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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - Getting Started with This Innovation
To get started with the innovation, the EC3 leaders suggest the
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - When the morning shift started, the new nursing assistant called the team to bedside as the patient was … She was transferred from the PACU to the inpatient floor that evening and started on a hydromorphone
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - The patient was hospitalized, seen by a different infectious disease specialist, and started on IV antibiotics … Two days later, 2 out of 2 blood cultures drawn at that ED visit started growing Corynebacterium spp
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - The patient was started on a continuous insulin infusion and transitioned to subcutaneous insulin as … An insulin drip was started for treatment of DKA.
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psnet.ahrq.gov/node/36199/psn-pdf
March 28, 2011 - Time of day effects on the incidence of anesthetic
adverse events.
March 28, 2011
Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse
events. Qual Saf Health Care. 2006;15(4):258-63.
https://psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events…
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psnet.ahrq.gov/node/74275/psn-pdf
December 06, 2023 - Spotlight Series
December 6, 2023
Healthcare Excellence Canada. 2020-2024.
https://psnet.ahrq.gov/issue/all-one-and-one-all-how-patient-safety-starts-healthcare-workers
This quarterly webinar series focuses on a variety of topics that support patient safety and quality
improvement such as learning from event revie…
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psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - It all reminds me very much
of more than 30 years ago now, when the newspaper industry started to computerize
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - When I first started to think about reporting, like everyone else, I thought about how do you get
the … I'm not familiar enough with all of
them, but they have started putting training on.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - Looking at the evolution of patient safety science over the last
20–25 years, we have really started … Schools of public health have started to put in the curriculum.
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - There is no need to wait for additional data to get started on error reduction in
the outpatient setting … in the process of improving patient safety.(12) How might it
change our practices if every clinic started
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - The Program started with a fairly limited set of measures that are now called Inpatient Quality Indicators … Users started telling us that the code
being used in the construction of this indicator was being applied
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - think that people who were tweaking and improving processes in health care had any idea that what
started
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - In an effort to respect her preference to avoid invasive ventilation, she was started on noninvasive
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - Six months after the RCA, the
manager had not yet started the evaluation.
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psnet.ahrq.gov/node/49752/psn-pdf
January 01, 2016 - The theory
behind this intervention is that by the time it is started, the protein denaturation and
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - I started out working for the DOD [U.S. … Imagine how excited we were when AHRQ came out and started to value
learning labs and resources for
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psnet.ahrq.gov/issue/draft-guidelines-safe-communication-electronic-medication-information
September 30, 2020 - Newspaper/Magazine Article
Draft Guidelines for the Safe Communication of Electronic Medication Information.
Citation Text:
Draft Guidelines for the Safe Communication of Electronic Medication Information. Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3…
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - systems issues and need systems-level approaches, and so trigger tools are a really good way to get started … Thinking back to when you started, and all the way through your career now, is there anything that you … To facilitate this paradigm shift, researchers have started developing EMS trigger tools, based on the
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psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
February 12, 2020 - Study
Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs.
Citation Text:
Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …