-
psnet.ahrq.gov/node/866324/psn-pdf
July 17, 2024 - The
areas of focus include organizational culture, leadership, patient/family engagement, workforce
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psnet.ahrq.gov/node/852806/psn-pdf
February 24, 2025 - Series contributions include
discussions on medical error statistics, systemic failures in addressing
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - consult preference cards that serve as a guide to prepare for surgery, and those preference cards
include … Additional issues with preparing medications in the
operating room include the frequent need to remove … institution, when new
pharmacy personnel are hired, they are assigned online learning modules that include … Such changes can include implementing recommended safety features into the surgical area such
as barcode … That machine did not include the diluent (D5W) that would be needed for
that operation, despite the
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - required medications if needed, either through reconstitution or compounding. 6 The standardized steps include … Additional issues with preparing medications in the operating room include the frequent need to remove … institution, when new pharmacy personnel are hired, they are assigned online learning modules that include … Such changes can include implementing recommended safety features into the surgical area such as barcode … That machine did not include the diluent (D5W) that would be needed for that operation, despite the fact
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Typical errors include prescribing the wrong
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors … involved potentially inappropriate medications as indicated by the Beers Criteria.2
Contributing factors include … Root causes can include breakdowns in communication, patient and
caregiver education, and accountability … Risk factors
for unsuccessful handoffs include conflicting expectations between sender and receiver, … evidence-based strategies that healthcare providers can employ for engaging patients
and caregivers include
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - risk of mistakes. 4 Preventing medication errors in anesthesia demands a concerted effort that may include … designed around ease of use, speed of use and functionality, standardization, technical support to include … Ensuring a safety culture starts from the time a provider joins the department and should include education … strong safety culture, error prevention and recovery programs are well developed, updated regularly, and include … Include simulation training in clinical education Simulation is an interactive educational tool that
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - Instrumentation (AMMI), the same body setting the standards for dialysis unit water.( 8 ) Reuse standards include … The quality indicators include identification of medical injuries and medical errors. … Increasingly, the dialysis unit medical director's responsibilities include leading the center's quality … In addition, the commentary does not include information regarding investigational or off-label use of … Centers for Medicare & Medicaid Services (CMS)
Conditions of coverage include specific quality indicators
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psnet.ahrq.gov/node/851927/psn-pdf
August 02, 2023 - Topics covered include information accuracy, teamwork science, and artificial intelligence.
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psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - This alert highlights safety considerations with an oral antiretroviral COVID treatment that include
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psnet.ahrq.gov/node/72713/psn-pdf
February 03, 2021 - psnet.ahrq.gov/issue/empowered-patient-coalition
https://psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
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psnet.ahrq.gov/node/61052/psn-pdf
April 01, 2019 - Safety recommendations include medication safety training, standardized administration
processes, and
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psnet.ahrq.gov/node/840494/psn-pdf
November 30, 2022 - Important
steps discussed include assessment, analysis, planning, and implementation.
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psnet.ahrq.gov/node/74708/psn-pdf
January 26, 2022 - This article series
examines factors contributing to hospital-acquired COVID-19 infection that include
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - Areas of influence discussed include medication history completeness
and health information technology
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psnet.ahrq.gov/node/73572/psn-pdf
August 04, 2021 - The goals of the program include a focus on behavioral health
interventions and measurement.
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psnet.ahrq.gov/node/72863/psn-pdf
March 17, 2021 - This article highlights
a set of tactics for patients to enhance the safety of their care that include
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Topics covered include evaluation priorities, safe patient handling and
diagnostic safety.
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psnet.ahrq.gov/node/853443/psn-pdf
September 13, 2023 - Topics examined include human factors, implant placement and methodologic
bias.
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - Recommendations include that patients know the
reason they are taking each medication, speak up if any
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psnet.ahrq.gov/node/860386/psn-pdf
January 10, 2024 - Descriptions include knowing what has happened; learning from
the factual; learning from experience;