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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
December 01, 2017 - 8
Premortem Exercise
Step 3
Identify the level of concern for each reason
Use a scale of 1 to 5
Lowest … Consider the concerns that you identified for each reason.
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguideap.html
October 01, 2014 - What was the reason for the departure?
How long before the PI was replaced? … What was the reason for the departure?
Was this staff's role filled after the departure?
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psnet.ahrq.gov/node/35355/psn-pdf
July 20, 2009 - recognized lack of expertise
or disagreement regarding the appropriateness of the intervention as the reason
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psnet.ahrq.gov/node/34770/psn-pdf
April 17, 2017 - Its survey incorporates an essay on human error by
James Reason.
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
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psnet.ahrq.gov/node/46056/psn-pdf
July 09, 2018 - Diagnostic error was the
overall most common reason for a claim, affirming the importance of improving
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psnet.ahrq.gov/node/34727/psn-pdf
July 13, 2016 - Chapters include
the Foreword by James Reason, Lucian Leape’s chapter on the preventability of medical
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psnet.ahrq.gov/node/46556/psn-pdf
November 01, 2017 - so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
https://psnet.ahrq.gov/issue/why-do-people-stop-taking-their-meds-cost-just-one-reason
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hcup-us.ahrq.gov/reports/statbriefs/sb2.jsp
February 01, 2006 - Circulatory disorders were the most frequent reason for admission to the hospital through the ED, accounting … Complications of procedures, devices, implants, and grafts ranked as the ninth most common reason for … Highlights
Circulatory disorders (diseases of the heart and blood vessels) were the most frequent reason … Complications of procedures, devices, implants, and grafts ranked as the ninth most common reason for
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digital.ahrq.gov/sites/default/files/docs/page/improving-provider-communication-to-improve-transitions-in-patient-care.pdf
June 16, 2021 - their hospital providers on their medications after
being hospitalized, including information on the
reason … patient’s hospitalization and discharge,
including information such as admission and dis
charge date, reason
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psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
July 18, 2018 - Book/Report
Classic
Medical Problem Solving: An Analysis of Clinical Reasoning.
Citation Text:
Medical Problem Solving: An Analysis of Clinical Reasoning. Elstein AS, ed. Cambridge, MA: Harvard University Press; 1978. ISBN: 9780674561250.
Copy Citation
…
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
January 01, 2017 - Enter the number associated with the reason for contraindication:
Enter 1 if the contraindication … What is the reason elevating the HOB to ≥30 degrees, when compared to a horizontal surface, is contraindicated … Enter the number associated with the reason for contraindication:
0. Other.
1. Hypotension.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-slides.pptx
January 01, 2017 - mechanical ventilation AND with C entered in the previous column
Enter the number associated with the reason … for patients receiving mechanical ventilation AND with C entered in the previous column
What is the reason … Enter the number associated with the reason for contraindication:
0.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - , but NOT on infusion of benzodiazepine, narcotic, or propofol
Medically inappropriate (orthopedic reason … e.g., fracture of long bone, spine, or pelvis)
Medically inappropriate (circulatory or respiratory reason … femoral sheath) as delineated in the medical screening algorithm
Medically inappropriate (for any other reason
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digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2011
January 01, 2011 - One reason for this was the difficulty of identifying practices at an appropriately early stage of planning … One potential reason may be that frequency of visits from the support personnel and their power to affect
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hcup-us.ahrq.gov/reports/statbriefs/sb40.pdf
November 01, 2007 - For about 15 percent (423,300) of
these hospitalizations, depression was listed as the principal
reason … 44
years, accounted for nearly half of all hospitalizations in which depression was the principal reason … Alcohol and substance abuse was 3.5 times more likely to be a principal reason for admission among
patients … Similarly, poisoning by psychotropic agents was
9 times more likely to be a principal reason for admission … , and poisoning by other medications and drugs
was 5 times more likely to be a principal reason for
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digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationhandbookfinal.pdf
February 01, 2012 - Referring provider screening questions window with reason ....................................... 9 … There was an 8.5”
by 1.5” area to write in the reason for consultation, including pertinent history, … As a result, specialists sometimes spent the first visit trying to
elucidate the reason for consultation … The reason for referral is entered as free text. … The reason for referral was difficult to identify in 19
percent and 39 percent of medical and surgical
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hcup-us.ahrq.gov/reports/statbriefs/sb286-ED-Frequent-Conditions-2018.pdf
January 01, 2018 - common among treat-and-release ED
visits; circulatory system conditions constituted the most common reason … Emergency Department Sample (NEDS), 2018
■ Acute upper respiratory infection was the most common reason … ED visits
among males; abdominal pain, diarrhea, and other digestive symptoms was the most common
reason … Utilization Project (HCUP), Nationwide
Emergency Department Sample (NEDS), 2018
■ The most frequent reason
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psnet.ahrq.gov/node/34691/psn-pdf
May 18, 2016 - With reference to Reason, he briefly
reviews the cognitive psychology of human error, distinguishing
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shah-nr-et-al-2006
January 01, 2006 - With Level 2 alerts, clinicians could proceed if they provided any override reason... … "Of the 1,707 overridden alerts, 245 had no override reason because the clinician chose "Other" from