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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - In the pre-transition phase, the ED doctors were content with the diagnosis of urinary infection as the … time-dependent outcomes invariably rely on many individual processes and interactions; the transition phase
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - The majority of errors
that resulted in an ADE occurred in the medication ordering phase.
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psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
August 04, 2021 - CPOE) system, and makes recommendations about the importance of monitoring during the implementation phase
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psnet.ahrq.gov/node/41301/psn-pdf
April 18, 2012 - Most errors occurred at the preanalytic phase (before the specimen arrived in the
laboratory), with
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psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions
February 08, 2006 - Representing the first phase of a standards development project , this report describes how standardization
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psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - During the first phase, team
members are asked whether there is a risk of blood loss greater than 500 … During the second communication phase, the surgeon is asked to confirm the
anticipated blood loss and … all checklist points are thoroughly discussed, and concerns addressed, before
proceeding to the next phase
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - This mixed methods study
evaluates the first phase of the project by soliciting the perceptions of project
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psnet.ahrq.gov/node/36208/psn-pdf
January 05, 2017 - Despite these efforts, prescribing errors initially
increased during the pilot phase, but, after full
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
January 01, 2021 - Please move into the Deter phase by seeking or
helping your BB to connect with your dedicated mental
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - We are in the eighth year now, and the second phase of the work. … In the first phase, we worked with 16 nursing facilities in Missouri with high re-hospitalization numbers … The second phase of the initiative introduces a billing component. … LP : We're actually writing an article right now for the results of the second phase of the Initiative … We have something like 3000 root cause analysis tools in Phase 1 and 3500 in Phase 2.
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - We are in the eighth year now, and the second phase of the work. … In the first phase, we worked with 16 nursing facilities in Missouri with high re-hospitalization numbers … The second phase of the initiative introduces a billing component. … LP : We're actually writing an article right now for the results of the second phase of the Initiative … We have something like 3000 root cause analysis tools in Phase 1 and 3500 in Phase 2.
-
psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - hospitals to assess the degree to
which monitoring devices and other information displays supported each phase
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psnet.ahrq.gov/node/44506/psn-pdf
October 21, 2015 - feedback of current hygiene compliance rates resulted in an increase that lasted throughout the
study phase
-
psnet.ahrq.gov/node/43170/psn-pdf
December 12, 2014 - high-alert medication uses had
errors, with more occurring in the prescribing than the administration phase
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psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
August 01, 2012 - The AHRQ Safety Program for Perinatal Care , Phase 2 developed toolkits consisting of case scenarios
-
psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter
August 14, 2019 - August 8, 2018
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - 300,000 medication events
reported, approximately 4% involved heparin products, with the administration phase
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psnet.ahrq.gov/node/40565/psn-pdf
June 29, 2011 - The administration phase was the most error-prone, and the most common error type was improper
dose/
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - In this phase one
study, the SPI focused efforts in 4 hospitals, where a $1.2 million investment was
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psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
September 14, 2022 - An earlier study by the authors describes the second phase in managing crisis: crisis recovery .