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psnet.ahrq.gov/node/60558/psn-pdf
June 03, 2020 - personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness … https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
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psnet.ahrq.gov/node/849615/psn-pdf
May 31, 2023 - issue/clinical-investigation-booking-systems-failures-written-communications-
community-languages
Gaps … psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
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psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews
September 11, 2018 - Book/Report
Understanding the knowledge gaps in whistleblowing and speaking up in … Citation Text:
Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative … Cite
Citation
Citation Text:
Understanding the knowledge gaps
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - Study
Laboratory medicine handoff gaps experienced by primary care practices: a report … Laboratory medicine handoff gaps experienced by primary care practices: A report from the shared networks … Laboratory medicine handoff gaps experienced by primary care practices: A report from the shared networks
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psnet.ahrq.gov/node/837705/psn-pdf
July 20, 2022 - hazards for medication-
related harm during care transitions, including complex dosing, knowledge gaps … , errors in discharge
medications and gaps in access to care.
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psnet.ahrq.gov/node/46979/psn-pdf
January 01, 2021 - This study sought to use a
consensus approach to develop standard measures for tracking safety gaps … The investigators identified nine measures suitable for
tracking two high-priority safety gaps: notifying
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psnet.ahrq.gov/node/865339/psn-pdf
March 27, 2024 - This study describes the gaps between infection
control work-as-imagined and work-as-done in nursing … Gaps included instructions for personal protective equipment created for hospitals that were not
practical
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psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
October 07, 2020 - This report discusses gaps in the British National Health Service patient safety culture. … About The Topic
Hospitals
Ambulatory Clinic or Office
Public Health
Discontinuities, Gaps
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - engineering Lean expert with doctoral training. 3 The teams evaluated their workflows, identified gaps … The organization will remedy the gaps identified in the analysis with targeted interventions. … The CQI approach monitors the training of personnel, reviews performance, identifies gaps, creates ways … to remediate gaps, implements, and evaluates remediation measures, and remeasures performance after … If the spot checks find there are reoccurring gaps, an innovator may want to consider going back to a
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psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
October 09, 2024 - This commentary describes the development and testing of a checklist designed to address those gaps … Intensive Care Units
Health Care Executives and Administrators
Critical Care
Discontinuities, Gaps
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - The original study found
that gaps in data represented the biggest challenge to compliance because clinical … Some of the data literacy gaps
that the Innovation Team noticed were related to staff understanding … These gaps kept bundle compliance
levels lower than preferred. … Targeted gaps included the quantity of data collected, missing data, lack of clinical decision
support … These conversations should review the
performance metrics data, address gaps, and discuss applicable
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psnet.ahrq.gov/issue/potential-safety-gaps-order-entry-and-automated-drug-alerts-nationwide-survey-va-physician
March 10, 2011 - Study
Potential safety gaps in order entry and automated drug alerts: a nationwide … Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported … Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported
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psnet.ahrq.gov/issue/saying-goodbye
September 11, 2019 - Handoffs can result in miscommunications and gaps in continuity , which can have adverse consequences … See More About The Topic
Hospitals
Health Care Providers
Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/node/34844/psn-pdf
February 24, 2011 - psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
This study describes communication gaps … The gaps highlighted include physician documentation of a follow-up plan and
patients’ understanding
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psnet.ahrq.gov/issue/understanding-hazards-adverse-drug-events-among-older-adults-after-hospital-discharge
September 21, 2022 - multifactorial hazards for medication-related harm during care transitions, including complex dosing, knowledge gaps … , errors in discharge medications and gaps in access to care.
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psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
August 03, 2022 - This study describes the gaps between infection control work-as-imagined and work-as-done in nursing … Gaps included instructions for personal protective equipment created for hospitals that were not practical
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psnet.ahrq.gov/node/60314/psn-pdf
May 13, 2020 - high-fidelity-simulation-and-safety-integrative-review
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness … https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - but potentially just as important for the
patient's outcome: how unanticipated or underappreciated gaps … In this case, a fragmented system for central line management hampered by gaps in
https://psnet.ahrq.gov … Because the gaps are continuously changing, static solutions are unlikely to be effective. … Take-Home Points
Strategies for reducing gaps in central line safety identified in this case include … Gaps and resilience. In: Bogner MS, ed. Human Error
in Medicine. 2nd edition.
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psnet.ahrq.gov/node/855438/psn-pdf
November 15, 2023 - practice
Intravenous (IV) push medication administration is a primary therapeutic approach where process gaps
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psnet.ahrq.gov/node/47831/psn-pdf
May 08, 2019 - Gaps remain in use of antimicrobial devices across all three of these infection types. … that, although implementation of evidence-based infection practices are improving over time, some gaps