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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
July 31, 2024 - 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/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
August 21, 2024 - Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Form teams to support intervention quality. … Form teams to support intervention quality.
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psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
July 19, 2023 - Nearly 29% of respondents reported experiencing at least one form of discrimination during their maternity
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - But some forms of care coordination need go away in a model like this, because as a Comprehensive Care … But I also truly believe there are incredible forms of satisfaction. … This is a form of hospitalists, and it's a reflection of the evolution of the model rather than a departure … It is a form of hospital medicine that has evolved in the context of the evolution of the field. … hospitalization who would switch fully into this model, or to partner with ambulatory practices using some form
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - quantity of nurses and the environment of care are important, the quality of each nurse’s education forms … This could take a variety of forms. … There is a form that educators can fill out to submit a strategy and have it peer reviewed.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - This could take a variety of forms. … There is a form that educators can fill out to submit a strategy and have it peer reviewed. … quantity of nurses and the environment of care are important, the quality of each nurse’s education forms
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psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
November 14, 2018 - November 21, 2011
Use of an anatomic marking form as an alternative to the Universal
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psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
May 07, 2018 - April 17, 2013
Use of an anatomic marking form as an alternative to the Universal Protocol
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psnet.ahrq.gov/issue/managing-risks-organizational-accidents
May 13, 2011 - Book/Report
Classic
Managing the Risks of Organizational Accidents.
Citation Text:
Managing the Risks of Organizational Accidents. Reason JT. Aldershot, Hants, England: Ashgate: 1997. ISBN: 9781840141047
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psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions
August 11, 2021 - Review
Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.
Citation Text:
Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …
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psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
November 16, 2022 - Commentary
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.
Citation Text:
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Analytic reasoning, often a form of hypothetico-deductive reasoning, is the other major means by which … This deference to authority—in many forms—can lead to diagnostic errors.
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - However, education of the patient and family to watch for early signs of psychosis or other forms of
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Safety implications of different forms of understaffing among nurses during the Covid‐19 pandemic.
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psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
September 08, 2021 - December 21, 2017
Standardized handoff report form in clinical nursing education: an
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - showed improvement (prefilled syringe, nurses’ education program, and the protocolized program logic form
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psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
December 01, 2021 - Use of BCMA decreased wrong medication and wrong dosage errors, and wrong patient, wrong form, and
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psnet.ahrq.gov/issue/lost-art-history-and-physical
May 08, 2013 - Highlighting concerns about over-reliance on laboratory tests to form diagnoses, this commentary discusses
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psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
March 17, 2021 - Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form