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psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
May 12, 2021 - The author highlights the importance of continued study into disasters with particular emphasis on a
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - An accompanying editorial [see link below] discusses the study findings
and emphasizes the continued
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psnet.ahrq.gov/node/38193/psn-pdf
November 05, 2008 - They advocate for continued efforts to monitor the quality and
safety of care delivered, particularly
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psnet.ahrq.gov/node/47757/psn-pdf
February 06, 2019 - of error on all involved, the role of culture in
facilitating both mistakes and progress, and why continued
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psnet.ahrq.gov/node/40376/psn-pdf
July 06, 2012 - clinics found no reduction in
prescribing errors, probably because the vast majority of clinicians continued
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psnet.ahrq.gov/node/40291/psn-pdf
September 09, 2011 - Patients presenting to an emergency department (ED) with an adverse drug event (ADE) are a source of
continued
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psnet.ahrq.gov/node/35451/psn-pdf
January 05, 2017 - method of providing a reporter with feedback to "close the loop" may be more important in
fostering continued
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psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
June 10, 2018 - This newsletter article reveals system failures that contribute to continued drug name confusion , even
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - bedside electronic medication administration records, and alerts to prevent incorrect administration but continued
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psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - statewide reporting initiative , this report suggests ways to improve the reporting system to facilitate continued
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - amended laboratory result was recognized prior to discharge and a new management
plan, which involved continued … The
algorithm should call for continued efforts by the laboratory until this goal has been achieved, … Continued development of these software systems may play a key role in
reducing the type of errors noted
-
psnet.ahrq.gov/node/38243/psn-pdf
November 26, 2008 - psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
Communication failures are a continued
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psnet.ahrq.gov/node/37787/psn-pdf
May 28, 2008 - ://psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
Continued
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psnet.ahrq.gov/node/43707/psn-pdf
November 26, 2014 - americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2014
This Joint Commission annual report shows continued
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psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
June 26, 2024 - Potential adverse drug events (ADEs) continued to occur on a geriatric hospital ward despite use of
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psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
November 18, 2015 - manage patients using three categories of ambulatory infusion pumps to ensure that therapy is safely continued
-
psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
August 15, 2018 - This announcement highlights AHRQ funding opportunities to support continued research regarding the
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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - Pronovost provides a historical review of safety improvement in anesthesia care as context to appeal for continued
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psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - discusses what has changed since the Keeping Patients Safe report was released a decade ago, including continued
-
psnet.ahrq.gov/node/46459/psn-pdf
August 20, 2018 - A
previous PSNet perspective advocated for continued appropriate supervision to augment patient safety