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psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular
March 16, 2022 - February 21, 2015
Delayed rapid response team activation is associated with increased
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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - A rapid review of the evidence. … September 22, 2021
Global oncology pharmacy response to COVID-19 pandemic: medication
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psnet.ahrq.gov/issue/scientific-literature-coronaviruses-covid-19-and-its-associated-safety-related-research
January 26, 2022 - July 15, 2020
Global oncology pharmacy response to COVID-19 pandemic: medication access … Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid
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psnet.ahrq.gov/issue/children-and-opioid-epidemic-age-stratified-exposures-and-harms
February 13, 2019 - August 4, 2021
Effects of rapid response systems on clinical outcomes: systematic review
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psnet.ahrq.gov/issue/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
November 17, 2021 - June 28, 2023
Patient Safety Innovations
Remote Response … December 20, 2020
Streamlining care in crisis: rapid creation and implementation of a
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psnet.ahrq.gov/issue/acceptability-and-feasibility-leapfrog-computerized-physician-order-entry-evaluation-tool
May 20, 2020 - May 20, 2020
Detecting patient deterioration using artificial intelligence in a rapid … response system.
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psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
December 08, 2021 - March 29, 2023
Association of rapid response teams with hospital mortality in Medicare
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psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
January 04, 2012 - September 1, 2011
Evaluating implementation of a rapid response team: considering alternative
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psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed
February 22, 2023 - September 7, 2022
Mature rapid response system and potentially avoidable cardiopulmonary
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psnet.ahrq.gov/issue/medicines-reconciliation-emergency-department-important-prescribing-discrepancies-between
April 21, 2021 - language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid … response activation.
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psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
June 22, 2022 - August 9, 2023
Expanding the scope of Critical Care Rapid Response Teams: a feasible
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - During Intrahospital Transport
February 1, 2019
The impact of a nurse led rapid … response system on adverse, major adverse events and activation of the medical emergency team.
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psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
January 24, 2018 - July 18, 2016
The effect of a staged, emergency department specific rapid response system
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - SPOTLIGHT CASE
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response … Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns … patients, such as the Modified Early Warning System , could have triggered independent evaluation by a rapid … response team, and potentially more timely treatment with blood products. … Although nurses identified signs of hemorrhagic shock, the system was not set up to support rapid response
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - could also have potentially been mitigated with the interventions of pediatric early warning scores or rapid … response teams. … of hospitalized children who were "at risk" for deterioration.( 9 ) Alternatively, had a pediatric rapid … response team been in place, the standard resuscitative algorithm of Airway, Breathing, Circulation … Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU of a children's
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - participants should be able to:
• Appreciate the risk of disruptive behavior and understand institutional response … be tolerated today than in past
A few senior physicians have lost privileges
Safety innovations (rapid … response teams, time outs, etc.) have helped
Teamwork training has helped change culture
But more
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psnet.ahrq.gov/node/840145/psn-pdf
November 16, 2022 - ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical
https://psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Upon further evaluation, she was noted to have a rapid heart rate and low blood pressure. … administration is associated with significant increased risk of death.( 6 ) The primary challenge to rapid … As we know, the sensitivity of SIRS (systemic inflammatory response syndrome) criteria is such that a … Incidence and prognostic value of the systemic inflammatory response syndrome and organ dysfunctions … June 14, 2023
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - In response to the rapid spread of COVID-19 and
increasing number of deaths in NHs, federal and state … For example, the rapid tests only have an 80% sensitivity,
and some states require higher sensitivity … to these concerns, in September 2020, the CDC released interim guidance for rapid antigen
testing for … Identify best practices for facilities to enable rapid and effective identification and mitigation of … 19 Response Team and Public Health Officials. November
17, 2021.
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - minimize room entry, another trend among hospital medicine groups at academic medical centers is the rapid … However, there are concerns that the urgency to create AI models could result in the rapid dissemination … researchers demonstrate the use of safety reports and Patient Family Relations complaints to implement rapid-cycle … More broadly, there is a need to better understand how the response to COVID-19 has deepened healthcare … Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19