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  1. psnet.ahrq.gov/issue/how-often-do-prescribers-include-indications-drug-orders-analysis-4-million-outpatient
    May 01, 2019 - Study How often do prescribers include indications in drug orders? … How often do prescribers include indications in drug orders? … Medication safety experts have advocated that prescribers include indications on prescription labels … How often do prescribers include indications in drug orders?
  2. psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
    March 15, 2022 - Recommendations to mitigate the potential for similar errors include risk assessment, hard stop use … July 29, 2020 How often do prescribers include indications in drug orders?
  3. psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
    July 02, 2019 - Reported challenges that require future attention include e-renewals and mail-order pharmacy connectivity … 13, 2023 View More Related Resources How often do prescribers include
  4. psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
    August 25, 2021 - Benefits include humanization of the patient and improved patient safety; barriers include provider
  5. psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
    August 04, 2021 - Recommendation highlights include a renewed focus on history-taking and physician examination, as discussed … May 1, 2019 How often do prescribers include indications in drug orders?
  6. psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
    June 01, 2016 - The materials include information on collaborative projects led by the Duke Patient Safety Center and … Current areas of emphasis include building resilience and joy in practice .
  7. psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events
    November 24, 2021 - Adverse event (AE) investigations typically only include organizational or regulatory professionals … Themes identified include: (1) patients and teams have specific safety responsibilities; (2) proactive
  8. psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
    September 26, 2016 - The achievements noted in the 2022-2023 data review include reduction both fall and blood- or blood-product … Areas of focus for improvement work reported on include health equity , workforce wellbeing, and maternal
  9. psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
    February 01, 2004 - These LUTS include those that this patient experienced: slowly progressive urinary frequency, nocturia … ( storage symptoms , which can also include urgency), and difficulty in starting the urinary stream … ( voiding symptoms, which can also include a weak stream, intermittency, and incomplete emptying).( … More serious complications of BPH include acute urinary retention and, in the case under discussion, … older man with lower urinary tract symptoms suspected to be due to benign prostatic hyperplasia should include
  10. psnet.ahrq.gov/issue/advancing-health-care-safety-all
    July 19, 2024 - The elements include promoting transparency , supporting safe cultures through partnership, and encouraging
  11. psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
    December 23, 2020 - inpatient setting. 6 Hospital-based prescriber working conditions associated with prescribing errors include … affected by a medication error in some form. 8 Risk factors for medication errors in pediatric patients include … This could include additional electronic health record (EHR) alerts to the pharmacist and/or physician … For example, intravenous fluid order sets should be standardized to include a uniform bag size of 250 … Examples of tools in the toolkit include: the daily Safety Huddles Tool, 22 weekly Patient Safety Leadership
  12. psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital
    January 20, 2021 - for patients and families to build relationships and enable partnerships to help ensure safe care include
  13. psnet.ahrq.gov/primer/medication-administration-errors
    December 15, 2024 - Therefore, four additional “rights” were proposed to include right documentation, action/reason, form … System-related causes of medication administration errors may include inadequate training, distractors … Contributing factors to patient and caregiver error include low health literacy , poor provider–patient … Independent double checks should include “walking” or tracing the infusion lines from the infusion pump … Challenges include keeping DERS in the smart pump aligned with most current hospital practice, ensuring
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49853/psn-pdf
    February 01, 2019 - These include communication breakdowns, lack of assessment of patient pre- and post-intrahospital transfer … During the intrahospital transfer, the checklist may include checking and recording the patient's vital … After the intrahospital transfer, the checklist may include reassessment of patient condition, a reminder … it occurs across professions and support staff within a setting.(10) Barriers to speaking up might include … health care teams is often unclear.(11) Improving safety climate among all health care providers might include
  15. psnet.ahrq.gov/perspective/patient-safety-primary-care
    January 31, 2020 - The examples highlighted in 2019 and in this essay include: Inappropriate and overprescribing … These include surveillance approaches, such as automated phone calls, that target patients prescribed … Comprehensive care transformation efforts, such as patient-centered medical homes , that include care … coordination embedded within their framework and may even include financial incentives. … Other initiatives practices may consider include interactive educational webinars, provider coaching,
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Therefore, four additional “rights” were proposed to include right documentation, action/reason, form … System-related causes of medication administration errors may include inadequate training, distractors … Contributing factors to patient and caregiver error include low health literacy, poor provider–patient … Independent double checks should include “walking” or tracing the infusion lines from the infusion pump … High Tech Solutions High-tech solutions commonly implemented within health systems include: barcode
  17. psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - Examples include ingested batteries, dentures, safety pins, screws and other sharp objects, inserted … Surgical sponges include but are not limited to laparotomy pads (18”x18”), mini laps (12”x12”), baby … Sharps Metallic, pointed or cutting objects of various sizes that include but are not limited to suture … Examples include, but are not limited to clamps, needle holders, multi-component retractors, malleable … Devices include items such as staplers, drains, catheter insertion sets, needle localization sets, vessel
  18. psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - Updates include expanded use by other organizations, expanded description of the innovation, additional … The eight risk factors for readmission (8Ps) include (1) problems with medications, (2) psychological … These include general clinical conditions since discharge, medication reconciliation, and follow-up plans … At a minimum, these rounds should include members of the immediate care team (e.g., physicians, bedside … Selected elements of the planning and development process described by the guide include the following
  19. psnet.ahrq.gov/issue/aorn-position-statement-patient-safety
    May 20, 2020 - Elements discussed include error reduction, leadership engagement, and safe working environment ..
  20. psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
    June 16, 2019 - Areas of focus include leadership, medication safety expertise, change management, research and education

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