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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - Innovation
For the pre-implementation planning phase, according to the innovation team, focus should be on ensuring
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - presented above describe situations in which additional monitoring and
staff could have been helpful for ensuring
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - Implementing
evidence-based protocols in the evaluation of the acute ischemic stroke patient, ensuring
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psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
February 01, 2012 - If that were the case, ensuring a culture of safety in which all care team members felt comfortable voicing
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - Mechanisms for ensuring that, where lessons are identified, the necessary changes are put into
practice
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - Preventing Diagnostic Errors (2)
Use of established treatment protocols may reduce the risk of error
Ensuring
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - with an external agency for documentation assistance,
health care organizations are responsible for ensuring
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - strategies associated with one of each of the five high-risk clinical scenarios mentioned above are:
Ensuring
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psnet.ahrq.gov/clinical-areas
March 24, 2025 - monitoring, and improvement of clinicians' competence as a means of addressing this unique component and ensuring
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - studies have suggested opportunities for improvement, including redesigning the process and tools used, ensuring
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - may be justified to avoid any delay or problem with therapy—provided that all of the safeguards for ensuring
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - transition may bring about confusion and unexpected consequences, but the effort holds the promise of ensuring
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psnet.ahrq.gov/node/45883/psn-pdf
March 25, 2017 - The challenges of electronic health records and diabetes
electronic prescribing: implications for safety net care for
diverse populations.
March 25, 2017
Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes
Electronic Prescribing: Implications for Safety Net Care for …
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psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - Harmful medication errors involving unfractionated and
low-molecular-weight heparin in three patient safety
reporting programs.
January 3, 2017
Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-
molecular-weight heparin in three patient safety reporting programs…
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psnet.ahrq.gov/node/43712/psn-pdf
December 03, 2014 - How context affects electronic health record–based test
result follow-up: a mixed-methods evaluation.
December 3, 2014
Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-
up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e005985. doi:10.1136/bmjopen-2014-00…
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psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior?
March 4, 2011
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and
prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - SPOTLIGHT CASE
No News May Not Be Good News
Citation Text:
Moore CR. No News May Not Be Good News. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging
Citation Text:
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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