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psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
November 09, 2022 - Electronic prescribing (e-prescribing) is an established medication error reduction mechanism.
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psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
January 25, 2017 - Research has established that disclosure of medical errors to patients and families is essential
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psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - This commentary describes how one hospital established a resident leader to embed quality improvement
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psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
December 02, 2015 - Most trainees did not question the order even when a non-hierarchical team structure had been established
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psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire
June 25, 2014 - The analysis established concurrent validity and reliability, paving the way for measuring patients
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psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
June 20, 2018 - Recalls of medications due to labeling errors are an established approach to minimize the potential
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psnet.ahrq.gov/issue/pipc-study-development-indicators-potentially-inappropriate-prescribing-children-pipc-primary
December 05, 2018 - well-defined criteria for potentially inappropriate prescribing for pediatric patients have not been established
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psnet.ahrq.gov/issue/unintentional-discontinuation-chronic-medications-seniors-nursing-homes-evaluation-national
October 16, 2012 - This study established that unintentional medication discontinuation upon nursing home admission decreased
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psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
November 07, 2018 - This review examined provider adherence to established opioid risk reduction practices and found that
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psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
May 27, 2011 - The strategies presented stem from The Leapfrog Group , who established CPOE as one of their primary
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psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
January 27, 2021 - Organizational Policy/Guidelines
AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.
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Apri…
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psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
February 12, 2020 - describes lessons learned during the six years after a large regional health care system in the U.S. established
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psnet.ahrq.gov/issue/establishing-safe-container-learning-simulation-role-presimulation-briefing
September 16, 2015 - Commentary
Establishing a safe container for learning in simulation: the role of the presimulation briefing.
Citation Text:
Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. do…
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psnet.ahrq.gov/issue/instituting-culture-professionalism-establishment-center-professionalism-and-peer-support
March 03, 2011 - Commentary
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.
Citation Text:
Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm …
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - peritoneal access is the most vulnerable time for injury during laparoscopy, various techniques have
been established … While most Optical entries are
performed after pneumoperitoneum is established with a Veress needle, … Access is typically established in the periumbilical area of
the abdomen. … vascular
injury, the Veress needle should be kept in place and an alternative site of entry should be established
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - peritoneal access is the most vulnerable time for injury during
laparoscopy, various techniques have been established … • While most Optical entries are performed after pneumoperitoneum is
established with a Veress needle … technique and location.
19
Consideration of Patient History and Anatomy (2)
• Access is typically established … vascular injury, the Veress needle should be kept in place
and an alternative site of entry should be established
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psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
February 02, 2022 - factors (e.g., management style, focus on safety instead of punitive measures, leadership walk-rounds, established
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psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health-system-during-covid
December 23, 2020 - In March 2020, the health system established a new Employee, Faculty, and Trainee Crisis Support Task
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Chronic opioid use for noncancer pain is a well-established patient safety problem but less is known
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psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital
December 16, 2020 - patient preferences, promoted coordination and collaboration between healthcare professionals, and established