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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - How to even get the conversation started? … As I started learning about errors, how they happen, and how complex and multi-factorial they often are
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - As I started learning about errors, how they happen, and how complex and multi-factorial they often are … How to even get the conversation started?
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - RW: What did you expect to find before you started? … So we started off with the goal to look at serious medical errors.
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - RW: What did you expect to find before you started? … So we started off with the goal to look at serious medical errors.
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - He was started on steroids and transferred to a referral facility for neurosurgical biopsy and possible … viral load criteria for highly active antiretroviral therapy or opportunistic infection prophylaxis are started
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - So we started our unit. Our motto was that Bristol should never occur again. … They implemented it, they planned it for quite a while, got a big buy in, and started it and monitored
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - dedicated time of an information technology/data analysis/informatics team is
important to get the program started … Equity Research and Promotion (CHERP)
New England Veterans Engineering Resource Center (VERC)
Getting Started
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - So we started our unit. Our motto was that Bristol should never occur again. … They implemented it, they planned it for quite a while, got a big buy in, and started it and monitored
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - Getting Started The RCA team is usually led by a member of the institution’s patient safety or quality … septic shock do not recommend it for use as a first-line vasopressor, and, when used, recommend it be started
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psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
February 05, 2020 - Study
Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization.
Citation Text:
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…
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psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
August 18, 2021 - Study
Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.
Citation Text:
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medi…
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psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
August 10, 2022 - Study
Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.
Citation Text:
Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…
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psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
December 21, 2022 - Study
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial.
Citation Text:
Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Since the patient’s prior diabetic history is not described, we do not know whether he was started on
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - senior resident
on the neurosurgical service told the intern during the day that "heparin should be started
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psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
June 15, 2012 - Study
The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation.
Citation Text:
Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children…
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - conversation-maureen-bisognano
http://www.ihi.org/Pages/default.aspx
http://dx.doi.org/10.1377/hlthaff.27.3.759
RW: When you started
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - Robert Wachter, Editor, AHRQ WebM&M: Reflecting back to when you started this work 15 years
ago or so
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - He was started on broad-spectrum antibiotics; however, the patient's respiratory status continued to
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psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
January 18, 2013 - Study
The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.
Citation Text:
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…