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psnet.ahrq.gov/issue/next-step-learning-sentinel-events-healthcare
June 12, 2024 - October 18, 2023
Improving patient safety in the ICU by prospective identification of … February 14, 2017
Electromagnetic interference from radio frequency identification inducing
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - medication-reconciliation-pitfalls
The Commentary
This error involves a system failure in the proper identification … different from the corresponding trade-name products; in such
cases, expert review can facilitate proper identification … involving the pharmacist as a resource or using Web-based subscription resources for tablet/capsule
identification … A recently published report
showed that medication identification services can be effectively provided … The use of an automated interactive voice response system to manage
medication identification calls
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - To ensure proper patient identification, the hospital had implemented a policy requiring a registered … Strongest: All of the above, plus barcode-based, semi-automated patient identification and
specimen … of patient and specimen identification errors at 120 institutions. … Life after phlebotomy deployment: reducing major patient and specimen
identification errors. … Barcode-based, semi-automated patient identification and
specimen collection.
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - tools and RFID could significantly reduce the prevalence of lost specimens. 9 , 19 Radio frequency identification … Identification errors involving clinical laboratories: A College of American Pathologists Q-Probes study … of patient and specimen identification errors at 120 institutions. … Radio-frequency identification specimen tracking improve quality in anatomic pathology. … Related Resources
Machine learning models outperform manual result review for the identification
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psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
February 14, 2024 - June 23, 2010
Electromagnetic interference from radio frequency identification inducing … April 5, 2017
Improving patient safety in the ICU by prospective identification of missing
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psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
February 14, 2024 - February 14, 2024
Electromagnetic interference from radio frequency identification inducing … February 3, 2011
Improving patient safety in the ICU by prospective identification of
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psnet.ahrq.gov/issue/quality-and-safety-0
August 03, 2016 - March 9, 2016
Identification and Prevention of Common Adverse Drug Events in the Intensive … March 25, 2017
Nurses' behaviors and visual scanning patterns may reduce patient identification
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Earlier identification of such clinicians might allow for targeted interventions to address disruptive … strong organizational emphasis; Vanderbilt University has achieved notable success in this area through identification … communication protocols, may have the potential to reduce disruptive behaviors, or at least promote early identification
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - intra-abdominal infections. 5 , 6 To reduce the adverse effects of sepsis, research supports early identification … After a period of implementation, the innovation team found that in the case of early identification … Therefore, routing alerts to remote nurses would increase the likelihood of timely identification of … Eisenberg patient safety and quality awards: a model cell for transformational redesign of sepsis identification … Eisenberg patient safety and quality awards: a model cell for transformational redesign of sepsis identification
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - rather than "left cheek"—an error that resulted from ambiguity in the description and the patient's self-identification … There are myriad causes for confusion in surgical site identification, which include pathology office … The protocol involved both physician and patient (+/- family) participation in biopsy site identification … but the risk for wrong-site procedures—particularly during Mohs surgery—stems largely from incorrect identification … Small Surgery
August 26, 2020
A multistep approach to improving biopsy site identification
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psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
May 11, 2019 - April 22, 2015
Identification of common themes from never events data published by NHS … January 11, 2017
Surgical specimen identification errors: a new measure of quality in
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psnet.ahrq.gov/issue/motivation-patient-engagement-patient-safety-multi-perspective-explorative-survey
June 17, 2020 - March 19, 2019
Identification and interference of intraoperative distractions and interruptions … Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification
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psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
September 16, 2020 - June 3, 2020
Identification and characterization of failures in infectious agent transmission … August 21, 2015
Patient identification errors: the detective in the laboratory.
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psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
March 24, 2021 - March 24, 2021
Automated identification of antibiotic overdoses and adverse drug events … , 2023
Multifactorial interventions to reduce duration and variability in delays to identification
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psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
September 15, 2021 - September 28, 2010
Identification errors involving clinical laboratories: a College of … American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions
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psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
March 30, 2022 - , 2022
Multifactorial interventions to reduce duration and variability in delays to identification … August 5, 2020
An intervention to decrease patient identification band errors in a children's
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psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
August 11, 2021 - October 23, 2024
A multistep approach to improving biopsy site identification in dermatology … June 7, 2023
Identification of patient safety threats in a post-intensive care clinic
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psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
December 16, 2020 - July 6, 2022
Identification of common themes from never events data published by NHS … June 10, 2013
Surgical specimen identification errors: a new measure of quality in surgical
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - August 20, 2018
A multistep approach to improving biopsy site identification in dermatology … 2011
Developing and pilot testing practical measures of preanalytic surgical specimen identification
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psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - RIS
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Related Resources From the Same Author(s)
Identification … May 19, 2021
Identification of common themes from never events data published by NHS