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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - SPOTLIGHT CASE
Dying in the Hospital With Advanced Dementia
Citation Text:
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Unseen Perils of Urinary Catheters
Citation Text:
Newman DK, Strauss R, Abraham L, et al. Unseen Perils of Urinary Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - In Conversation With… Lucian Leape, MD
April 1, 2015
Citation Text:
In Conversation With… Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2021.pdf
January 01, 2021 - The team recognized
this need and looked to identify
ad hoc activities to further enhance
CDS
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - The corporate office of one hospital recognized the Implementation Team’s work to define roles and responsibilities
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year5-final-report-2021.pdf
January 01, 2021 - The team recognized
this need and looked to identify
ad hoc activities to further enhance
CDS
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/version-3-immunity-after-COVID-19.pdf
December 31, 2022 - field_product_type%3Amethods_guide_chapter&sort_by=field_product_pub_date
34
Afterword
Recognized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - The team recognized that the dimensions of worker and environmental safety
are distinct from patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - dosing with nursing students, and the incorrect
dose was overheard by the ICU fellow and the error recognized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - with delays in receiving blood for transfusions in a timely manner, an important distinction was
recognized
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - So if you haven't recognized that you have a COVID-19 case, you're not doing mass testing and therefore
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
January 01, 2020 - (social, physical, or attitudinal).1 The disability concepts and definitions articulated are well-recognized
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - The nurse champion is recognized as an expert on the issue.
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www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
November 01, 2016 - Then, 5 years ago, in alignment with the National Quality Strategy, we recognized the need to return
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - The nurse champion is recognized as an expert on the issue.
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - preventable
warfarin-related adverse events and potential warfarin-related adverse events, although we
recognized
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www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
January 01, 2024 - Health literacy issues were recognized early on.
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - www.storc.org
PI: Guise, J-M
August
September
Conclusions & Implications
It has been widely recognized
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Stakeholders in our focus groups recognized that medication errors resulting in harm are generally multi-focal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Recommended Organizational Responsibility for Safety
Clinicians recognized the broader role of the overall