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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Staff decided
to move this patient to another operating room, which resulted in a change in personnel
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Module 3. Falls Prevention
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Cond…
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meps.ahrq.gov/data_files/publications/rf12/rf12.shtml
December 01, 2000 - Research Findings #12: Health Care Expenses in the United States, 1996
Skip to main content
An official website of the Department of Health & Human Services
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Back
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - On the CUSP: Stop CAUTI in ICU
June 10 ICU Content Call
Chelsea: Excuse me, everyone. We now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the conclusion of today's presentation, we will open the floor for questions. At that time, instructions will be give…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects
Webinar Transcript
On the CUSP: Stop CAUTI in ICU
June 10, 2015 ICU Content Call
Chelsea: Excuse me, everyone. We now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the con…
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - Order Interrupted by Text: Multitasking Mishap
December 1, 2011
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
Case Objectives
State the prevalence of mobile devices among clinicians and their common health…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas3.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
3. What Is the Clinical-Community Relationships Measurement Framework?
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relation…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - That is, the immediate environment in which care occurs—the operating room, the emergency
department … operating suite, but if a
local emergency demands that two members of the surgical team leave the operating … room, the
microsystem has been unpredictably affected.
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digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-avas-executive-summary.pdf
June 30, 2007 - Privacy and Security Solutions for Interoperable Health Information Exchange - Assessment of Variation and Analysis of Solutions - Executive Summary
June 30, 2007
Privacy and Security Solutions for
Interoperable Health Information
Exchange
Assessment of Variation and
Analysis of Solutions
Executive…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
April 01, 2013 - Physician Engagement (Transcript)
September 13, 2011
Operator: Excuse me, everyone, we now have our speakers in conference. Please be aware that each of your lines is in a listen-only mode. At the conclusion of the presentation, we will open the floor for questions. At that time, instructions will be given i…
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hcup-us.ahrq.gov/reports/natstats/his95/table2c.htm
February 11, 2011 - --central nervous system; GI--gastrointestinal; LOS--length of stay
in hospital (in days); and OR--operating … room.
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hcup-us.ahrq.gov/reports/natstats/his96/table2c.htm
January 01, 1996 - CNS--central nervous system; GI--gastrointestinal; LOS--length of stay in hospital (in days); and OR--operating … room.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - Simulation-Based Education Improves Patient Safety in Ambulatory Care
Simulation-Based Education Improves
Patient Safety in Ambulatory Care
Beth A. LaVelle, PhD, RN, CEN; Joanne J. McLaughlin, MA, BSN, RN
Abstract
High-fidelity simulations of patient scenarios have been used successfully to promote critical …
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - Unseen Perils of Urinary Catheters
June 1, 2015
Newman DK, Strauss R, Abraham L, et al. Unseen Perils of Urinary Catheters. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
The Case
A 68-year-old man with a history of hypothyroidism, hypertension, seizures, cerebral vascular at…
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - October 1, 2003
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See More About The Topic
Hospitals
Operating … Room
Health Care Providers
Quality and Safety Professionals
Cardiology
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psnet.ahrq.gov/toolkits
March 01, 2025 - Departments
(5)
Intensive Care Units
(7)
Labor and Delivery
(7)
Operating … Room
(15)
Long-Term Care
(10)
Outpatient Surgery
(4)
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - relatively short duration of action requires administration via intermittent bolus (primarily in the operating … room [OR]) or continuous infusion (primarily in the emergency department [ED] and intensive care units
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - In the operating room, the surgeon found stercoral colitis and a large perforated “stercoral ulcer” of
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - late 1950s and the early 1960s, it was extremely uncommon to insert a breathing tube outside of the operating … room. … emerging evidence says it’s also probably necessary for non-ALI/ARDS ICU patients, as well as those in the operating … room.
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www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - Post-Partum Hemorrhage, Intra‑Partum Fetal Death due to Group B Strep, and Unplanned Return to L&D or Operating … Room (OR). … (Mother or Baby)
2.20
2.40
3.70
Unplanned Return to Labor and Delivery Unit or Operating … Room
2.00
2.40
3.90
5-Minute Apgar Score <7 (term baby)
2.65
2.00
2.80