Site Infections
Operating
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - A Lot of Pain (Medications)
September 1, 2014
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/lot-pain-medications
Case Objectives
Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids.
Describe the importance of understanding th…
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - administering-and-monitoring-high-alert-medications-acute-care
https://psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
September 01, 2015 - She was taken immediately to the operating room and found to have diffuse peritonitis secondary to the