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psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
March 20, 2019 - A centralized transfusion service maintains transfusion records for 16 hospitals in the Pittsburgh area
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psnet.ahrq.gov/issue/hospital-nurses-work-environment-characteristics-and-patient-safety-outcomes-literature
October 24, 2018 - the evidence base and advocate for improved research design to support future investigation in this area
-
psnet.ahrq.gov/node/47415/psn-pdf
December 05, 2018 - The authors highlight test interpretation as one area particularity vulnerable to this problem
and recommend
-
psnet.ahrq.gov/node/41700/psn-pdf
December 31, 2014 - Progress in this area has stalled owing to disagreement between clinicians and system designers along
-
psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - were lack of
a regulatory mandate and insufficient evidence supporting their effectiveness in this area
-
psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - underscores
persisting concerns related to test results management, despite longstanding work in this area
-
psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Prior work in this area has demonstrated that patients
can identify adverse events that were not documented
-
psnet.ahrq.gov/node/47303/psn-pdf
March 18, 2019 - This review
highlights progress to date in each area and the challenges that remain to be addressed,
-
psnet.ahrq.gov/node/40236/psn-pdf
March 23, 2012 - Another safety area ripe for
intervention is managing test results after hospital discharge.
-
psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - • Patient was seen by surgical and anesthesia teams in the
preoperative holding area the morning … • At this hospital, an initial blood sample is sent in a purple
tube from the holding area and then
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - For each area, the authors recommend using a previously published framework to examine three domains:
-
psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - The fourth area of emphasis is active learning strategies. … And finally, the fifth area of emphasis is emerging team challenges and opportunities that come with … the website does retain the TeamSTEPPS module specific to diagnostic
improvement, given its growing area
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psnet.ahrq.gov/node/48111/psn-pdf
July 10, 2019 - Medication Safety in Key Action Areas.
July 10, 2019
Geneva, Switzerland: World Health Organization; 2019.
https://psnet.ahrq.gov/issue/medication-safety-key-action-areas
Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores
key areas of concern that require act…
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psnet.ahrq.gov/node/44390/psn-pdf
July 18, 2016 - The broad general support for disclosure in this study suggests that prior work in
this area is successfully
-
psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
January 05, 2017 - of efforts to bring patient safety to the forefront and explain what future steps must occur in the area
-
psnet.ahrq.gov/node/44965/psn-pdf
February 15, 2017 - For each area, the authors recommend using a previously published framework to examine
three domains
-
psnet.ahrq.gov/node/37750/psn-pdf
May 07, 2008 - Prior research in this area has investigated predictors of unprofessional actions and
system-level solutions
-
psnet.ahrq.gov/node/42719/psn-pdf
December 18, 2014 - Physicians are notably loath to fully disclose their own errors, but some progress is being made in this area
-
psnet.ahrq.gov/node/44857/psn-pdf
March 23, 2016 - Focusing on copying and pasting health data from one record to another as the first area of concern
-
psnet.ahrq.gov/node/37745/psn-pdf
May 07, 2008 - Prior research in this area has also documented the
value of clinical pharmacists in preventing medication