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  1. psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
    March 03, 2019 - Study Emergency department visits for medical device–associated adverse events among children. Citation Text: Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…
  2. psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
    August 04, 2021 - March 23, 2011 Implementation of the I-PASS handoff program in diverse clinical environments
  3. psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
    May 21, 2009 - July 13, 2016 Readiness of US general surgery residents for independent practice. … August 20, 2018 Implementation of the I-PASS handoff program in diverse clinical environments
  4. psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - Vadi, MD, MPH Health Sciences Associate Clinical Professor Department of Anesthesiology & Pain Medicine … Malkin, MD Health Sciences Associate Clinical Professor Department of Anesthesiology & Pain Medicine … A Practice of Anesthesia for Infants and Children .  Sixth Edition. … Infusion therapy standards of practice, 8 th edition. … WHO guidelines for safe surgery 2009: safe surgery saves lives [Report on the Internet].
  5. psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
    October 01, 2008 - to push the check box in front of the providers and make it very hard to move to the next stage of clinical … Rather, the successes have come from systematizing practice. … patient safety revolution was to get patient safety on the radar screen and to have it be part of the clinical … Hospitals Health Care Providers Health Care Executives and Administrators Gynecology PracticeGuidelines View More
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60241/psn-pdf
    February 24, 2022 - Regulatory guidelines on PPE, testing, and visitation, for example, while necessary and important, led … on the part of NHs, partially because regulations were changing quickly, and state implementation guidelines … and made recommendations to various federal government groups to improve communication and clarify guidelines … safe and appropriate care to residents with mild and asymptomatic cases Help NH staff implement best-practice … Center for Clinical Standards and Quality/Quality, Safety & Oversight Group. 
  7. psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
    November 21, 2018 - In: Facility Guidelines Institute, ed. 2010 Guidelines for Design and Construction of Health Care Facilities … Systematic review of studies on compliance with hand hygiene guidelines in hospital care. … Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316:1154-1157. … Polypharmacy May 1, 2013 Anesthesia workspaces for safe medication practices: design guidelines
  8. psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
    January 31, 2020 - Clinical Decision Support and Increased Adherence with Evidence-based Care CDS has the potential to … increase provider adherence to best practice, evidence-based care by codifying standards in a way that … practice guideline use and concordance, improved care process measures, and reduced safety events. … practice. … However, with continued implementation and use in diverse clinical settings it becomes apparent that
  9. psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - Mechanisms for ensuring that, where lessons are identified, the necessary changes are put into practice … This organization inspects hospitals against risk management standards and optimal clinical practice, … Results from the Harvard Medical Practice Study I. N Engl J Med. 1991;324:370-376. … Most doctors, at least in my country, are not assessed once they've gone into autonomous practice—for … We have produced guidelines on reporting systems so that people didn't make the mistakes of some of the
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33585/psn-pdf
    March 15, 2025 - and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice … systems-approach https://psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice … These guidelines call for ordering physicians, radiologists, and technologists to establish a system … guidance to doctors when they enter orders in the system) increases adherence to radiology test ordering guidelines
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - notes for decision making, suggesting that progress notes are still considered the primary source of clinical … paste, just two studies were identified that demonstrated a relationship between copy and paste and clinical … But even as the research base expands, we already have published guidelines and toolkits for the safe … Ultimately, physicians need to reestablish ownership of the accuracy of clinical documentation. … Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49783/psn-pdf
    February 01, 2017 - Appreciate that order sets may encourage a mechanistic focus that may prevent a deeper consideration of clinical … The combination of large volumes of information, inappropriate application of her usual practice (giving … If the usual practice for most patients is to "check all the boxes," then it is unlikely that we will … Published guidelines on the development of standard order sets should be followed. Anthony C. … Guidelines for standard order sets. P T. 2014;39:10-11,50.
  13. psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
    July 08, 2022 - Risk reduction strategies pertaining to opioid dose stacking include incorporating institutional guidelines … Standardizing opioid prescribing patterns via order sets and institutional guidelines allows everyone … additional support in addressing the multifactorial nature of pain   Hollie Porras, PharmD, BCPS Clinical … American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation … Neurology in Clinical Practice, 5 th Edition . Philadelphia, PA: Elsevier/Saunders; 2008.
  14. psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
    November 15, 2023 - Clinical decision support features in the EHR can also help to alert medical staff to high-risk patients … Clinical Pharmacist, Adult Critical Care UC Davis Medical Center Iris Chen, Pharm.D., BCPS … Practice guidelines for central venous access: a report by the American Society of Anesthesiologists … Clinical therapeutics. 1997 May 1;19(3):405-19. [ go to PubMed ] 6. … April 20, 2022 Fostering a just culture in healthcare organizations: experiences in practice
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50928/psn-pdf
    February 21, 2020 - Clinical Decision Support and Increased Adherence with Evidence-based Care CDS has the potential to … increase provider adherence to best practice, evidence-based care by codifying standards in a way that … practice guideline https://psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol … wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error https://psnet.ahrq.gov/issue/systematic-review-clinical-decision-support-systems-clinical-oncology-practicepractice.
  16. psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
    June 17, 2010 - The American Academy of Pediatrics (AAP) guidelines are available on the Web. … Available guidelines for phototherapy and exchange transfusion are conservative; treating below guideline … Numbers needed to treat with phototherapy according to American Academy of Pediatrics guidelines. … Less aggressive treatment of neonatal jaundice and reports of kernicterus: lessons about practice guidelines … Universal bilirubin screening, guidelines, and evidence. Pediatrics. 2009;124:1199-1202.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49869/psn-pdf
    July 02, 2019 - Collaborative (CMQCC) (3) and the National Partnership for Maternal Safety (NPMS), have published guidelines … Per the NPMS guidelines, transfer to a tertiary center should be considered for women at the highest … of blood during the antepartum period, the preoperative hemoglobin value was not optimized as per guidelines … The PAS guidelines recommend that hysterotomy should avoid the placenta site if possible; in the setting … CMQCC Obstetric Haemorrhage Toolkit, Obstetric Haemorrhage Care Guidelines and Compendium of Best Practices
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33834/psn-pdf
    May 22, 2017 - Evidence-based guidelines for the treatment of chronic pain in primary care, such as those developed … Dozens of similar guidelines have now been adopted by local, regional, and state medical and pharmacy … Nevertheless, some have objected to such guidelines based on concerns that care for those in pain will
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865466/psn-pdf
    March 27, 2024 - One such strategy is discussed in the context of clinical medical education: an unconscious bias could … Beyond clinician biases, the clinical decision making process may perpetuate inequities in patient safety … Technology and Equity Tools such as algorithms or pulse oximeters may inadvertently influence clinical … For example, clinical decision tools driven by AI, which are based on statistical associations, may … and guidelines.
  20. psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
    August 01, 2010 - components of patient safety during a national consensus conference.( 6 ) In reviewing these educational guidelines … Chayan Chakraborti, MD Assistant Professor of Clinical Medicine Tulane University School of Medicine … Improving safety on the front lines: the role of clinical microsystems. … Assessing safety culture: guidelines and recommendations. Qual Saf Health Care. 2005;14:231-233. … Building a high reliability organization through a multi-method approach to monitoring the practice environment

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