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psnet.ahrq.gov/node/39946/psn-pdf
October 20, 2023 - 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
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psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
October 26, 2022 - This article discusses factors that contribute to medication errors and smart pumps, which include out-of-date … Recommendations for improvement include the creation, testing, and updating of drug libraries.
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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
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How often do prescribers include
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psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
October 20, 2021 - User-related problems include opening of the staple line, misapplied staples, and staple gun difficulties … Recommendations include ensuring availability of various staple sizes and avoiding use of staples on
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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
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psnet.ahrq.gov/node/853610/psn-pdf
September 20, 2023 - Clinical approaches include customization of alert parameters to reduce
nonactionable alarms, while … engineering solutions include reducing the volume or adjusting the tone of
auditory alerts.
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psnet.ahrq.gov/node/73469/psn-pdf
July 07, 2021 - Benefits include humanization of the patient and improved patient
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psnet.ahrq.gov/node/848088/psn-pdf
April 26, 2023 - Safety recommendations include changes in medical education on how to handle
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-
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Adverse event (AE) investigations typically only include … Themes identified include: (1) patients and teams have specific safety responsibilities; (2)
proactive
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psnet.ahrq.gov/node/47776/psn-pdf
August 20, 2021 - Recommendations for patients who may
seek to have robotically assisted surgery include asking about … Suggestions for health care providers include completing specialized training on
procedures they perform
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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?
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psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
December 18, 2019 - Requiring a prescriber to include an indication for a medication can reduce the risk of wrong-patient … This review identified 21 studies describing interventions to encourage prescribers to include indications
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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
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psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care
August 12, 2019 - Recommendations for providers include the inclusion of patients as partners in decision making and … Recommendations for health care systems include implicit bias training and education to reduce judgment
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - Recommendations for patients who may seek to have robotically assisted surgery include asking about their … Suggestions for health care providers include completing specialized training on procedures they perform
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psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
October 25, 2023 - Clinical approaches include customization of alert parameters to reduce nonactionable alarms, while … engineering solutions include reducing the volume or adjusting the tone of auditory alerts.
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psnet.ahrq.gov/node/862154/psn-pdf
June 18, 2020 - Recommendations for providers include the inclusion of patients as
partners in decision making and spending … Recommendations for health care
systems include implicit bias training and education to reduce judgment
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Note that the target population does not include patients with OUD in medication-assisted treatment ( … STORM is one of several VHA overdose prevention initiatives that include the distribution of naloxone … Teams must include a facility lead and representation from the facility’s substance abuse disorder (SUD … Key features include the following:
Data that populates a clinical decision support tool that is … Case reviews are conducted by an interdisciplinary team and include follow-up to ensure a treatment plan
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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
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psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
May 01, 2019 - This study describes an expert panel process to delineate how to include the indication—the reason for … May 1, 2019
How often do prescribers include indications in drug orders?