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psnet.ahrq.gov/node/46893/psn-pdf
March 21, 2018 - inform
initiatives to reduce high-risk prescribing, promote medication-assisted treatment, and improve secondary
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psnet.ahrq.gov/node/47189/psn-pdf
August 17, 2018 - This secondary data analysis of more than 100,000 patients
undergoing in-hospital surgical procedures
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psnet.ahrq.gov/issue/world-sepsis-day
May 12, 2021 - July 8, 2020
Differences between methods of detecting medication errors: a secondary
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - multiple solution infusions.( 12 ) In the past, there was widespread confusion regarding the terms secondary … Piggyback infusion: [used interchangeably with secondary infusion]: The drug infusion is administered … NB: It is typical for the primary infusion to be paused while the piggyback/secondary infusion occurs … Simultaneous infusion: The drug infusion is administered as a secondary infusion run concurrently with
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - July 22, 2020
Differences between methods of detecting medication errors: a secondary
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psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
August 23, 2017 - the alignment of economic stability with maternal and infant care quality and found parental income secondary
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psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
June 09, 2011 - The authors analyzed secondary (piggyback) infusions at their institution to illustrate human factors
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psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
January 07, 2022 - resolve spontaneously without treatment in 3-6 weeks, but if treated it resolves more quickly. 10 Secondary … to be warty and is referred to as condyloma lata. 8 Again, if left untreated, the manifestations of secondary … Generally, in primary and secondary syphilis, both tests are expected to be positive and concordant while … For primary, secondary, and early latent syphilis, a single dose of benzathine penicillin G should be … Primary and secondary syphilis among men who have sex with men--New York City, 2001.
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psnet.ahrq.gov/node/45330/psn-pdf
August 03, 2016 - Medicare Patient Safety Monitoring System and the Centers for Medicare and Medicaid
Services, this secondary
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psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
June 03, 2020 - Using data from the Healthcare Cost and Utilization Project , this retrospective secondary data analysis
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psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
September 23, 2020 - eight types of diagnostic errors anticipated in the COVID-19 pandemic (classic, anomalous, anchor, secondary
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - The authors note that evidence does support that RRTs are associated with reduced secondary outcomes,
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psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing
March 17, 2021 - Based on a secondary data analysis from the Systematic Dementia Screening by Multidisciplinary Team
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psnet.ahrq.gov/issue/observing-sources-system-resilience-using-situ-alarm-simulations
August 30, 2023 - settings, this study identified four types of system resilience contributing to alarm resilience – secondary
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Care integration —the linking of care across primary, secondary, social, community, and mental health—can
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - 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
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - This secondary analysis of a teamwork training trial identified the specific teamwork behaviors that
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - patient care data
3
Case: The Risks of Absent Interoperability
A 47-year-old man with paraplegia (secondary … leaving.
4
Case: The Risks of Absent Interoperability (2)
The patient was again diagnosed with sepsis secondary … in the ICU, the patient's hemoglobin was undetectable, and clinicians determined that the arrest was secondary
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - Image adapted and printed with permission from Pinkney et al., 2014 17 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% … /piggyback infusion. 42 Attachment of a secondary infusion may result in transition of a continuous
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psnet.ahrq.gov/issue/patient-safety-20
July 01, 2018 - From the Same Author(s)
WebM&M Cases
Primary Workaround, Secondary