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psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - 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/association-hospital-participation-quality-reporting-program-surgical-outcomes-and
January 13, 2016 - November 18, 2016
Preventability of hospital-acquired venous thromboembolism.
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psnet.ahrq.gov/issue/weekly-variation-health-care-quality-day-and-time-admission-nationwide-registry-based
September 24, 2014 - July 20, 2022
Investigation into Management of Venous Thromboembolism Risk in Patients
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
February 10, 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/national-costs-medical-liability-system
May 20, 2015 - 2011
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/issue/decreasing-prescribing-errors-during-pediatric-emergencies-randomized-simulation-trial
October 08, 2013 - January 23, 2017
National Partnership for Maternal Safety: Consensus Bundle on Venous … Thromboembolism.
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psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - 2011
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Clinical risk factors and timing of
recurrent venous thromboembolism during the initial 3 months of
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - Spotlight Case July 2008
Spotlight Case
Breakage of a PICC Line
*
*
Source and Credits
This presentation is based on the April 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Vesselin Dimov, MD
Creighton University
Editor, AHRQ WebM&M: …
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Investigators compared a global measure of safety, which included pressure ulcers , venous thromboembolism
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - The catheter to vein ration and rates of symptomatic venous thromboembolism in patients with a peripherally
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psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
December 01, 2019 - Book/Report
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades?
Citation Text:
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Gangopa…
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - Book/Report
NHS Safety Thermometer Reports.
Citation Text:
NHS Safety Thermometer Reports. Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017.
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psnet.ahrq.gov/issue/unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
September 16, 2020 - Newspaper/Magazine Article
Unstoppable: this doctor has been investigated at every level of government. How is he still practicing?
Citation Text:
Unstoppable: this doctor has been investigated at every level of government. How is he still practicing? Waldman A. ProPublica. August…
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - :
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/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
June 28, 2017 - Commentary
Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites.
Citation Text:
Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…
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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - Risk of venous thromboembolism associated with peripherally
inserted central catheters: a systematic
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Clinical risk factors and timing of recurrent venous thromboembolism during the initial 3 months of anticoagulant
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psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
November 10, 2015 - Study
Applying trigger tools to detect adverse events associated with outpatient surgery.
Citation Text:
Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e3182…
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psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
March 19, 2019 - Commentary
Implementing the Safety Thermometer tool in one NHS trust.
Citation Text:
Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72.
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