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psnet.ahrq.gov/issue/effects-safety-checklists-medicine-systematic-review
December 07, 2011 - April 18, 2012
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
March 23, 2011 - 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/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
October 08, 2013 - August 5, 2015
Pediatric emergency department discharge prescriptions requiring pharmacy
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psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
August 20, 2014 - August 8, 2018
Pediatric emergency department discharge prescriptions requiring pharmacy
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
January 22, 2017 - February 10, 2015
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
September 09, 2013 - April 12, 2023
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
March 20, 2013 - October 12, 2012
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and-mitigation
March 06, 2019 - June 10, 2020
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent
May 18, 2022 - July 29, 2020
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/opioid-stewardship-program-and-postoperative-adverse-events-difference-differences-cohort
June 30, 2021 - 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/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - August 21, 2013
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/issue/care-quality-patient-safety-and-nurse-outcomes-hospitals-serving-economically-disadvantaged
December 09, 2020 - March 23, 2011
Enacting the Washington state patient safety act requiring hospital staffing
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psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
November 16, 2022 - May 18, 2022
Assessment of potentially inappropriate prescribing of opioid analgesics requiring
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psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
September 23, 2020 - 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/effects-nurse-patient-ratio-legislation-nurse-staffing-and-patient-mortality-readmissions-and
September 09, 2020 - March 23, 2011
Enacting the Washington state patient safety act requiring hospital staffing
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - continued to suffer from dizziness, vomiting, and an unsteady gait, suggesting pelvic muscle weakness and requiring … readmitted for worsening confusion and profound motor weakness, which progressed to respiratory failure requiring … Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock
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psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
February 03, 2011 - October 12, 2012
Incidence and preventability of adverse events requiring intensive care
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - institutions manage fewer than 10 PN patients daily, and more than 80% manage 5 or fewer pediatric patients requiring … The expertise needed to safely manage patients requiring PN is analogous to the expertise expected in … As in this case, most institutions still use handwritten orders requiring one or more error-prone transcription … Take-Home Points PN is a high-alert medication requiring safety-focused policies, procedures, and
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Under REMS, risk may be reduced by providing patient- or health care–directed communication or by
requiring … Example of Clinical Decision Support for REMS-Requiring Medication in Electronic Health
Record.
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psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
December 07, 2011 - Council for Graduate Medical Education has introduced regulations restricting resident duty hours and requiring