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psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes
May 01, 2015 - complication rates before and after implementation of 2011 duty hour reforms, using nonteaching hospitals as a reference
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psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
November 03, 2015 - The author contends that making reference to changing safety culture impedes implementation of some safety
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psnet.ahrq.gov/node/867036/psn-pdf
January 01, 2025 - Drug.com's patient information was used for the reference database.
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psnet.ahrq.gov/node/836972/psn-pdf
April 20, 2022 - diagnostic systems (i.e., improving diagnostic precision through consensus,
improving “truth” or diagnostic reference
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psnet.ahrq.gov/node/845351/psn-pdf
March 01, 2023 - The lack of
access to health information technology at the bedside, and reference to the patient’s wristband
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psnet.ahrq.gov/node/837336/psn-pdf
June 08, 2022 - In comparison to the reference standard
(concordance determined by experts) the automated system performance
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - post-menopausal woman would be at greater risk for glucocorticoid-induced osteoporosis
See Notes for reference … drugs
Tetracycline derivatives found to have small but definite efficacy in early RA
See Notes for reference … administration approximately twice as effective as intramuscular injection of similar doses
See Notes for reference … initial prednisone did not have more toxicity than those who were not given prednisone
See Notes for reference … cytopenias, and hypofibrinogenemia suggest a diagnosis of hemophagocytic lymphohistiocytosis
See Notes for reference
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - See Notes for reference. … restraints
Hypoactive (50%)
May be misdiagnosed as
depression or dementia
Mixed (25%)
See Notes for reference … pneumonia
Nosocomial infection (especially due to urinary catheters)
Pressure ulcers
See Notes for reference … Source of cognitive stimulation
Participate in care of patient to
the extent possible
See Notes for reference
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psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - course includes updated evidence reviews, trainer guidance,
measurement tools, a pocket guide quick reference
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - A visual reference existed to assist in preparing these kits; however, the images printed on paper did … In response to this event, a new reference kit was created with clearer labeling and separation of individual … Example Preparation Reference (Standard) Figure 3. … Example Preparation Reference (Improved) The Commentary By Paul MacDowell, PharmD, BCPS, and Eloh McGee
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psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
February 10, 2011 - This detailed analysis continues to serve as an important reference to motivate policy and institutional
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - to illegible handwriting by transmitting prescriptions electronically to pharmacies
See Notes for reference … 20% of all eligible prescriptions were sent electronically in 2010 (vs. 12% in 2009)
10
See Notes for reference … dose, or frequency
Requiring fields to be completed may help overcome omission errors
See Notes for reference … is sent electronically, it still needs to be manually entered into a different system
See Notes for reference
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
December 01, 2010 - complications when they
occur in the hospital
Organizations publish pressure ulcer rates online
See Notes for reference … See Notes for reference.
*
Updated Staging System. … patients, or patients with other serious illness (like a hip fracture, as in this case)
See Notes for reference … played at specific intervals
Pagers remind staff to turn patients
every 2-4 hours
See Notes for reference
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psnet.ahrq.gov/node/73060/psn-pdf
March 24, 2021 - 24 checklists used in 18 Swiss
hospitals, identified major differences between study checklists and reference
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psnet.ahrq.gov/node/41333/psn-pdf
April 25, 2012 - Reference No: 201100433.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - up by clinicians; about 9% of these patients had unrecognized (and untreated) diabetes
See Notes for reference … patients returned for routine follow-up or they visited the practice for other reasons
See Notes for reference … follow-up
An additional 5% of patients were lost to follow-up or unaware of their results
See Notes for reference … test result follow-up should be viewed as a system problem requiring a system solution
See Notes for reference
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - issues
Example: obtaining consent for procedures from children and/or their parents
See Notes for reference … weight
The inability of children to communicate clearly with health care providers
See Notes for reference … body weight/hour for the second 10 kg
1mL/kg body weight/hour for each kg past 20 kg
See Notes for reference … to 0.2 mL/kg/hr
This is substantially below expected urine output and was abnormal
See Notes for reference
-
psnet.ahrq.gov/node/837507/psn-pdf
June 22, 2022 - There were no major changes in the types of, or reasons for, MNC compared to the reference survey
completed
-
psnet.ahrq.gov/node/73207/psn-pdf
May 05, 2021 - The authors highlight several future research targets including
development of relevant reference standards
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
March 01, 2013 - the computer-listed weight was incongruent with the 17-month-old child in front of her
See Notes for reference … to obtaining and/or recording patient weight, 67% of the events reached the patient
See Notes for reference … weight scale “that displays in kilograms only (not pounds) for infants and children”
*
See Notes for reference