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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - In December 2020, the CDC provided additional training resources to help with training staff to perform … Many state agencies also provided additional support to NHs during this time to supplement CMS efforts … CMS also provided a series of webinars through the end of 2020 to further assist NHs on topics such as … These training centers provided training and mentorship to more than 9,000 NHs in all 50 states, the … CMS provided four objectives to guide their work: Identify best practices for facilities to enable rapid
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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - Patients started on higher doses (cumulative dose ≥ 700 mg morphine equivalent), provided prescriptions
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psnet.ahrq.gov/issue/nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient
December 12, 2014 - After adjusting for hospital and patient variables, they found that hospitals in which nursing care was provided
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psnet.ahrq.gov/node/867449/psn-pdf
March 13, 2025 - different points in the medication
administration process that contribute to medications not being provided
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psnet.ahrq.gov/node/867748/psn-pdf
March 12, 2025 - adverse-events-involving-telehealth-veterans-health-administration
Health care is increasingly being provided
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - In both England and Scotland, the health system audited dentists and provided feedback on their findings … We also provided needed education and expertise, the second core element, from an endodontist, an oral … We also used behavioral nudges to influence prescribing, including posters provided by the CDC, targeting … For the fourth core element, tracking and reporting, we provided some data back to the dental staff to … We provided the patients with a contingency plan and information about what really bad pain was like
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - In both England and Scotland, the health system audited dentists and provided feedback on their findings … We also provided needed education and expertise, the second core element, from an endodontist, an oral … We also used behavioral nudges to influence prescribing, including posters provided by the CDC, targeting … For the fourth core element, tracking and reporting, we provided some data back to the dental staff to … We provided the patients with a contingency plan and information about what really bad pain was like
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - medication side effects (e.g., hypotension from the beta blocker), and history of previous falls all provided … decrease falls and the risk of falling. 18,19
There was no mention of fall prevention interventions provided … No report of recent lab work related to her remote history of anemia was provided, which could indicate … upon leadership; it is pervasive and permeates through the nursing home affecting the way that care is provided … at the following link: https://psnet.ahrq.gov/webmm/submit-case
The details of these cases were provided
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Thus, it is essential that complete, high-quality discharge instructions be provided to patients and … Patient education may be provided by bedside nurses, advance practice nurses, pharmacists, and physicians … The GWTG program employed a web-based patient registry that facilitated feedback of performance data, provided … results of GWTG-HF and other health care–improvement programs demonstrate that the quality of care provided
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psnet.ahrq.gov/web-mm/polypharmacy
March 01, 2007 - medications dispensed in weekly blister packs from his local pharmacy; however, the risperidone is provided … additional issue is the fact that some expensive drugs (like the depot injections of risperidone) are provided … Because the risperidone was provided by the specialty pharmacy and all other medications were from the
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - instructions back to the care provider in their own words. 26 In the present case, the patient was provided … Patient education should not be provided until after the discharge plan has been finalized to prevent … available, then clear written instructions and specific dates, e.g. for the dose change, should be provided … Verbal education and instructions should still be provided as well, with specific attention drawn to … coverage gap. 29 Enrolling a patient in this type of program also reinforces the education they were provided
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics
provided … https://psnet.ahrq.gov/primer/falls
Potential criminal events
Any instance of care ordered by or provided
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - and a peer recovery mentor/doula. 2 Maternity care and Level 1 outpatient addiction treatment are provided … care of these patients at some point — it’s just a question of whether it is more upstream care, as is provided … Date Verified by Innovator
Date Verified by Innovator indicates the most recent date the innovator provided
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - I became very interested in quality improvement and patient safety, mostly from seeing gaps in care provided … While much of maternal safety focuses on care provided during the in-hospital stay, perinatal care … Last, access and availability of data is a challenge in efforts to improve mental healthcare provided … considering patient management, sharing and reporting data is difficult because maternal care is often provided … would enable providers to identify when screening and follow-up are completed as well as when care is provided
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - medication ordering systems to emphasize need for pharmacist
counseling, use of patient education materials provided … In addition to addressing opioid-related harm, the 2016 CDC guidelines provided
recommendations on the … Points
Co-prescribing naloxone with opioids may result in patient harm if appropriate education isn’t
provided
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided … of a metallic object into the MRI area Potential criminal events Any instance of care ordered by or provided
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - While much of maternal safety focuses on care provided during the in-hospital stay, perinatal care … Last, access and availability of data is a challenge in efforts to improve mental healthcare provided … considering patient management, sharing and reporting data is difficult because maternal care is often provided … would enable providers to identify when screening and follow-up are completed as well as when care is provided … I became very interested in quality improvement and patient safety, mostly from seeing gaps in care provided
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - that begins with the remote telemetry monitoring system and ends with appropriate assessment and care provided … Likewise, the bedside nurse and other clinicians need the contextual information provided on the monitor … Will monitor screens be provided on unit and/or will telemetry boxes include waveforms? … Will monitor screens be provided on unit and/or will telemetry boxes include waveforms? … How will ongoing education and competency evaluation of knowledge and skills be provided for remote telemetry
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - Incredibly, many of the research participants provided meticulously detailed accounts of their respective … Some were able to cite the exact date of the event while others provided event-specific details such … Research participants provided many insights into the complex second victim phenomenon.
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - methods may be used, there is no single validated method for measuring the overall safety of care
provided … and false
negatives
Electronic Health Record
Data
Real-time assessment of quality of
care being provided