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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - The Leapfrog Hospital Survey evaluates hospitals based on structural
metrics—the use of specific patient … Retrospective chart review using trigger tools or well-defined specific adverse events is often used … Their specific recommendations included establishing a
standardized set of process and outcome measures
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Laboratory test results
were also similar except that the hemoglobin was even higher as was the urine specific … accuracy of CT for diagnosing the cause of abdominal
pain depends on the location of pain and the specific … Although the patient’s bilirubin was mildly elevated, this is a non-specific finding
and could have … physicians and other providers in
making the most appropriate imaging or treatment decision for a specific … However, diagnostic radiographs are only 69% sensitive and 57% specific.7 CT is 92% sensitive and
provides
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Certain specific alerts, such as warning against prescribing drugs contraindicated in pregnancy or those
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psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort
January 02, 2017 - The initiatives implemented included a comprehensive unit-based safety program ( CUSP ), specific teamwork
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psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
March 03, 2011 - Joint Commission's " Speak Up " program to ensure surgical safety recommend that patients engage in specific
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - This study describes the development of specific algorithms in clinical anesthesia to address crisis
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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - This AHRQ-funded study used surveys and interviews to examine one specific aspect of safety culture—communication
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psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
September 28, 2010 - The proposed framework asks whether a behaviorally specific policy has been enacted and whether staff
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psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analysis-diagnostic-errors
August 20, 2018 - pathological data on more than 1200 patients with suspected appendicitis, investigators noted that presence of specific
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psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
September 09, 2013 - encompassed pharmacy participation in patient rounds and medication reconciliation efforts as well as drug-specific
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psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
September 27, 2017 - The tool was pathway specific and targeted the four most common causes of maternal morbidity: hemorrhage
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psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Each section offers specific recommendations.
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psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - Individual hospitals selected among specific teamwork training programs developed by the VA's National
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psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
May 27, 2011 - Past efforts to identify potential prevention strategies have focused on using specific indicators
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psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
February 16, 2011 - Approximately half of respondents declined to explain how the error occurred or discuss specific plans
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psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
December 21, 2014 - and the types of outcomes reported on each Web site, leading to poor reproducibility of rankings for specific
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Detailed examination of several specific cases found that software updates, differences in data fields
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psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
April 22, 2011 - Efforts to reduce the burden of disease caused by health care–associated infections have focused on specific
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - In fact, redundancy, decentralized decision making, and many specific safety measures may only increase
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psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
April 11, 2011 - The selection of 20 specific PSIs for analysis resulted from choosing those amenable to capture from