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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - :
Evaluating a Near-Miss Wrong
Transfusion Event
Source and Credits
• This presentation is based … Evaluating a Near-Miss Wrong
Transfusion Event
4
Case: “This is the wrong patient’s blood”
A 74 … Evaluating a Near-Miss Wrong
Transfusion Event
8
The Commentary
By Sarah Barnhard MD
GENERAL RESPONSE
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psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
March 23, 2011 - Technology as a Tool for Improving Patient Safety
March 29, 2023
Evaluating … May 27, 2011
Evaluating clinical decision support systems: monitoring CPOE order check
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psnet.ahrq.gov/issue/estimating-impact-patient-safety-enabling-digital-transfer-patients-prescription-information
May 24, 2023 - December 16, 2020
Evaluating the safety of mental health-related prescribing in UK primary … September 15, 2021
Evaluating the implementation and impact of a pharmacy technician-supported
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psnet.ahrq.gov/node/50607/psn-pdf
December 01, 2020 - Articles featured in this issue include
a focus on qualitative approaches to evaluating the impact of
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psnet.ahrq.gov/node/858173/psn-pdf
December 13, 2023 - The authors identified 142 studies evaluating 21
measures of medication errors, including measures of
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psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-practices-perioperative-settings-across-life-span
September 22, 2021 - recommendations from the Association of periOperative Registered Nurses (AORN) for developing, implementing, and evaluating
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psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
May 26, 2011 - May 7, 2014
Evaluating the medication process in the context of CPOE use: the significance … May 26, 2011
Evaluating clinical decision support systems: monitoring CPOE order check
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - December 2, 2020
View More
Related Resources
Evaluating a handheld … Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating
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psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students
September 24, 2008 - July 31, 2024
Evaluating the implementation of Project Re-Engineered Discharge (RED) … October 5, 2021
Beyond the clinical team: evaluating the human factors-oriented training
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psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
July 22, 2020 - July 22, 2020
Evaluating the safety of mental health-related prescribing in UK primary … qualitative evidence
December 1, 2021
View More
Related Resources
Evaluating
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - RIS
Download Citation
Related Resources From the Same Author(s)
Evaluating … August 14, 2017
Evaluating ambulatory practice safety: the PROMISES Project administrators
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psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over
February 16, 2022 - RIS
Download Citation
Related Resources From the Same Author(s)
Evaluating … September 7, 2022
Evaluating incident learning systems and safety culture in two radiation
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psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
August 24, 2022 - May 10, 2023
Evaluating patient identification practices during intrahospital transfers … : Evaluating a Near-Miss Wrong Transfusion Event
January 29, 2020
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psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting
June 30, 2021 - June 30, 2021
Evaluating incident learning systems and safety culture in two radiation … November 16, 2022
Evaluating incident learning systems and safety culture in two radiation
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psnet.ahrq.gov/node/853980/psn-pdf
September 27, 2023 - technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
https://psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking
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psnet.ahrq.gov/node/865667/psn-pdf
April 24, 2024 - impending
accreditation process can impact quality patient safety, but failed to identify any studies evaluating
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psnet.ahrq.gov/node/47164/psn-pdf
January 01, 2022 - free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
https://psnet.ahrq.gov/issue/what-expect-when-youre-evaluating-healthcare-improvement-concordat-approach-managing
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psnet.ahrq.gov/node/43646/psn-pdf
January 01, 2021 - material
focuses on the importance of integrating safety and quality work with frontline activities, evaluating
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psnet.ahrq.gov/node/73692/psn-pdf
September 08, 2021 - psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
https://psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking
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psnet.ahrq.gov/node/859345/psn-pdf
January 01, 2024 - interventions-promote-safety-culture-cancer-care-systematic-review
https://psnet.ahrq.gov/issue/quality-special-issue
https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments