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psnet.ahrq.gov/node/41822/psn-pdf
November 07, 2012 - mistakenly taking two
contraindicated medications, which resulted in an adverse drug reaction and ultimately
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psnet.ahrq.gov/node/37905/psn-pdf
December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to
Patient Safety and Quality Care.
December 19, 2018
Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058.
https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
This book describes si…
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digital.ahrq.gov/organization/mt-ascutney-hospital-and-health-center
January 01, 2023 - technology software and systems among a three-hospital consortium to create a shared electronic record that ultimately
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digital.ahrq.gov/ahrq-funded-projects/novel-approach-supporting-care-coordination-across-distributed-emergency-care-teams
September 29, 2024 - professionals to have their hands free of technology and allow them to better focus on the patient, ultimately
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - The initial and subsequent improvement work to your medication reconciliation process will ultimately
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - The initial and subsequent improvement work to your medication reconciliation process will ultimately
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref3
crashing every day—to ultimately … and other conferences), all of which increase the
chances that errors will see the light of day, and ultimately … Led to New
York law regarding supervision and work
hours, and ultimately ACGME duty hours
regulations … leg
amputated
University
Community
Hospital, Tampa,
FL
1995
New focus on wrong-site surgery, ultimately
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www.ahrq.gov/ncepcr/communities/pbrn/registry/new-york-long-island-clinical-improvement-through-innovation-collaborative.html
March 25, 2014 - CITI) collaborative is to extend patient-centered research into outpatient primary care practices and ultimately
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-33.pdf
June 02, 2025 - increased placement in early intervention programs; No data on
whether screening using standardized tools ultimately
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
January 01, 2024 - • PREMs and PROMs ultimately should be about what matters most to the patient. … Ultimately, the heart of the matter is, “Have we helped patients to feel better and function better?” … The strategy refresh ultimately
drives patient-reported measurement activities. … Ultimately, this
reduces healthcare costs by avoiding an operation that does not align with patients … Because ultimately,
these patient-reported measures should be about what matters to the patient.
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psnet.ahrq.gov/node/34882/psn-pdf
February 28, 2011 - The author uses the details of the case to illustrate the many systems problems that
ultimately contributed
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psnet.ahrq.gov/node/34816/psn-pdf
February 28, 2018 - and personal characteristics, with interpersonal and intrapersonal mediators
playing a role, which ultimately
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/optimization-patient-reported-outcome-data-visualization-improve
January 01, 2019 - Ultimately, the investigators hope that this study will improve patient outcomes by accelerating the
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psnet.ahrq.gov/node/41215/psn-pdf
September 04, 2013 - A case of an ultimately fatal adverse event that
occurred while a patient was being transported from
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psnet.ahrq.gov/node/43861/psn-pdf
July 01, 2016 - The vast majority of children ultimately
determined to have fetal alcohol spectrum disorder in this
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psnet.ahrq.gov/node/35344/psn-pdf
March 11, 2011 - They discuss
how reports are generated, collected, and ultimately disseminated back to frontline staff
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - identified a hematoma that
was likely related to the radiology procedure as well as decreased flow that was ultimately … features that would have
led to earlier confirmatory imaging with magnetic resonance angiography, which ultimately … imaging and subsequent CT imaging delayed the
diagnosis and management of the renal artery stenosis that ultimately
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digital.ahrq.gov/program/general-patient-safety-program-center-quality-improvement-and-patient-safety
January 01, 2023 - disseminate knowledge and implement best practices that enhance efficiency, prevent provider burnout, and ultimately
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www.ahrq.gov/news/newsroom/press-releases/challenge-competition-teamstepps.html
April 01, 2022 - TeamSTEPPS training program promotes effective teamwork, collaboration, and communication skills that ultimately
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-material-guide.docx
June 02, 2025 - completed in the proper sequence to facilitate progression from a simple idea to sustainable change and, ultimately