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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/node/33709/psn-pdf
July 01, 2011 - Given the current high level of interest in ensuring safe and effective handovers, the next few years
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - bilingual, bicultural discharge educators, providing cultural and linguistic
competence training, and ensuring
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - Ensuring adequate overlap between shifts to prioritize the handoff process also becomes critical. … build a shared mental model, adequate clinical documentation and written signouts become paramount to ensuring … In addition, evaluation of the transfer of professional responsibility is also critical to ensuring handoff … Ensuring a member of the primary team with knowledge of the patient is present during handovers can preserve
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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/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/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/issue/prohibition-excessive-overtime-nurses-act
August 01, 2007 - October 6, 2021
Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring
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psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
December 03, 2014 - August 9, 2023
Ensuring competency and safety when onboarding newly hired professional
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psnet.ahrq.gov/issue/deploying-med-reconciliation
January 06, 2017 - October 29, 2008
Ensuring medication reconciliation.
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psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
July 14, 2010 - May 31, 2011
Ensuring successful implementation of communication-and-resolution programmes
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psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
February 13, 2019 - May 7, 2014
Ensuring competency and safety when onboarding newly hired professional staff
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psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
May 07, 2018 - February 13, 2019
Ensuring competency and safety when onboarding newly hired professional
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - February 13, 2019
Ensuring competency and safety when onboarding newly hired professional
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - August 24, 2011
HomeNet: ensuring patient safety with medical device use in the home.
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psnet.ahrq.gov/issue/mrsa-infections
September 26, 2018 - November 21, 2016
Ensuring Correct Surgery.
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psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
February 25, 2019 - May 7, 2014
Ensuring competency and safety when onboarding newly hired professional staff