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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - In a prospective regional study of 580 patients, no patient who received venous thromboembolism prophylaxis … category: the patient was appropriately risk stratified prior to surgery, she received prophylaxis for venous … thromboembolism, and she underwent the planned procedure without any technical complications.
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - A 52-year-old man with a history of ESRD, heart failure, human immunodeficiency virus (HIV), and venous … thromboembolism was admitted for left arm swelling and pain.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - SPOTLIGHT CASE
Breakage of a PICC Line
Citation Text:
Dimov V. Breakage of a PICC Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/38449/psn-pdf
March 04, 2009 - A model for increasing patient safety in the intensive care
unit: increasing the implementation rates of proven safety
measures.
March 4, 2009
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit:
increasing the implementation rates of proven safety measures. Q…
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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
December 19, 2017 - March 4, 2011
The CMS ruling on venous thromboembolism after total knee or hip arthroplasty
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
August 08, 2018 - August 8, 2018
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism
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psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
March 03, 2011 - preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous … thromboembolism in trauma.
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - April 22, 2013
Clinical validation of the AHRQ postoperative venous thromboembolism patient
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psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
December 12, 2012 - December 12, 2012
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - 2010
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
May 27, 2011 - July 19, 2023
Clinical validation of the AHRQ postoperative venous thromboembolism patient
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - March 13, 2013
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
January 13, 2010 - Author(s)
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous … thromboembolism in trauma.
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psnet.ahrq.gov/issue/application-patient-safety-indicators-internationally-pilot-study-among-seven-countries
November 15, 2017 - 2010
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
February 10, 2011 - January 30, 2019
ASH Clinical Practice Guidelines on Venous Thromboembolism.
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psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
December 19, 2018 - April 10, 2013
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/international-comparability-patient-safety-indicators-15-oecd-member-countries-methodological
June 28, 2011 - 2010
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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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/diagramming-patients-views-root-causes-adverse-drug-events-ambulatory-care-online-tool
April 27, 2010 - May 26, 2011
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism