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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
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hcup-us.ahrq.gov/db/nation/nrd/NRD_Introduction_2010-2014.jsp
January 01, 2014 - We also included discharges for residents and nonresidents of the State in which they were treated. … Discharges for residents and nonresidents of the State in which they were treated were also included. … HOSP_URCAT4
Hospital urban-rural location: (1) large metropolitan areas with at least 1 million residents … , (2) small metropolitan areas with less than 1 million residents, (3) micropolitan areas, (4) not metropolitan
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2013.pdf
January 01, 2013 - We also included discharges for residents and nonresidents of the State in which they
were treated. … Discharges for residents and nonresidents of the State in which
they were treated were also included … HOSP_URCAT4
Hospital urban-rural location: (1) large
metropolitan areas with at least 1 million
residents … , (2) small metropolitan areas with less
than 1 million residents, (3) micropolitan areas,
(4) not
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digital.ahrq.gov/sites/default/files/docs/publication/k08hs018539-were-final-report-2014.pdf
January 01, 2014 - We organized formal information and training sessions for the Medicine
Attending Physicians, the residents … In addition, medicine residents
and students beginning their rotation at Wishard Hospital were educated
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
December 01, 2017 - However, attending surgeons and surgical residents could be far more engaged in the process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
December 01, 2017 - However, attending surgeons and surgical residents could be far more engaged in the process.
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - Improving residents' end-of-life communication skills with a short retreat: a randomized controlled trial
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psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - She had been seen in
the housestaff clinic for more than 10 years by a series of residents, each handing
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hcup-us.ahrq.gov/tech_assist/data_query/Methods_Community_Statistics20230207.pdf
December 01, 2022 - To create the weights, the number
of U.S. residents in each of the 36 age-sex strata is divided by the
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlitvin.html
October 01, 2014 - Litvin, Cara
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Medical University of South Carolina, Charleston, SC
Grant Title: Improving Recognition and Management of Chronic …
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psnet.ahrq.gov/node/45210/psn-pdf
September 27, 2016 - Increased risk of burnout for physicians and nurses
involved in a patient safety incident.
September 27, 2016
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses
Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943.
doi:10.1097/MLR.0000000000000582.
ht…
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psnet.ahrq.gov/node/46323/psn-pdf
October 29, 2017 - Use of unit-based interventions to improve the quality of
care for hospitalized medical patients: a national survey.
October 29, 2017
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of
Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/41555/psn-pdf
January 03, 2017 - Measuring administrators' and direct care workers'
perceptions of the safety culture in assisted living
facilities.
January 3, 2017
Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of
the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - The impact of interruptions on the duration of nursing
interventions: a direct observation study in an academic
emergency department.
September 26, 2016
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a
direct observation study in an academic emergency de…
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psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events.
June 21, 2016
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events.
Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904.
https://psnet.ahrq.gov/issue/evaluation-perioperative-…
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www.ahrq.gov/data/hcup/mental-disorders.html
May 01, 2023 - Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018
This visualization presents rates of hospitalization per 100,000 population for mental disorders during the 3-year period 2016-2018, comparing national, State, and substate areas. Based on an analysis of data from AHRQ's Health…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/QuestionBuilder_Flyer_Spanish.pdf
August 01, 2021 - Question Builder
- An AHRQ App for Digital Healthcare
El QuestionBuilder en Español ayuda a los pacientes y cuidadores a prepararse para las
citas médicas y maximizar el tiempo de la consulta. Es tan fácil como un 1-2-3:
Descargue la aplicación móvil utilizando el código QR que aparece abajo
Seleccione o cr…
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psnet.ahrq.gov/node/42736/psn-pdf
October 31, 2014 - Complications of daytime elective laparoscopic
cholecystectomies performed by surgeons who operated
the night before.
October 31, 2014
Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies
performed by surgeons who operated the night before. JAMA. 2013;310(17):1837-4…
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psnet.ahrq.gov/node/73252/psn-pdf
January 01, 2022 - Why test results are still getting "lost" to follow-up: a
qualitative study of implementation gaps.
May 12, 2021
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative
study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-resources.html
February 01, 2023 - Resources
Toolkit for Reducing CAUTI in Hospitals
The Resources module of the Toolkit for Reducing CAUTI in Hospitals links to additional resources for CAUTI prevention and safety culture improvement.
Tools
Preventing CAUTI in the ICU Setting
This four-module narrated presentation is designed for inte…