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psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
December 05, 2018 - March 19, 2018
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
March 30, 2022 - July 29, 2020
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - July 15, 2020
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
August 04, 2021 - November 16, 2022
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - July 31, 2013
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/variations-surgical-safety-according-affiliation-status-top-ranked-cancer-hospital
April 24, 2019 - July 17, 2013
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
January 12, 2022 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011
August 03, 2016 - patients hospitalized with acute myocardial infarction, congestive heart failure, pneumonia, or conditions requiring
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psnet.ahrq.gov/issue/evaluating-serial-strategies-preventing-wrong-patient-orders-nicu
November 03, 2015 - Interventions included requiring reentry of patient identifiers prior to order entry as well as a new
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - Adding this question and requiring a detailed explanation of what they would have done differently allowed
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - The most common harm was oversedation leading to apnea and requiring the use of reversal agents or prolonged
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psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
January 05, 2012 - Patients requiring intensive care are particularly vulnerable to medication errors due to the complexity
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psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
May 15, 2013 - inpatients at five hospitals in England and included 119 individuals who experienced medication-related harm requiring
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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - The authors also expect that pre-suit notification (requiring patients and families to inform providers
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psnet.ahrq.gov/issue/weekly-variation-health-care-quality-day-and-time-admission-nationwide-registry-based
September 24, 2014 - admitted on weekends compared to weekdays—has been demonstrated in studies of several common conditions requiring
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psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
May 08, 2017 - majority of orders were entered successfully and quickly, without the CPOE system generating any alerts or requiring
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psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
November 27, 2013 - serious preventable events were identified: inappropriate client service plans, medication errors requiring
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psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
August 24, 2016 - public involvement (PPI) in healthcare decision-making, including outcomes that are measured and gaps requiring
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - After drowning in a pool, a 19-month-old child arrived at the ED in respiratory distress, requiring … He was later diagnosed with a large frontal subdural hematoma requiring urgent surgery. … Ultimately, he developed osteomyelitis, requiring multiple surgeries and a long hospital stay due to … boy undergoing a neck mass aspiration experienced a sudden drop in oxygen saturation and heart rate, requiring