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psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care
March 04, 2020 - anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State … Anticoagulation-Related Communication at Discharge: Consensus of the Care Transitions Task Force of the New York State … Anticoagulation-Related Communication at Discharge: Consensus of the Care Transitions Task Force of the New York State … Updates in the Management of High-Risk Pulmonary Embolism
May 1, 2019
State-Wide
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psnet.ahrq.gov/issue/perceptions-chief-clinical-information-officers-state-electronic-health-records-systems
October 05, 2022 - Study
Perceptions of chief clinical information officers on the state of electronic … Perceptions of chief clinical information officers on the state of electronic health records systems … Perceptions of chief clinical information officers on the state of electronic health records systems … August 7, 2024
Kentucky first state to decriminalize medical errors.
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psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - How will state medical boards handle cases involving
disclosure and apology for medical errors? … How will state medical boards handle cases involving disclosure and apology for medical
errors? … https://psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology … In this study, 38 state medical
boards responded to a survey regarding disclosure and apology practices … Findings
suggest that state medical boards have generally favorable views toward clinicians who disclose
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psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
October 02, 2019 - Commentary
State sepsis mandates—a new era for regulation of hospital quality. … State Sepsis Mandates - A New Era for Regulation of Hospital Quality. … State Sepsis Mandates - A New Era for Regulation of Hospital Quality.
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psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-information-about-events
August 01, 2012 - This brief report analyzes information from state reporting initiatives , Patient Safety Organizations … Related Resources From the Same Author(s)
Few Adverse Events in Hospitals Were Reported to State … February 11, 2015
Few Adverse Events in Hospitals Were Reported to State Adverse Event … August 1, 2012
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
June 09, 2015 - Review
Quality improvement in medical education: current state and future directions … Quality improvement in medical education: current state and future directions. … Quality improvement in medical education: current state and future directions. … February 15, 2023
A state-of-the-art review of speaking up in healthcare.
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psnet.ahrq.gov/node/836828/psn-pdf
March 30, 2022 - Effects of state opioid prescribing laws on use of opioid
and other pain treatments among commercially … Effects of state opioid prescribing laws on use of opioid and
other pain treatments among commercially … https://psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments … This retrospective study
explored the association between state opioid prescribing laws and trends in … https://psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
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psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
January 07, 2022 - Study
"Sorry" is never enough: how state apology laws fail to reduce medical malpractice … "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. … "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. … October 3, 2017
Assessing legislative potential to institute error transparency: a state
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psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
January 22, 2025 - Book/Report
State of the Science and Future Directions to Improve Diagnostic Safety … State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. … State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults.
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psnet.ahrq.gov/node/72634/psn-pdf
January 13, 2021 - How U.S. teams advanced communication and resolution
program adoption at local, state and national levels … Teams advanced communication and resolution program
adoption at local, state and national levels. … ://psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-
local-state-and-national … to encourage adoption and endorsement by hospitals and national medical societies at the
national, state … https://psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
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psnet.ahrq.gov/node/48109/psn-pdf
January 01, 2020 - Dosing errors made by paramedics during pediatric
patient simulations after implementation of a state-wide … Dosing Errors Made by Paramedics During Pediatric Patient
Simulations After Implementation of a State-Wide … psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-
implementation-state … This study found that in simulations, Michigan's state-wide pediatric dosing reference
system reduced … psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
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psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events
February 18, 2009 - This report evaluates how hospitals, the Centers for Medicare and Medicaid Services (CMS), and state … However, the OIG faults state agencies for failing to communicate findings to The Joint Commission … The report outlines specific recommendations for CMS and state agencies to ensure that lasting safety … October 16, 2012
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/node/74162/psn-pdf
December 08, 2021 - Impact of state nurse practitioner regulations on
potentially inappropriate medication prescribing between … Impact of state nurse practitioner regulations on potentially
inappropriate medication prescribing between … https://psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate- … Using
a sample of Medicare beneficiaries from 2015 to 2018, researchers assessed the impact of state … https://psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
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psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics
January 23, 2017 - Multi-use Website
State-Wide Initiative to Standardize the Compounding of Oral Liquids … Citation Text:
State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics. … Linkedin
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State-Wide … anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State
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psnet.ahrq.gov/issue/partnership-patients
October 30, 2019 - In September 2015, the program awarded $110 million to 17 national, regional, or state hospital associations … March 19, 2014
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … January 14, 2009
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
August 06, 2008 - Magazine Article
Most surgery in wrong spot done on spine: 11 such cases found in state … Citation Text:
Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. … Citation
Citation Text:
Most surgery in wrong spot done on spine: 11 such cases found in state … August 6, 2008
Medical mistakes no longer billable: bold steps taken by state to reduce
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psnet.ahrq.gov/node/862158/psn-pdf
February 07, 2024 - Current State of Diagnostic Safety: Implications for
Research, Practice, and Policy. … https://psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy … brief presents the results of
a rapid narrative review and expert interviews to determine the current state … The brief covers the past decade of progress in the field and identifies
the current state of science … https://psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
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psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients
May 05, 2021 - Newspaper/Magazine Article
Addiction treatment providers in Pa. face little state … Citation Text:
Addiction treatment providers in Pa. face little state scrutiny despite harm to clients … Cite
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Addiction treatment providers in Pa. face little state
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated … Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections … Linkedin
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10-State
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psnet.ahrq.gov/node/50567/psn-pdf
October 23, 2019 - Diagnostic errors in the neonatal intensive care unit: state
of the science and new directions. … Diagnostic errors in the neonatal intensive care unit: State of the science and
new directions. … https://psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-
directions … https://psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions … https://psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions