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psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - This secondary data analysis found that a significant proportion of readmissions were to a different
-
psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - This study used secondary data
sources to determine whether implementing a drug monitoring program decreased
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psnet.ahrq.gov/node/44960/psn-pdf
February 14, 2017 - Comparing readmission rates and observation stays for targeted and nontargeted
conditions, this secondary
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psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
December 04, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary
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psnet.ahrq.gov/issue/effects-work-shift-or-shift-length-radiation-safety-perception
August 23, 2023 - This secondary analysis of survey data found that radiologists working night shifts and shifts exceeding
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psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - This study revealed that nurses perceived their role in team-based error disclosure as secondary to
-
psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - #17
Image adapted and printed with permission from Pinkney et al., 201417
Errors Associated with Secondary … Infusions
Secondary (“piggyback”) infusions are IV infusions that are attached to the primary continuous … Medication errors associated with secondary infusions arise from their complex setup
process and include … infusion bags, and programming
errors.24 Secondary infusion errors accounted for approximately 39% … associated with administration of multiple IV infusions in the ICU
include: rate or line mix-ups, secondary
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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - The main issues included inability to meet patients'
care needs and inadequate communication between secondary
-
psnet.ahrq.gov/node/44683/psn-pdf
June 21, 2016 - This secondary data analysis examined prospectively whether physicians who performed
more cesarean deliveries
-
psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
January 16, 2025 - August 19, 2020
Differences between methods of detecting medication errors: a secondary
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psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
July 08, 2020 - Investigators performed a secondary analysis of survey data from 340 inpatient nurses to determine how
-
psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
September 01, 2021 - Using secondary data from the electronic health record (EHR) system of a midwestern academic health system
-
psnet.ahrq.gov/issue/prevalence-and-patterns-potentially-avoidable-hospitalizations-us-long-term-care-setting
August 04, 2021 - This retrospective secondary data analysis found that many hospitalizations from long-term care facilities
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Using secondary data from a large Canadian nursing survey, the authors found that perceived understaffing
-
psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - This secondary data analysis of all single-eye cataract surgeries performed in
Ontario between 2009
-
psnet.ahrq.gov/node/44346/psn-pdf
March 18, 2016 - to
include four primary care–specific domains: continuity of care, external policy context, primary–secondary
-
psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - In general, when potential benefits from reduced
secondary transmission are factored in, these analyses … found routine screening to be cost effective (20-22)
Without secondary transmission benefits, routine … could reduce the proportion of HIV-
infected persons unaware of their status and potentially reduce secondary … higher prevalence settings
but may be cost effective even in very low-prevalence settings if presumed secondary … Trends in primary and secondary syphilis and HIV
infections in men who have sex with men--San Francisco
-
psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - Highlighting strategies such as using secondary notification systems and recalibrating alerts according
-
psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - to anesthesia Discharges with ICD-9-CM diagnosis codes for anesthesia complications in any secondary … in patients hospitalized for 4 days or longer Discharges with ICD-9-CM code of 707.0 in any secondary … after a procedure Discharges with ICD-9-CM codes for foreign body left in during procedure in any secondary … such as insertion of a central venous catheter Discharges with ICD-9-CM code of 512.1 in any secondary … among hospitalized surgical patients Discharges with ICD-9-CM code for [hip fracture] in any secondary
-
psnet.ahrq.gov/node/45080/psn-pdf
February 15, 2017 - low tidal volumes, central venous catheters, and urinary catheters, but there was no difference in
secondary