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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - June 26, 2024
Simulation to Improve Patient Safety: Getting Started.
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psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services
October 20, 2021 - June 29, 2022
Medication reconciliation: getting started with IT.
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psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
September 25, 2019 - August 14, 2024
Simulation to Improve Patient Safety: Getting Started.
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psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
April 19, 2023 - July 5, 2023
Getting Started with a Communication and Resolution Program (CRP) Policy
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psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
December 21, 2022 - Once electronic prescribing was in place, prescribers started using workarounds and relied too much
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psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
February 13, 2019 - July 10, 2019
Medication reconciliation: getting started with IT.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - lead to dangerously low INRs
The INR was checked at discharge
Appropriate because the patient had been started … improve their understanding of and adherence to the warfarin regimen, particularly among patients newly started
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - Later, when the EHR vendors started
working with SCCM, they created out-of-the-box dashboards that the … Getting Started with This Innovation
Organizations interested in implementing this innovation should … Accessed January 10, 2024. https://www.sccm.org/Clinical-
Resources/ICULiberation-Home/Get-Started.
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - It might have started at age 7, when her parents noticed growth failure, but the extreme short stature … suggests that it started earlier—much earlier.
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psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - Adverse Events, Near Misses, and Errors
December 15, 2024
Getting Started
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - Once the diagnosis was established, she was started on plasmapheresis using a Quinton catheter placed … Vancomycin was started empirically and the Quinton catheter removed for a presumed line infection. … even after guidelines changed Early Dialysis ( 13 ) Use outside of selected high risk group or started
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psnet.ahrq.gov/issue/preferences-and-perceptions-medical-error-disclosure-among-marginalized-populations-narrative
June 15, 2022 - April 5, 2023
Getting Started with a Communication and Resolution Program (CRP) Policy
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - When I was about 10, I started doing odd jobs there, like delivering prescriptions on my bicycle. … It really took off—we started getting reports from all over; people would see us at meetings or call … I started seeing the writing on the wall. … First of all, you're right, we started in March of 1975, which actually predates the Aviation Safety … After about two or three questions, I started realizing he was talking about me and finally he said,
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - reasonable to recommend that patients who had changes in their warfarin dose, had new medications
started … records are not fully integrated.(5)
Finally, while this patient was on chronic warfarin, patients newly started … improve their understanding of and adherence to the
warfarin regimen, particularly among patients newly started
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Lumbar puncture was attempted three times without success; empiric treatment for meningitis was started … The patient was started on the medication regimen per the EMS report. … Getting Started Implementing a robust program of medication reconciliation should not be viewed as
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - Once the diagnosis was established, she was started on plasmapheresis using a Quinton
catheter placed … Vancomycin was started empirically and the Quinton catheter removed for a
presumed line infection. … persists, even after guidelines changed
Early Dialysis (13)
Use outside of selected
high risk group or started
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Lumbar puncture was attempted three times without success; empiric treatment for meningitis was started … The patient was started on the medication regimen per the EMS report.
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - Later, when the EHR vendors started working with SCCM, they created out-of-the-box dashboards that the … Getting Started with This Innovation
Organizations interested in implementing this innovation should … Accessed January 10, 2024. https://www.sccm.org/Clinical-Resources/ICULiberation-Home/Get-Started.
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Noradrenaline and vasopressin infusions were started and emergent cesarean delivery was performed. … Catheters were placed, and infusions of nitric oxide and
trepostinil were started, with continuation
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - March 3, 2019
Simulation to Improve Patient Safety: Getting Started.