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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - The PROSPECT study led to a 30% reduction in
adverse events in the intensive care unit and an increase
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - He saw the patient in the hospital's outpatient oncology unit.
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digital.ahrq.gov/sites/default/files/docs/page/prescribing-patterns-of-preferred-or-formulary-medications-quick-reference-guide.pdf
April 01, 2009 - You may want to consider the patient as the
unit of analysis since the same physician may
see a mix
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psnet.ahrq.gov/primer/falls
October 27, 2021 - Measures to improve the overall culture of safety in a particular unit may be helpful.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/088-or-traffic.pptx
April 01, 2025 - Create signage in the unit to decrease door openings.
Keep OR well stocked.
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www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
January 01, 2025 - proposal to extend the development of icons for dose, route, and action, as well as in the intensive care unit
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psnet.ahrq.gov/node/42838/psn-pdf
January 08, 2014 - Management of arterial lines and blood sampling in
intensive care: a threat to patient safety.
January 8, 2014
Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a
threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111/anae.12389.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/35154/psn-pdf
January 02, 2017 - Ambulatory care visits for treating adverse drug effects in
the United States, 1995-2001.
January 2, 2017
Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United
States, 1995–2001. The Joint Commission Journal on Quality and Patient Safety. 2016;31(7).
doi:10.1016…
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psnet.ahrq.gov/node/73463/psn-pdf
July 07, 2021 - Structural racism and the COVID-19 experience in the
United States.
July 7, 2021
Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United
States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031.
https://psnet.ahrq.gov/issue/structural-racism-and-covid-19-e…
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psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - The Future of Emergency Care in the United States Health
System.
June 21, 2006
Institute of Medicine. Washington DC; National Academies Press: 2007.
https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
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psnet.ahrq.gov/node/41845/psn-pdf
October 08, 2013 - Attitude is everything?: The impact of workload, safety
climate, and safety tools on medical errors: a study of
intensive care units.
October 8, 2013
Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and
safety tools on medical errors: a study of intensive ca…
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - Deep tissue debridement of the hip lesion was performed in the intensive care unit (ICU) because the … On ICU day 20 he was extubated and moved to
the step-down unit.
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - the patient deteriorated, developing respiratory failure and requiring transfer to the intensive care unit … 2015
The effect of universal glove and gown use on adverse events in intensive care unit
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - Patients who are put on pressure
redistribution surfaces in the ED or on the inpatient unit remain on … addition, the high-risk status identified in the ED ideally could have been
communicated to the admitting unit
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - She was transferred to the pediatric intensive care unit. … From the perspective of these authors, one alternate approach might be to consider a specialized unit
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psnet.ahrq.gov/node/46122/psn-pdf
January 01, 2021 - Leapfrog Hospital Safety Score, Magnet designation, and
healthcare-associated infections in United States
hospitals.
December 21, 2017
Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-
Associated Infections in United States Hospitals. J Patient Saf. 2021;17(6):4…
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psnet.ahrq.gov/issue/vital-signs-trends-emergency-department-visits-suspected-opioid-overdoses-united-states-july
January 23, 2019 - Study
Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017.
Citation Text:
Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States,…
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form
WBD
DATAFORM 3
Medication Error and Near Miss
Classification Form
1. Study ID Number: ____ ____-____ ____ ____ ____ ____
2. Reviewer ID Number: ____ ____
See below for codes
3.
Case #
4.
Script #
5.
ME o…
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psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers
November 28, 2018 - Study
Pediatric ADHD medication exposures reported to US poison control centers.
Citation Text:
King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872.
Copy Citation
For…
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psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
June 14, 2017 - Study
Classic
Non–health care facility medication errors resulting in serious medical outcomes.
Citation Text:
Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018…