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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - The patient’s parents were told that this was the “top” of the clinical care that could be provided at … treating physician recognized that high-flow oxygen delivery was beyond the level of care that could be provided … Use of telehealth could have also provided additional opportunities to strengthen communication and engagement … the child, the intensivist might have gained better understanding of the child’s clinical needs and provided
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - transfer process and recommendations for risk-appropriate prophylaxis. 4 Individualized feedback was provided … One module provided sequential education using PowerPoint slides with voiceover to cover the concepts … The other module provided interactive, dynamic, scenario-based education that included feedback and an … learning Patient-centered education in the hospital and in the community
Funding Sources
Funding was provided
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - These risks are traded off against the potential benefits of the additional care provided by ICU nurses … The SBAR example is based upon the worksheet tool provided by the Institute for Healthcare Improvement … Assigning patients to nurses who provided care to them recently. … It could be argued that the heuristics provided here do not directly address all of the issues raised
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - May 28, 2008
Impact of pharmacist interventions provided in the emergency department
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - June 7, 2008
Reasons provided by prescribers when overriding drug–drug interaction alerts
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - different methods may be used, there is no single validated method for measuring the overall safety of care provided … positives and false negatives Electronic Health Record Data Real-time assessment of quality of care being provided
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - Clear instructions, provided in data literacy trainings, describing which EHR fields to populate to decrease … invasive procedures; this complexity requires additional treatment decisions. 2
The complex care provided … Clear instructions, provided in data literacy trainings, describing which EHR fields to populate to decrease
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psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
May 07, 2018 - Tuckson, MD
September 1, 2016
Variation in quality of urgent health care provided
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psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
June 26, 2019 - November 27, 2013
Review into the Quality of Care and Treatment Provided by 14 Hospital
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Instead, the nurse answering the radio should have acted on the information provided by EMS personnel … to a verbal report from EMS providers, the minimum key information required for patient care must be provided … These changes likely represent a response to treatment provided by EMS, such as rest, oxygen, aspirin
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - The physician explained that this was likely herpetic gingivostomatitis and provided related information … The patient was then discharged from the urgent care clinic and provided an after-visit summary that … The summaries are either printed out for patients or provided electronically.
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - A recently published report showed that medication identification services can be effectively provided … note documented in an electronic medical record that is viewed across all patient encounters may have provided … These cases may be justified to avoid any delay or problem with therapy—provided that all of the safeguards
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psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - August 5, 2020
Impact of pharmacist interventions provided in the emergency department
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Provide regular breaks to clinical staff Regular breaks should be provided for clinicians during the … Call rooms should be provided for staff on overnight shifts so that they can lie down and relax while … long working hours increased the number of reported health problems only when insufficient breaks were provided … Call rooms should be provided for overnight shifts to encourage quiet time and napping.
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psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
January 17, 2024 - The effect of extended work hours on patient care provided by medical interns.
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psnet.ahrq.gov/node/42868/psn-pdf
October 31, 2014 - compensation is made, along with
investigation of safety issues) and limited reimbursement programs (which provided
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psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Tuckson, MD
September 1, 2016
Variation in quality of urgent health care provided
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psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
February 18, 2019 - May 18, 2022
Variation in quality of urgent health care provided during commercial virtual
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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Medication Reconciliation
August 5, 2022
Pharmacist-led educational interventions provided
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - August 3, 2022
Impact of pharmacist-provided medication therapy management on healthcare