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psnet.ahrq.gov/node/34692/psn-pdf
February 10, 2011 - The economic consequences of medical injuries:
implications for a no-fault insurance plan.
February 10, 2011
Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries.
Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92.
https://psnet.ahrq.gov/issue/economic-conse…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - stratified prior to surgery, she received prophylaxis for venous thromboembolism, and she underwent the planned
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - patient was not seen in the Infectious Diseases Clinic until week five of therapy as opposed to the planned
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - This problem could have been anticipated and planned for at the point of admission.
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - hospitalized older Medicare patients will be
readmitted within 30 days.(3) Some of these readmissions may be planned
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - million).(4) Of these, 73% were urgent (within 4 hours), 21% were
emergent (immediate), and 7% were planned
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Although he remained in moderate pain, clinicians planned to transition him from intravenous to
oral
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - Retrieving medications is something nurses do many times during a shift, and, most of the time, it goes as planned
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - lists, and problem lists • Forwarding capability and allowing the use of surrogates during planned
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - The Case
Case #1:
A 56-year-old man was admitted to the same-day surgery center for a planned
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psnet.ahrq.gov/node/42439/psn-pdf
November 23, 2016 - Guide to Patient and Family Engagement in Hospital
Quality and Safety.
November 23, 2016
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
Studies have shown that a surprisingly large proportion of hosp…
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psnet.ahrq.gov/node/33899/psn-pdf
April 16, 2018 - Quick Tips—When Planning for Surgery.
April 16, 2018
Agency for Health Research Research and Quality; AHRQ
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
A list of quick tips and questions to aid anyone who is preparing for surgery.
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
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psnet.ahrq.gov/node/35102/psn-pdf
November 04, 2015 - Plan aims to cut hospital deaths.
November 4, 2015
Appleby J.
https://psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
This article reports on the 100,000 Lives Campaign and its mission, highlighting improvements in two
hospitals that have joined the campaign.
https://psnet.ahrq.gov/issue/plan-aims-cut-hospital…
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - Spotlight
Spotlight
"Do You Want Everything Done?":
Clarifying Code Status
Source and Credits
• This presentation is based on the December 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus
M…
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psnet.ahrq.gov/node/42006/psn-pdf
January 30, 2013 - Strong for Surgery.
January 30, 2013
American College of Surgeons.
https://psnet.ahrq.gov/issue/strong-surgery
This Web site offers resources for both practitioners and patients to optimize safety through pre-procedure
planning.
https://psnet.ahrq.gov/issue/strong-surgery
https://psnet.ahrq.gov/issue/quick-tips-w…
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psnet.ahrq.gov/node/38153/psn-pdf
October 15, 2008 - Geisinger Health System's plan to fix America's health
care.
October 15, 2008
Carbonara P. Fast Company. October 2008.
https://psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
This magazine article describes how one health system is using an evidence-based, pay-for-performance
program t…
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - The Wrongful Resuscitation
April 1, 2008
Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrongful-resuscitation
The Case
An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and
poor quality of life had previously been r…
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psnet.ahrq.gov/node/33950/psn-pdf
February 05, 2018 - Quick Tips--When Planning for Surgery.
February 5, 2018
Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d.
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be
gen…
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psnet.ahrq.gov/node/37905/psn-pdf
December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to
Patient Safety and Quality Care.
December 19, 2018
Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058.
https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
This book describes si…
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psnet.ahrq.gov/node/39612/psn-pdf
June 16, 2010 - National Action Plan to Improve Health Literacy.
June 16, 2010
Washington, DC: United States Department of Health and Human Services; 2010.
https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
This report presents goals for improved health literacy in the United States and recommends pra…