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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - training for physicians, nurses, and pharmacists must be provided prior to any major practice change to ensure
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - values with their surrogate decision maker and healthcare provider. 1 Ideally, this discussion helps ensure
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Systematic use of a risk stratification score, such as the TIMI score, can help ensure appropriate decision-making
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - Unfortunately, this case scenario illustrates that an alert alone does not ensure optimal care and may
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - It is up to the health care administrators, providers, and surgeons to ensure that the protocol is implemented
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - within the Food and Drug Administration
(FDA) to evaluate the effectiveness of these algorithms to ensure
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - In the end, all parties responsible for patient care transitions should ensure that the correct and most
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - laceration was located and sutured without difficulty, and the decision was made to irrigate the bladder to ensure
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - Finally, there is agreement about the need to ensure formal training that certifies
competency of operators
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - This would ensure adequate time between removal of the needle and initiation of anticoagulation.
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - informaticists should participate in the transition process from paper to electronic order sets to ensure
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - in the literature.( 3 ) It is incumbent upon health care systems to develop better approaches to ensure
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - Specific steps to reduce errors include: Ensure there is a mechanism for rapid identification and
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - As we are asked to evaluate new science and new technologies, we are always
trying ensure that we are … technology, such as AI, is developing and changing very quickly, how does the FDA
approach its review to ensure
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psnet.ahrq.gov/node/37419/psn-pdf
December 19, 2007 - Ensuring medication reconciliation.
December 19, 2007
Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007.
https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation
The authors describe the team-based process they used to improve medication management at the
admission, t…
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psnet.ahrq.gov/node/35897/psn-pdf
July 23, 2010 - Ensuring patient safety in wireless medical device
networks.
July 23, 2010
Gehlot V; Sloane EB.
https://psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
The authors discuss clinical alarm systems from a technical perspective and propose a toolkit to help make
complex clinical IT syste…
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psnet.ahrq.gov/node/35080/psn-pdf
February 07, 2019 - To Do No Harm: Ensuring Patient Safety in Health Care
Organizations.
February 7, 2019
Morath JM, Turnbull JE. San Francisco, CA: Jossey-Bass; 2005. ISBN: 9780787967703.
https://psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
The authors draw from their backgrounds as health care e…
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - one member of
the team, in this case the doctor, and corrective action often requires teamwork to ensure … Failing to ensure that a competent physician is available
in a timely manner is professional abandonment … 24 hours a day, 7 days a week, 365 days
a year; therefore, physicians participate in systems that ensure … High-reliability
health care systems must balance workload with time off to ensure the physical and … patient care needs in the specialty, or the system may fail to design call or duty schedules that ensure
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psnet.ahrq.gov/node/43657/psn-pdf
November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the
Hospital.
November 26, 2014
American Society of Health-System Pharmacists
https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…