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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - In radiation therapy or X-ray units, interlocks may prevent activating the radiation while the door to … the action.( 4 ) This kind of behavior was a factor in a set of catastrophic errors with radiation therapy … possibility that the wrong gas (or no gas) is being administered when a patient does not respond to treatment
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - By that point, the anesthesiologist on call for the night had arrived, unaware of any of the treatment … Standard guidelines dictate that systemic anticoagulant therapy or low-molecular-weight heparin thromboprophylaxis
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - should understand the etiology of and risk factors for CIAKI and harness evidence-based prophylactic and therapeutic … In emergency situations, prolonged debates are inappropriate; prompt action and definitive treatment … The recognized nephroprotective measures can all be administered after the appropriate diagnostic and therapeutic
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - discussion of resuscitation for sepsis, and mention of newly confirmed bacteremia and the antibiotic therapy … Despite the diagnostic or therapeutic benefits of such transport, the physical movement of critically … What bedside alternatives, if any, are available to provide the diagnostic or therapeutic services that … Structured decision-making should be undertaken to evaluate the risks and benefits of therapeutic or … WebM&M Cases
Sepsis Resulting from Delays in Treatment
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psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - The patient returned to PICU with an open chest to optimize
antibacterial and antifungal therapies for … This patient was discharged home on long-term antifungal therapy but at age 7
months, he presented to … Diagnosis and treatment of Aspergillus flavus
sternal wound infections after cardiac surgery.
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - leading to an inadequate response manifested by failure to perform appropriate testing and delayed treatment
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - patient-safety-during-hospital-discharge
https://psnet.ahrq.gov//#17
https://psnet.ahrq.gov//#18
https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - component of medication management, particularly with high-risk medications such as anticoagulation therapy … Patients are educated routinely to ensure understanding of indication for therapy, intended outcomes, … For example, the epinephrine auto injector (EpiPen) for treatment of anaphylaxis is provided in a ready-to-use … While this a helpful tool, manual assessment of patient response for medication therapy still remains … January 23, 2017
Just-in-time training for high-risk low-volume therapies: an approach
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - Can we narrow therapy? … Finally, ciprofloxacin is usually not a good choice for empiric treatment of a urinary tract infection … Cefepime was not a good choice to complete her course of therapy since an agent with a narrower spectrum … that prescribers and frontline staff readdress the issue of whether antibiotics are still needed or if therapy … preventionists all should feel comfortable talking with clinicians about stopping or adjusting antibiotic therapy
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www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
August 01, 2025 - Grant Start Date: April 1, 2023 Assesses the effectiveness of a pharmacist-led Pediatric Medication Therapy … , primary care or specialist provider) to reduce medication-related problems (such as inappropriate therapy … Once validated, the POPS will be useful to study EMS innovations for caring for children, including treatment
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hcup-us.ahrq.gov/reports/statbriefs/sb152.jsp
March 01, 2013 - Data
Methods Series
ICD-10-CM/PCS Resources
Database Reports
Additional Topics and Archives
Topical … , on having a regular site of care that is not the emergency department, and on receiving inpatient treatment
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hcup-us.ahrq.gov/db/vars/asource/nisnote.jsp
September 01, 2008 - Data
Methods Series
ICD-10-CM/PCS Resources
Database Reports
Additional Topics and Archives
Topical … 48
Admit from state psychiatric hospital (beginning 7/13)
49
Admitted from residential treatment
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/GcjfCZtGpACQMv2KScLbEu
June 11, 2019 - MAIN OUTCOMES AND MEASURES Mother-to-child transmission; harms of screening and
treatment; screening … declined
after the widespread adoption of routine prenatal screening,
coupled with the use of effective therapies … Effectiveness of Treatment
Key Question 4. … Harms of Treatment
Key Question 5. … Comparative safety of antiretroviral treatment
regimens in pregnancy.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - collaboration between frontline nursing staff and wound care consultants during the evaluation and treatment … Solution: Stock a mobile cart with skin and wound treatment information and supplies. … collaboration between frontline nursing staff and wound care consultants related to evaluation and treatment … over 2 days and covered the AHRQ Toolkit, along with hospital-specific pressure injury prevention and treatment … Give short quizzes about pressure injury prevention and treatment.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/evidence-based-prevention-resource-nurse-practitioners
April 01, 2019 - U.S. adults, the effect of this simple intervention, combined with other effective modes of tobacco treatment
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cdsic.ahrq.gov/sites/default/files/2023-10/TPC%20Pat%20Engage%20Handbook%20Final.pdf
January 01, 2023 - support clinicians and patients as partners in a care
team, equally committed to creating effective treatment … The development of a decision tool for the
empiric treatment of suspected urinary tract infection in … Improving uptake of Fracture Prevention
drug treatments: a protocol for Development of a consultation … Patient-important outcomes to inform shared decision making and goal setting for diabetes
treatment.
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - virus that causes COVID-19, may lead to preventable transmission 1 and delayed initiation of effective treatment … commentator recently described this phenomenon as “ COVID blindness .” 9 Given the availability of effective therapies … Carefully assess the response to initial treatment, such as antibiotic therapy for presumed bacterial … Pathophysiology, transmission, diagnosis, and treatment of Coronavirus Disease 2019 (COVID-19): a review … Empiric antibacterial therapy and community-onset bacterial coinfection in patients hospitalized with
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methodological-recommendations-framework-communications_research.pdf
September 01, 2013 - meta-analysis of intervention
studies, naïve pooling (where one first combines proportions of events within treatments … , and
then calculates differences between treatments) yields a summary treatment effect estimate that … The same resource levels apply to meta-analyses of mixed treatment comparisons
(network meta-analyses … Comparing univariate versus multivariate meta-analysis for estimating marginal
treatment effects also … The arcsine
difference as a measure of treatment effect
in meta-analysis with zero cells.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - • Relevance to the Early and Periodic Screening, Diagnostic and Treatment benefit in
Medicaid (EPSDT … • Date and time of treatment.
• Type of tests administered.
• Date of tests performed.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - • Relevance to the Early and Periodic Screening, Diagnostic and Treatment benefit in
Medicaid (EPSDT … • Date and time of treatment.
• Type of tests administered.
• Date tests performed.