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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - July 8, 2022
Patient Safety Primers
Retained Surgical
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - the use of SGLT2i is growing over time. 2,3,4 Risk factors for eDKA with these medications include surgical
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Patient Safety Innovations
Reducing Preventable Patient Harm Due to Retained Surgical
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - Health Care Providers
Non-Health Care Professionals
Pathology and Laboratory Medicine
Medical/Surgical
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - Moved Too Soon
Citation Text:
Lindenauer PK. Moved Too Soon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - Their Transforming Care at the Bedside effort is a framework for change on medical/surgical units built
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - You had your nursing team, the surgical team, the pain management team, and all these teams, yet there
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - The standard rule of thumb is to
have a nurse–patient ratio of 1:4-5 on medical–surgical units, 1:3-
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - transferring across care boundaries
(such as a patient leaving the recovery room to return to the surgical
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - He required a more extensive surgical debridement, and he also developed MRSA endocarditis.
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - When surgical patients come back, nearly all of them are going to be high risk for falling.
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - Possible or active chickenpox Note: Apply
surgical mask to patient upon arrival to ED
L&D services
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - But the routine
stories of medication errors with harm, serious post-op and surgical infections, and
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - resident-duty-hours-enhancing-sleep-supervision-and-safety
https://psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - We actually changed the name of the AHRQ measure
so it's now called Death Among Surgical Patients with
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - Surgical site verification was not conducted prior to the patient going to the OR or prior to administering
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - The treatment—frenotomy—is a simple, safe, and effective surgical procedure.
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - Studies have
explored challenging staff about washing their hands, marking surgical sites, or checking