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psnet.ahrq.gov/node/47386/psn-pdf
September 19, 2018 - physical-and-verbal-violence-against-health-care-workers
https://psnet.ahrq.gov/issue/bellevue-desperate-fight-ensure-patients-safety
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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - systematically-improving-physician-assignment-during-hospital-transitions-
care-enhancing
An electronic system was developed in order to ensure
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psnet.ahrq.gov/node/41880/psn-pdf
January 08, 2014 - dod-and-va-health-care-medication-needs-during-transitions-may-not-be-
managed-all
This government report reveals the need for a policy to ensure
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psnet.ahrq.gov/node/44135/psn-pdf
November 06, 2015 - The report also suggests measures for NHS
organizations to use to help ensure that staff are comfortable
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psnet.ahrq.gov/node/43069/psn-pdf
April 16, 2014 - This finding
underscores the need for clear and standardized reporting to ensure correct interpretation
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psnet.ahrq.gov/node/42487/psn-pdf
September 27, 2017 - Patients
primarily expressed concern for their physical safety and expected nurses to ensure it.
-
psnet.ahrq.gov/node/43424/psn-pdf
August 13, 2014 - issue/patient-safety-and-office-based-anesthesia
https://psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
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psnet.ahrq.gov/node/40918/psn-pdf
November 09, 2011 - Care: VA Uses Medical Injury Tort Claims Data
to Assess Veterans’ Care, but Should Take Action to
Ensure
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psnet.ahrq.gov/node/47404/psn-pdf
September 12, 2018 - The
authors suggest that providers refer to several sources for medication information to ensure safe
-
psnet.ahrq.gov/node/35439/psn-pdf
October 26, 2005 - They outline an initiative to involve librarians in
evidentiary review for clinical trials to ensure
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - providers establish responsible policies and
practices that appropriately protect information and ensure … Key
lessons to consider include:
Review your HIPAA and state medical privacy law policies to ensure … Train regulatory staff on privacy laws—it is a requirement of the law to do so, and it helps ensure that … Simple steps can ensure best practices for protecting privacy:
Avoid the use of patient identified paper … Ensure that electronic resources are accessible only to those with a need to know.
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - To prevent similar gaps in the future, the institution should ensure that information about a patient's … In response, the institution should ensure that when new products are added to a hospital's formulary … medications and the purpose of their medications and by explaining the safeguards that are being used to ensure … To ensure all gaps in the system are addressed, a rigorous analysis using a model, such as ISMP's Key … safe use
Forcing functions
• Procedures that create a "hard stop" during a process to help ensure
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - In general, all providers should ensure that a POCUS note is placed in the record, that the images are … Such a committee can write and implement guidelines to ensure effective POCUS utilization. … Such a committee would work with departments to ensure proper documentation and image archiving. … The committee could also ensure all clinical documentation complies with institutional, local, regional … Substantial evidence supports the accuracy of POCUS, and institutions should take steps to ensure its
-
psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - Read-backs are used to help ensure that a message is understood by the receiver in the way it was
intended … integrated "best practice" satisfies both goals simultaneously; that is, engaging in a read-back to ensure … To ensure that policy is informed by
clinical reality and unit-level contextual factors, we recommend … and consequences of care are poorly understood and neglected.(15)
Take-Home Points
Read-backs help ensure
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - As healthcare becomes more complex, measuring safety continues to be paramount to ensure high-quality … The first goal is to ensure quality and best outcomes across the entire patient care journey for all … We wish to promote systems of safety to ensure that safety remains durable, even at times of immense … We need to ensure the right measures for the right use. … How do we ensure that quality measures are compatible with being digital?
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - The first goal is to ensure quality and best outcomes across the entire patient care journey for all … We need to ensure that we have high quality, safe healthcare that is equitable for all individuals and … We wish to promote systems of safety to ensure that safety remains durable, even at times of immense … We need to ensure the right measures for the right use. … How do we ensure that quality measures are compatible with being digital?
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - removed (e.g., for surgery or IV placement) or has fallen off (e.g., in a neonate),
additional steps to ensure … Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery requires the use of a "time
out" (13) to ensure … techniques and checklists have
also been applied outside of procedural areas to improve safety and ensure … Using structured communication tools, such as a preprocedure "time out," is an effective method to
ensure
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - therapist should review mobility precautions, confirm that the patient meets early mobility criteria, and ensure … discuss the patient's response to mobilization and inspect the EVD or lumbar drain insertion site to ensure … calibrate or "level" the EVD or lumbar drain once mobilization is completed to prevent CSF overdrainage and ensure … Criteria for participation in early mobilization in the intensive care unit should be established to ensure
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - of patient flow and bed availability as well as patient acuity and nurse staffing ratios in order to ensure … regard to direct admissions, clear communication among all providers and the patient is essential to ensure … the night was particularly busy, the unit charge nurse could have checked in with the staff nurse to ensure
-
psnet.ahrq.gov/node/43440/psn-pdf
August 13, 2014 - Health care workers are instead
employing hybrid paper-electronic processes to ensure patients' medication