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psnet.ahrq.gov/issue/improving-heparin-safety-multidisciplinary-invited-conference
July 10, 2019 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
March 14, 2023 - November 1, 2023
Patient death tied to lack of proper escalation process for barcode
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psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps
May 20, 2020 - May 2, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - June 10, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - Yes No Uncertain
2) Were there any observed breaches of proper hand
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-adherence-and
January 01, 2023 - Medication Adherence and Compliance Patient Letter
Description
Letter to patient informing them of the ePrescribing service and reminding them to take their medications properly. If the patient has questions, the clinic provides its phone number.
Document Type
Letter
Docu…
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hcup-us.ahrq.gov/reports/statbriefs/sb29.pdf
April 01, 2007 - HCUP Statistical Brief #29: Adverse Drug Events in U.S. Hospitals, 2004
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #29
April 2007
Highlights
In 2004, adverse drug events
(ADEs) were noted in over 1.2
million hospital stays i…
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray
January 31, 2024
Wander J, Barnes DK. … A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. … https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
Disclosure of Relevant Financial … Neither a sensory examination nor wound
https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
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meps.ahrq.gov/survey_comp/hc_clustering_faq.pdf
June 01, 2000 - Accounting for Clustering in the Analysis of MEPS Data: Frequently Asked Questions (FAQ)
Accounting for Clustering in the Analysis of MEPS Data: Frequently Asked Questions (FAQ)
1: When analyzing MEPS annual data, what needs to be done to account for intra-family clustering
that exists because all fami…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-clinical-topics.html
April 01, 2025 - standard antimicrobial prophylactic agent, as well as when the addition of vancomycin is appropriate, proper
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psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
May 07, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
June 10, 2018 - December 27, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid
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psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
June 10, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - May 5, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/improving-patient-and-worker-safety-opportunities-synergy-collaboration-and-innovation
May 30, 2012 - November 23, 2011
Patient safety begins with proper planning: a quantitative method to
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psnet.ahrq.gov/issue/how-hospital-design-saves-lives
July 06, 2011 - August 29, 2007
Proper positioning of pharmacy label on Hospira PCA vials will avoid
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psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
March 14, 2022 - 30, 2022
Utilizing improvement science methods to improve physician compliance with proper
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - May 3, 2023
Patient death tied to lack of proper escalation process for barcode scanning
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psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
May 03, 2023 - May 3, 2023
Patient death tied to lack of proper escalation process for barcode scanning
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - 20, 2018
Utilizing improvement science methods to improve physician compliance with proper