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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - readmission to the nursing home
Transfer Note
A transfer note provides a high-level summary of the reasons … and Release Report
Allows clinicians to identify and analyze underlying patterns and trends in the reasons … Laceration X X
Total reasons … 21 1 3 1 3 2 0 1 1 0 4 3 2 0
% Total reasons … Reasons for each transfer.
Potential preventable discharge diagnoses.
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psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
June 23, 2009 - February 14, 2024
Structured override reasons for drug–drug interaction alerts in electronic … quality improvement and patient safety education with clinical care
October 2, 2019
Reasons
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psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress
October 13, 2018 - Cranky comments: detecting clinical decision support malfunctions through free-text override reasons … June 19, 2019
Reasons for computerised provider order entry (CPOE)-based inpatient medication
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hcup-us.ahrq.gov/db/vars/orproc/nisnote.jsp
September 01, 2008 - room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for diagnostic reasons … room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for therapeutic reasons
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - April 29, 2018
Structured override reasons for drug–drug interaction alerts in electronic … Cranky comments: detecting clinical decision support malfunctions through free-text override reasons
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hcup-us.ahrq.gov/db/vars/orproc/nrdnote.jsp
August 01, 2015 - room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for diagnostic reasons … room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for therapeutic reasons
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hcup-us.ahrq.gov/db/vars/orproc/kidnote.jsp
September 01, 2008 - room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for diagnostic reasons … room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for therapeutic reasons
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hcup-us.ahrq.gov/db/vars/pclass_edn/nedsnote.jsp
May 01, 2015 - room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for diagnostic reasons … room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for therapeutic reasons
-
hcup-us.ahrq.gov/db/vars/pclass_ipn/nedsnote.jsp
May 01, 2015 - room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for diagnostic reasons … room procedures by the Diagnosis Related Group (DRG) grouper and that are performed for therapeutic reasons
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
Premortem Exercise
Step 2
Generate the reasons … Brainstorm reasons you believe this failure occurred. … Program for Mechanically Ventilated Patients
Premortem Exercise
Step 3
Prioritize your list of potential reasons
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psnet.ahrq.gov/node/60852/psn-pdf
August 26, 2020 - psnet.ahrq.gov/issue/nurse-health-work-environment-presenteeism-and-patient-safety
https://psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods
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psnet.ahrq.gov/node/838029/psn-pdf
September 07, 2022 - emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-
downtime
Unanticipated health information system downtime can occur for technical or malicious reasons
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psnet.ahrq.gov/node/45993/psn-pdf
January 01, 2021 - this retrospective
observational study, physicians reviewed medical records to determine underlying reasons
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psnet.ahrq.gov/node/849336/psn-pdf
May 24, 2023 - This article examines current efforts to develop AI applications for health care
and the reasons for
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psnet.ahrq.gov/node/846162/psn-pdf
July 01, 2020 - Findings indicate the missed care and reasons for missed care
remained consistent during pre- and post-implementation
-
digital.ahrq.gov/sites/default/files/docs/resource/Joanne_Pohl_IQHIT_Q1_Communications_Tracking_Tool.pdf
June 16, 2021 - Document how tools were modified in the process of implementation & reasons for modification
c.
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - This report examines reasons for 31 incidents of retained surgical swabs reported in the United Kingdom
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psnet.ahrq.gov/node/865589/psn-pdf
April 17, 2024 - safety culture relies on staff formally reporting or speaking up about adverse events (AE), yet valid
reasons
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psnet.ahrq.gov/node/843416/psn-pdf
February 01, 2023 - work-environment-and-operational-failures-associated-nurse-outcomes-patient-safety-and
https://psnet.ahrq.gov/issue/nurse-work-environment-and-its-impact-reasons-missed-care-safety-climate-and-job-satisfaction
-
psnet.ahrq.gov/node/844748/psn-pdf
February 15, 2023 - work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
https://psnet.ahrq.gov/perspective/safety-culture-ems
https://psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study