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psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
April 02, 2014 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required
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psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
February 08, 2010 - PubMed citation
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psnet.ahrq.gov/issue/changing-course
March 26, 2014 - Free full text (registration required)
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psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - December 24, 2008
Strategies to Improve Patient Safety: Final Report to Congress Required
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psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
March 05, 2013 - August 9, 2023
Strategies to Improve Patient Safety: Final Report to Congress Required
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psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
May 16, 2018 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - whole body of literature looking at the development of mastery and the amount of intentional practice required … the kinds of systems that we would like to see in our teaching hospitals—the redundant safety systems required … Duty Hour Restrictions
The long hours required to become an independent practicing physician have … Having a standardized approach to handoff communication is now a required element for accreditation for … Selected residents also led our institution's Joint Commission–required Failure Modes Effects Analysis
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - Duty Hour Restrictions
The long hours required to become an independent practicing physician have … Having a standardized approach to handoff communication is now a required element for accreditation for … Selected residents also led our institution's Joint Commission–required Failure Modes Effects Analysis … whole body of literature looking at the development of mastery and the amount of intentional practice required … the kinds of systems that we would like to see in our teaching hospitals—the redundant safety systems required
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - Care summary
records are required to have the 16 elements listed in the Table. … Note that
documenting the medication allergy in an allergy list is not explicitly required by the hospital … for meaningful
use, but the inclusion of the patient's allergies in the care summary record is required … Information Required in Care Summary Records.
1 Patient name
2 Sex
3 Date of birth
4
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - Currently, clinicians are required to report a number of diseases (for example, shigellosis, malaria, … reportable in the state, where reporting forms are located, and taking the time to complete and submit the required … This notice would also serve as a reminder that reporting is required.
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - In addition, a past cerebrovascular accident (CVA) with resulting dysphagia required placement of a feeding … percutaneous tubes provide feeding directly into the stomach or jejunum when nutritional support is required … Surgery is required rarely with the development of peritonitis or failure of fistula closure.( 14 )
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - For staff
with limited experience in placing peripheral IV catheters, multiple attempts may be required … Case & Commentary—Part 2:
The next day the patient was worse and required ongoing hospitalization. … He required 6 weeks of IV antibiotics for the MRSA bacteremia
and epidural abscess.
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - plastic surgery service after a motor vehicle collision with major
trauma to her right hand, which required … often is caused by prolonged bed rest; the risk increases
when surgery and general anesthesia are required … The physician was required to acknowledge the
alert and could then withhold or order prophylaxis, including
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - Unaware that the patient required treatment for listeriosis, the team
discharged her. … approaches to improve timely and
successful notification include automated notifications, call centers, and required … departments vary by municipality, but generally both
the attending physician and the laboratory are required
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - During induction of anesthesia, the patient rapidly became hypotensive and required vasopressors. … Minimum equipment required Minimum transport equipment and medications requirements are recommended for … effectively to improve the process
These may be in electronic formats
Using an electronic system and required
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - His health insurance required a 30% copayment for the test, which amounted to $2000 out-of-pocket. … care system has evolved to be so complex that physicians, nurses, or financial navigators are often required … the US to develop "cost conversation guides" that will identify the processes, tools, and pathways required
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - wrong-site surgical incident, is reported by an accredited organization, the health care organization is required … frequently reported sentinel event between 1995 and 2005, with 455 of 3548 events (12.8%).( 2 ) Despite the required … This would have either required the case be postponed until the imaging arrived from Hospital A or new
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - At the admitting hospital, a formal policy required that all inpatient orders for warfarin be rewritten … with warfarin accounting for 21.5% of these.( 1 ) Of the anticoagulant-related adverse events, 6.2% required … Mandatory review of laboratory data should be required with warfarin dosing.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Even though a personal follow-up within the first 24 hours may not be required in every case, special … severe pain 0 Surgical bleeding Minimal: does not require dressing change 2 Moderate: required … up to two dressing changes with no further bleeding 1 Severe: required three or more dressing
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - place in the Common Program
Requirements as it pertains to total hours in clinical care and education, required … Residents are required to participate as team members in real and/or
simulated interprofessional clinical