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psnet.ahrq.gov/issue/medicare-cuts-payment-774-hospitals-over-patient-complications
February 16, 2022 - March 13, 2019
Opportunities and Recommendations for State–Federal Coordination to Improve … November 28, 2007
Minnesota is first state with policy to stop billing after medical
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … October 31, 2012
Few Adverse Events in Hospitals Were Reported to State Adverse Event … January 14, 2009
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
June 11, 2014 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide … An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide … Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - March 18, 2015
Quality improvement in medical education: current state and future directions … February 15, 2023
A state-of-the-art review of speaking up in healthcare. … July 2, 2014
Quality improvement in medical education: current state and future directions
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psnet.ahrq.gov/issue/icn-position-statement-patient-safety
March 09, 2022 - July 31, 2024
Kentucky first state to decriminalize medical errors. … May 15, 2024
Perceptions of chief clinical information officers on the state of electronic
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - I recently had the good fortune to participate in a discussion with a state-based coalition of health … care
leaders (including consumer, state, hospital, professional, health plan, employer, policymaker … The group reviewed
recent safety climate survey data from 16 hospitals in the state. … Additionally, there were concerns that response rates were low and that results
for the state were drawn … Participants also wanted to compare the findings
presented to those from state-based hospitals using
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Such a case should be reported to the appropriate state authorities, and the resulting sanctions and … Physicians being aware of their state law and following the state protocol for out-of-hospital DNR orders … of health or efforts to restore them to their current state of health. … Physicians should be familiar with the out-of-hospital DNR laws in their state and counsel patients to … Survey of state EMS-DNR laws and protocols. J Law Med Ethics. 1999;27:297-315, 294.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - June 21, 2023
Addiction treatment providers in Pa. face little state scrutiny despite … September 22, 2021
Addiction treatment providers in Pa. face little state scrutiny despite
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - It uses a state-based teams
approach to actively implement tools, known as patient safety bundles, which … These teams can include state health departments, state Medicaid agencies,
community-based groups, advocacy … groups, and state perinatal quality collaboratives. … State-based teams who are implementing these bundles decide at the state and facility levels which
bundles … Every state is uniquely resourced, as are the jurisdictions or territories.
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - Century Cures Act
August 28, 2024
Operational measurement of diagnostic safety: state … October 7, 2020
Two-state collaborative study of a multifaceted intervention to decrease
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psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
August 07, 2024 - August 7, 2024
Current State of Diagnostic Safety: Implications for Research, Practice … September 27, 2023
Pediatric Diagnostic Safety: State of the Science and Future Directions
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - The approach to licensure in the United States is highly fragmented among nearly 70 state medical boards … to state. … However, similar to recent developments in board certification, the Federation of State Medical Boards … Federation of State Medical Boards. Maintenance of licensure (MOL) information center. … Requirements for initial licensure and renewal of licensure vary from state to state.
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - administered orally, it takes approximately 7 to 9 days before the warfarin level or INR reaches a steady state … The WARFDOCs program projects that the steady-state dose is still 3.55 mg, and it predicts that giving … achieve an INR of just over 2.0; it would take approximately 12 days to attain the predicted steady-state … dose prediction and the expected value of the INR over the next 2 days if the steady-state dose is given … a Daily Dose of 5 mg of Warfarin Day AM INR PM Dose (mg) Predicted Steady-State
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psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - this classification scheme as the basis for a home care
adverse event reporting system, analogous to state … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
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psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-2014
December 21, 2022 - June 27, 2016
The State of VA Health Care. … May 1, 2015
Enacting the Washington state patient safety act requiring hospital staffing
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psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
February 17, 2021 - May 15, 2013
Important change to heparin container labels to clearly state the total … April 24, 2015
Important change to heparin container labels to clearly state the total
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psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
October 23, 2019 - June 8, 2011
Pediatric Diagnostic Safety: State of the Science and Future Directions. … September 15, 2010
Health-Care-Associated Infections in Hospitals: An Overview of State
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psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - sessions, Florida passed Senate Bill 2D to address the medical malpractice insurance
"crisis" in the state … many of the commercial insurance companies, and dissuading physicians from
practicing medicine in the state … events started to decline, and
the fear of weakened peer review and QA protection had permeated the state … cases, decisions of binding arbitration finding malpractice, and malpractice judgments
from any other state … and
Quality Improvement Act of 2005 protecting the reporting of adverse events might perhaps offer state
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psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
August 10, 2022 - July 20, 2022
The State of VA Health Care. … May 1, 2015
The State of VA Health Care.
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psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - February 15, 2017
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems.