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401. Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. | PSNet
     psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
     November 29, 2023 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

402. Final Revised Operations Center Operational Framework (pdf file)
     cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
     January 01, 2024 - will engage on a regular basis throughout the project lifecycle to ensure structured planning and communications … ■ The NORC team will ensure email communications to the Steering Committee from the project team … and any additional points of contact (e.g., administrative assistants) that should be included on communications … ► Steering Committee members must foster positive communications outside of the Steering Committee

403. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - Many forms of communications are used to convey critical location, scheduling, and patient information … These communications traditionally have taken place across and through an amalgamation of phones, pagers … , computer scheduling systems, printed schedules, and face-to-face communications. … Quality of care and safety are influenced directly by this jumble of communications, which often proves … data that can serve as source data, permitting analysis of the communications that occur in the OR.

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49423/psn-pdf
     November 01, 2003 - The observable communications and actions of this team can be a focus of improvement efforts, but they … be not only to identify the communication problems but also to understand why the surgical team’s communications … these system errors are identified and corrected, it still may be necessary to focus on teamwork and communications

405. Weight-based Medication Errors in Children. | PSNet
     psnet.ahrq.gov/issue/weight-based-medication-errors-children
     March 16, 2022 - November 4, 2020 Clinical Investigation Booking Systems Failures: Written Communications

406. Access to Clinical Information at the Bedside. | PSNet
     psnet.ahrq.gov/issue/access-clinical-information-bedside
     March 16, 2022 - February 16, 2022 Clinical Investigation Booking Systems Failures: Written Communications

407. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet
     psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
     September 29, 2021 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

408. Unwell Women: Misdiagnosis and Myth in a Man-Made World. | PSNet
     psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world
     March 20, 2019 - May 31, 2023 Clinical Investigation Booking Systems Failures: Written Communications

409. HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. | PSNet
     psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
     September 14, 2022 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

410. Never Events Analysis of HSIB's National Investigations Report. | PSNet
     psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
     June 09, 2021 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

411. Administering High-Strength Insulin from a Pen Device in Hospital. | PSNet
     psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital
     September 21, 2022 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

412. Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. | PSNet
     psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
     April 05, 2023 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

413. Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. | PSNet
     psnet.ahrq.gov/issue/investigation-electronic-prescribing-and-medicines-administration-systems-and-safe-discharge
     April 01, 2019 - March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

414. AHA Patient Safety Initiative. | PSNet
     psnet.ahrq.gov/issue/aha-patient-safety-initiative
     April 15, 2021 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

415. Maternity Pre-arrival Instructions by 999 Call Handlers. | PSNet
     psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
     February 16, 2022 - November 4, 2020 Clinical Investigation Booking Systems Failures: Written Communications

416. Wrong Site Surgery–Wrong Tooth Extraction. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction
     April 01, 2019 - April 1, 2019 Clinical Investigation Booking Systems Failures: Written Communications

417. 7 ways to prevent medical errors. | PSNet
     psnet.ahrq.gov/issue/7-ways-prevent-medical-errors
     January 19, 2022 - September 28, 2016 How communications issues between doctors and nurses can affect your

418. Safer Sign Out. | PSNet
     psnet.ahrq.gov/issue/safer-sign-out
     April 22, 2020 - January 15, 2014 Improving Transitions of Care: Hand-off Communications.

419. Medication Reconciliation | Digital Healthcare Research
     digital.ahrq.gov/health-care-theme/medication-reconciliation
     January 01, 2023 - R18 HS018183 Principal Investigator(s) Weiner, Michael Electronic Communications

420. NHS staff cried in safety interviews, says watchdog. | PSNet
     psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
     August 30, 2023 - July 19, 2023 Clinical Investigation Booking Systems Failures: Written Communications