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psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
December 02, 2020 - These include longer operative duration, impaired team performance, self-reported errors by colleagues
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psnet.ahrq.gov/issue/allergy-safety-events-healthcare-development-and-application-classification-schema-based
December 09, 2020 - Classification categories include: (1) incomplete or inaccurate EHR documentation, (2) human factors,
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psnet.ahrq.gov/issue/effectiveness-interruptive-prescribing-alerts-ambulatory-cpoe-change-prescriber-behaviour-and
February 02, 2022 - Recommendations for future research include randomized controlled trials to determine which alerts maximize
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psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
September 08, 2021 - Topics for future research should include the division of labor on home care shifts, the need for new
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psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
September 23, 2020 - released t he Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022, include
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psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - Flawed hospital discharge processes—which include lack of medication reconciliation , poor communication
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psnet.ahrq.gov/issue/developing-strategic-recommendations-implementing-smart-pumps-advanced-healthcare-systems
August 24, 2022 - Recommendations include standardization of infusion concentrations, improving drug libraries using
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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Factors influencing follow-up include physician-patient miscommunication , alert fatigue, difficulty
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psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
July 21, 2021 - Facilitators include improved staff capacity and good communication between hospital staff, community
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psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
July 20, 2022 - Common adverse events impacting this population include adverse drug events, delirium , malnutrition
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - Two promising interventions include employing liaison nurses working across multiple settings and structured
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psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
March 17, 2021 - Recommendations for future research include development and testing of interventions designed to reduce
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psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
August 24, 2022 - The most frequent contributory factors include absence of patient identity control, patient transfer,
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - safety issues; the authors suggest that patient safety in mental health services could be expanded to include
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psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
March 02, 2022 - Implementation outcomes include acceptability , adoption, appropriateness, implementation costs, feasibility
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psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
October 26, 2022 - The authors recommend that future research include both qualitative and quantitative methods.
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psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best
March 01, 2023 - Suggestions for improvement include use of kilograms as the standard unit of weight, pre-calculated
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Specific measures to reduce catheter-associated urinary tract infections (CAUTIs) include catheter checklists … clinicians who insert and care for patients with them.( 1,10 ) Routine IUC nursing care procedures include … The best practices include catheter insertion in a sterile fashion with aseptic technique; cleansing … They include dislodgement due to trauma, urethral erosion (traumatic hypospadias due to pressure necrosis … uses of IUCs include: Acute urinary retention/bladder outlet obstruction.
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - These authors found that reformatting axial CT scans to include coronal and sagittal images improved … scenario, of course, a false negative CT interpretation would result in a treatment plan that does not include … Acute concussion symptoms are often myriad, but include headache, diplopia, dizziness, nausea and emesis … Red flags to monitor for after concussion include worsening headache, new focal neurological deficits … repeat imaging in persistently symptomatic patients with risk factors for hemorrhagic expansion, which include
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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - The gaps highlighted include physician documentation of a follow-up plan and patients’ understanding