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psnet.ahrq.gov/node/74734/psn-pdf
January 19, 2024 - Disclosure of errors in surgical procedures.
January 19, 2024
Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
https://psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
Error disclosure is fundamental to addressing harm and psychological distress after medical error. This
review highlights issues a…
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psnet.ahrq.gov/node/74143/psn-pdf
December 01, 2021 - Confronting Racism in Health Care: Moving from
Proclamations to New Practices.
December 1, 2021
Hostetter M, Klein S. New York, NY: Commonwealth Fund; October 18, 2021
https://psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices
Structural racism affects the safety and equit…
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psnet.ahrq.gov/node/72537/psn-pdf
December 02, 2020 - Automation failures and patient safety.
December 2, 2020
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol.
2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
https://psnet.ahrq.gov/issue/automation-failures-and-patient-safety
Task automation in medicine is a core …
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psnet.ahrq.gov/node/47386/psn-pdf
September 19, 2018 - Active-shooter response at a health care facility.
September 19, 2018
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med.
2018;379(6):583-586. doi:10.1056/NEJMms1800582.
https://psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
Physical and verbal…
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psnet.ahrq.gov/node/73319/psn-pdf
May 26, 2021 - Safety events in children's hospitals during the COVID-19
pandemic.
May 26, 2021
Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100.
https://psnet.ahrq.gov/issue/safety-events-childrens-hospitals-during-covid-19-pandemic
This study analyzed Pediatric Quality Indicators (PDIs) to compare…
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psnet.ahrq.gov/node/837982/psn-pdf
August 31, 2022 - Patient Safety Incident Response Framework.
August 31, 2022
London, England: NHS England; August 2022.
https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework
Effective response to medical error requires a comprehensive systemic and process-focused incident
examination approach to ensure organizati…
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psnet.ahrq.gov/node/73896/psn-pdf
September 29, 2021 - Policies to promote shared responsibility for safer
electronic health records.
September 29, 2021
Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA.
2021;326(15):1477-1478. doi:10.1001/jama.2021.13945.
https://psnet.ahrq.gov/issue/policies-promote-shared-respon…
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psnet.ahrq.gov/node/34900/psn-pdf
December 17, 2009 - The State of the Science on Safe Medication
Administration.
December 17, 2009
Am J Nurs. 2005;105;(supp 5):2-55.
https://psnet.ahrq.gov/issue/state-science-safe-medication-administration
The University of Pennsylvania School of Nursing, the Hospital of the University of Pennsylvania, the
Infusion Nurses Society, …
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psnet.ahrq.gov/node/866445/psn-pdf
August 07, 2024 - Diagnosis in the Era of Digital Health and Artificial
Intelligence: A Workshop.
August 7, 2024
Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop.
https://psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop
Digital health is emerging as a primary techn…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/registry-of-patient-registries_research-2012-2_1.pdf
January 01, 2012 - ................................................................................................ 3
Ensuring … Accuracy of Information in the RoPR System .................................................... 4
Ensuring … Ensuring the Accuracy of Information in the RoPR System
Ensuring the accuracy of information in the … Ensuring Consistency of Terminology Within the RoPR System
Ensuring the consistency of terminology used
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - and at present there is no standard approach.(1) The
fundamental objective of a safe ICU transfer is ensuring … in the critical care world (5) and other
specialties (6) has improved patient outcomes, in part by ensuring … communication (Table
).(8) The importance of other factors associated with ICU transfers, such as ensuring
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - In this case, ensuring that hospitals are consistently staffed at the same level 7 days a week could … In this case, hospitals could improve outcomes by ensuring that personnel and services are available … Interventions to improve outcomes would need to focus on ensuring early access to care for patients who
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psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
May 07, 2018 - February 13, 2019
Ensuring competency and safety when onboarding newly hired professional
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psnet.ahrq.gov/issue/patient-safety-20
July 01, 2018 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ensuring
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psnet.ahrq.gov/issue/standardize-4-safety
June 17, 2014 - December 15, 2021
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital
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psnet.ahrq.gov/issue/compendium-2000-2005
September 06, 2011 - May 16, 2019
To Do No Harm: Ensuring Patient Safety in Health Care Organizations.
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psnet.ahrq.gov/issue/tips-topics-patient-safety
May 24, 2017 - January 17, 2012
Ensuring Correct Surgery.
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psnet.ahrq.gov/issue/doctors-say-im-sorry-see-you-court
February 24, 2010 - February 24, 2010
Ensuring medication reconciliation.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/wRAWvp7P8rdNS25gQLdAht
Clinicians should focus on ensuring that w omen receive adequate screening,
appropriate evaluation
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psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
December 24, 2008 - May 1, 2016
Ensuring Correct Surgery.