-
psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Better preoperative screening would
have identified this patient as high-risk for complications given … vital signs and clinical examinations
during and after these procedures so that any problems can be identified … Patients who are identified as high risk for procedural
complications should have anesthesia staff present … Patients should be thoroughly screened for risk factors that may lead to complications and, if any are
identified … Risk factors, including prior opioid/benzodiazepine usage and comorbid conditions, should be clearly
identified
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psnet.ahrq.gov/node/50896/psn-pdf
February 12, 2020 - psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
Multiple organizations have identified
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psnet.ahrq.gov/node/73548/psn-pdf
July 27, 2021 - The effort examines de-identified error cases and shares collective assessments to
support improvement
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psnet.ahrq.gov/node/862614/psn-pdf
February 14, 2024 - This
scoping review including 38 articles identified 29 systemic issues faced by nursing homes, including
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psnet.ahrq.gov/node/856640/psn-pdf
November 29, 2023 - https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
Centralized de-identified reports
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psnet.ahrq.gov/node/38102/psn-pdf
April 15, 2019 - Communication problems were most frequently identified, and focusing on improving
communication during
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Disclaimer
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health Care … This particular innovation was identified by the Editorial Team as one of continued interest and importance … demonstrates that other than labeling mishaps resulting in repeat blood draws,
the system has not identified … while only one of ten patients reported to have near
misses (order placed in wrong chart but error identified … the wrong
electronic record, and that these mistakes are seldom corrected.3
Redoubling efforts at identified
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psnet.ahrq.gov/node/837309/psn-pdf
June 01, 2022 - In
this study, researchers identified seven publicly available patient safety databases that can be
-
psnet.ahrq.gov/node/846765/psn-pdf
March 29, 2023 - psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
Gaslighting has been identified
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psnet.ahrq.gov/node/73860/psn-pdf
September 22, 2021 - Fifty-four safety recommendations were identified, the majority of which were organizational factors
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psnet.ahrq.gov/node/60691/psn-pdf
July 15, 2020 - mixed-methods-systematic-review-interventions-address-incivility-nursing
This thematic review of interventions targeting incivility among nurses identified
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - Once inappropriate behavior is identified, it must then be reported to an individual or committee with … And once a physician is identified, walk us through what happens in your system. … There needs to be a written plan to define expectations for the high-risk physician, what the identified … Unfortunately, we now have many circumstances in which we've identified individuals at one institution … We believe that whenever variation is identified by whatever surveillance system, you apply the same
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psnet.ahrq.gov/node/47826/psn-pdf
March 27, 2019 - This review
summarizes the literature on ambulatory surgery outcomes and identified risk factors such
-
psnet.ahrq.gov/node/50763/psn-pdf
December 18, 2019 - An examination of the case records identified
breakdowns in care processes such as lack of training,
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psnet.ahrq.gov/node/72685/psn-pdf
January 27, 2021 - ://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
Human factors approaches have been identified
-
psnet.ahrq.gov/node/47791/psn-pdf
March 20, 2019 - The study team identified decision making, organizational learning, and frontline user engagement
(including
-
psnet.ahrq.gov/node/852795/psn-pdf
August 23, 2023 - Findings identified several positional hierarchical imbalances in perceived determinants of safety culture
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psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - of the patient
between primary care and community services if any necessary follow-on services were identified … resulting in positive
identification of patients who have experienced IPV, the total number of patients identified … to provide Universal Education about IPV to
patients, increase the number of patients screened and identified … Close relationships with community resources are
critical to support patients identified for behavioral
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psnet.ahrq.gov/node/74261/psn-pdf
January 19, 2022 - This
review identified 42 articles about healthcare professional implicit biases, including gender,
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psnet.ahrq.gov/node/837593/psn-pdf
June 29, 2022 - This
review identified four key priorities in increasing adverse event reporting: understanding and