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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
January 06, 2017 - November 2, 2016
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/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - The only remifentanil available was a vial of 1 mg in powder form. … Undiluted remifentanil in the OR’s automated medication dispensing system comes in a 1 mg powdered form … A concentrated form of the medication, in either powdered or liquid form, is mixed into a solution of … January 29, 2018
Standardized handoff report form in clinical nursing education: an educational
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psnet.ahrq.gov/node/37747/psn-pdf
June 16, 2019 - ismp-medication-error-report-analysis-24
This monthly selection includes reports of a near miss when using a medication-reconciliation form
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psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
December 21, 2014 - Most hospitals maintain some form of RRS, due in part to a 2008 National Patient Safety Goal that required … popular intervention among nursing staff , and this factor alone may justify implementation of some form
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psnet.ahrq.gov/node/35586/psn-pdf
March 15, 2021 - Healthcare Excellence Canada.
March 15, 2021
150 Kent Street, Suite 200, Ottawa, Ontario, K1P 0E4 Canada.
https://psnet.ahrq.gov/issue/canadian-patient-safety-institute
This new organization fosters collaboration between governments and stakeholders in developing patient
safety initiatives. This Web site provides …
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psnet.ahrq.gov/issue/use-novel-electronic-health-record-centered-interprofessional-icu-rounding-simulation
March 04, 2019 - January 23, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue … January 23, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue
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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
December 08, 2021 - January 30, 2013
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/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
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - January 23, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue … February 8, 2017
Frequency of passive EHR alerts in the ICU: another form of alert fatigue
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psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
February 02, 2011 - 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/node/33588/psn-pdf
March 15, 2025 - Moving On
Clinicians feel internal and external pressure to "move on," and in the study had three
forms
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psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health
September 12, 2018 - Direct observation demonstrated increased use of the checklist in electronic form from under 50% in paper … form to over 90% once integrated into the electronic health record.
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psnet.ahrq.gov/node/866520/psn-pdf
August 14, 2024 - People are more error-prone after committing an error.
August 14, 2024
Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun.
2024;15(1):6422. doi:10.1038/s41467-024-50547-y.
https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
In order to improve …
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Write your case
This form should only be used to submit … Do not
use this form to submit an article. … processed more quickly (but note the word limit for each
section of the submission form
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - Patient engagement in safety takes many forms: patients may report unique safety incidents, encourage … Patient engagement in safety takes many forms: patients may report unique safety incidents, encourage
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psnet.ahrq.gov/node/836927/psn-pdf
April 13, 2022 - problem-making-safety-ii-work-healthcare
The Safety-II framework uses a proactive approach to improving patient safety by learning form
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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/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/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Forms of AI that affect mineralocorticoid production can cause low blood pressure or orthostatic hypotension … Adrenal crisis can be precipitated by various forms of physiologic stress including gastrointestinal