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psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
December 31, 2014 - December 7, 2011
Modes of failure in venous thromboembolism prophylaxis.
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - , 2010
Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous
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psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
December 03, 2014 - preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous
-
psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - June 1, 2010
Complication rates of central venous catheters: a systematic review
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psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous
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psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
April 12, 2011 - 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous
-
psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
September 29, 2017 - September 13, 2023
Just what the doctor ordered: missed ordering of venous thromboembolism
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psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison
November 23, 2016 - 4, 2011
Simulation-based education enhances patient safety behaviors during central venous
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psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
June 18, 2014 - 2012
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous
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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - September 25, 2019
Do clinicians know which of their patients have central venous catheters
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
April 03, 2017 - 2017
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous
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psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding
November 23, 2016 - April 18, 2019
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - He was receiving total parenteral nutrition (TPN) and lipids
through a central venous catheter inserted … inadvertently attached the new lipid bottle to the Y-site of the epidural tubing rather than the
central venous
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - Venous thromboembolism, ventilator-associated pneumonia, central line–related infection, and urinary … would be that chlorhexidine be used rather than povidone iodine, and ideally it would be in the central venous … barriers that we used in the past, and that the large drape be either in the kit or be part of the central venous … many patient safety problems, that type of applied epidemiological approach is appropriate: falls, venous
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Venous thromboembolism, ventilator-associated pneumonia, central line–related infection, and urinary … would be that chlorhexidine be used rather than povidone iodine, and ideally it would be in the central venous … barriers that we used in the past, and that the large drape be either in the kit or be part of the central venous … many patient safety problems, that type of applied epidemiological approach is appropriate: falls, venous
-
psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
December 14, 2011 - August 14, 2014
Electronic alerts to prevent venous thromboembolism among hospitalized
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psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics
April 12, 2014 - March 6, 2013
Modes of failure in venous thromboembolism prophylaxis.
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psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
June 27, 2011 - 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous
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psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
March 13, 2013 - December 18, 2013
Venous thromboembolism after trauma: a never event?