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psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
January 06, 2018 - discontinued at the time of intensive care unit admission and not restarted at hospital discharge, without adequate
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psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
November 21, 2018 - The results of this survey reveal that most primary care practices in the Netherlands do not have adequate
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psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction
February 09, 2011 - The authors conclude that a commitment to adequate nursing care may prevent adverse patient outcomes
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psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
February 04, 2009 - This finding suggests that widespread efforts to ensure adequate handoff time and minimize interruptions
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - duty hours, the above case is, and may continue to be, an example
of the harm that can occur without adequate … Ensuring adequate overlap between shifts to prioritize the handoff process also becomes critical. … Without a foundation to build a shared
mental model, adequate clinical documentation and written signouts … receivers use passive listening behaviors, such as head nodding and eye contact, which
are not an adequate
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psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon
October 16, 2024 - hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate
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psnet.ahrq.gov/issue/sleep-science-and-policy-change
September 21, 2022 - hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate
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psnet.ahrq.gov/issue/distinguishing-high-performing-low-performing-hospitals-severe-maternal-morbidity-focus
June 01, 2022 - focus on standards and standardized care, 3) strong nurse-physician communication and teamwork, 4) adequate
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - A computerized provider order entry (CPOE) system, with adequate decision support, may have also prevented … Clear sign-out procedures in the transfer of care and patient education are critical for adequate communication … Adequate, well-controlled studies in pregnant women have failed to demonstrate risk to the fetus.
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Adequate supervision of trainees
This case also demonstrates the importance of adequate supervision … drug administrations with another staff member whenever possible
Supervision of trainees must be adequate
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - These were attributed to both providers for failing to perform adequate physical exams and patients for
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psnet.ahrq.gov/issue/advancing-science-patient-safety
March 13, 2013 - This framework calls for investigators to use change theory to develop their projects; provide adequate
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psnet.ahrq.gov/issue/building-physician-work-hour-regulations-first-principles-and-best-evidence
April 24, 2018 - improved sign-out procedures, greater monitoring and evaluation of duty hour changes, the importance of adequate
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psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study
June 08, 2010 - An accompanying editorial calls for revising training models in order to provide adequate supervision
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psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
October 31, 2012 - perceptions and found that while students generally had positive impressions of teamwork and felt there was adequate
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate
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psnet.ahrq.gov/issue/support-medical-apology-nonlegal-arguments
June 30, 2021 - May 15, 2013
Duty-hours monitoring revisited: self-report may not be adequate.
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psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
August 09, 2023 - hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
October 28, 2020 - WebM&M Cases
Managing Care Challenges in a Group Home Setting: Is Staffing Adequate
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psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
December 09, 2020 - hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate