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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - The resident stated the patient had completed a POLST form (Physician Orders for Life-Sustaining Therapy … errors were identified, including: During the first admission the patient had completed the POLST form … They simply put the form in the paper chart. … The POLST form that had been completed was not included with the paperwork sent with the patient to the … A previous WebM&M commentary explores POLST forms in more detail.
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - Each dose is prepared by pharmacy personnel in a ready-to-administer dose and dosage form and labeled … unit of use.( 3 )
Most drugs are available from pharmaceutical manufacturers in a unit of use dose form … Most pediatric patients are unable to swallow medications in solid oral dosage forms and require liquid … dosage forms to be compounded into solutions or suspensions. … Independent of whether the drug is delivered to the nurse in individualized form, the nurse is expected
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Some have adapted the forms to serve as both a medication list and an order form. … Forms have also been used in the transfer and discharge process. … allow medication histories to be downloaded from an electronic nursing documentation system onto a form … discharge, reformatting the patient medication profile from the pharmacy system into a prescription form … Select/create the forms.
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Study
Use of standard risk screening and assessment forms to prevent harm to older … Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals … Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals
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psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital
December 09, 2009 - January 22, 2014
Medication reconciliation: comparing a customized medication history form … to a standard medication form in a specialty clinic (CAMPII 2).
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psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic-health-record
July 27, 2016 - Resources From the Same Author(s)
Frequency of passive EHR alerts in the ICU: another form … February 8, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue
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psnet.ahrq.gov/node/837504/psn-pdf
June 22, 2022 - and SWOT (strengths, weaknesses, opportunities, threats) of existing patient safety
dashboards can form
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psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
January 20, 2021 - This study surveyed more than 300 Italian general practitioners and found that nearly 80% practiced a form
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psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and
August 10, 2022 - Review
Electronic prescribing and other forms of technology to reduce inappropriate … Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy … Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy
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psnet.ahrq.gov/node/865486/psn-pdf
April 03, 2024 - JMIR Form Res. 2024;8:e53302. doi:10.2196/53302.
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psnet.ahrq.gov/node/867689/psn-pdf
March 05, 2025 - Dose
form modification, such as crushing tablets and adding them to food, was a common approach to ensure
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psnet.ahrq.gov/node/867139/psn-pdf
November 13, 2024 - More than three-quarters of participants reported having experienced or witnessed some
form of workplace
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psnet.ahrq.gov/node/838313/psn-pdf
October 12, 2022 - showed improvement (prefilled syringe, nurses’ education
program, and the protocolized program logic form
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psnet.ahrq.gov/node/853232/psn-pdf
September 06, 2023 - Nearly 29% of respondents
reported experiencing at least one form of discrimination during their maternity
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psnet.ahrq.gov/node/837044/psn-pdf
May 04, 2022 - how-discrimination-health-care-affects-older-americans-and-what-health-
systems-and-providers
Bias in any form
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psnet.ahrq.gov/node/60600/psn-pdf
June 17, 2020 - caregivers were generally
unaware of errors and primarily attributed administration problems to dosage form
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psnet.ahrq.gov/node/73139/psn-pdf
April 14, 2021 - Use of BCMA
decreased wrong medication and wrong dosage errors, and wrong patient, wrong form, and ambiguous
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psnet.ahrq.gov/node/47865/psn-pdf
April 17, 2019 - identify and intervene on potential
medication problems, primarily by preventing inappropriate dosage form
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psnet.ahrq.gov/node/36534/psn-pdf
March 09, 2009 - standardizing-hand-processes
The author suggests ways to improve hand-off communications and provides an assessment form
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psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - degrees, the process remains much more than simply a legalistic requirement for a patient to sign a form … More specific information (possibly in written form) concerning risks and complications should be provided … Documentary evidence, in the form of a "full-disclosure" style consent form would not be a sufficient