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Total Results: 9,171 records

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847057/psn-pdf
    April 05, 2023 - Recommended areas of focus include reducing emphasis on the “Five Rights” to address system problems
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50874/psn-pdf
    February 05, 2020 - This report examines the use of the WHO Surgical Safety Checklist and barriers to its uptake which include
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764410/psn-pdf
    March 02, 2022 - This article shares five strategies to enhance individual clinician diagnostic practices which include
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47821/psn-pdf
    May 22, 2019 - Topics covered in the communications include look-alike and sound-alike drugs, patient safety audits
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849138/psn-pdf
    May 17, 2023 - Themes identified as contributing to the problems include lack of information sharing, inconsistent
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50722/psn-pdf
    December 04, 2019 - Topics covered include the ineffectiveness of current measures and lack of leadership commitment to
  7. psnet.ahrq.gov/web-mm/specimen-almost-lost
    September 21, 2022 - This may include when specimens come from unusual locations, rare tests are ordered, or special care … Other risk factors for specimen loss or misprocessing include reliance on individuals to do the right … should be considered, including those that may be costly, such as an overhaul of the EHR and LIS to include … accessioned manually, risks associated with human error remain.( 6 ) Less costly systems solutions include … specimen time outs, which can be embedded into surgical or clinical checklists.( 7 ) The time out may include
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72587/psn-pdf
    December 23, 2020 - physical movement of critically ill patients is fraught with potential safety risks.1-4 These risks include … This team communication should, for example, include specifically asking “What might go wrong and what … Transport teams should include personnel with expertise in preventing perturbations in physiological … This process should include consideration of any available bedside alternatives.  … These activities should be supported by clear institutional guidelines and/or protocols that include
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - 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 … safety culture, error prevention and recovery programs are well developed, updated regularly, and includeInclude simulation training in clinical education Simulation is an interactive educational tool that
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858325/psn-pdf
    December 13, 2023 - Improvement strategies discussed include patient education, practitioner coaching and interpreter services
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46105/psn-pdf
    May 01, 2022 - Elements discussed include error reduction, leadership engagement, and safe working environment..
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50782/psn-pdf
    January 08, 2020 - Lessons include (1) focusing on systems-level factors, (2) institutional and leadership commitment to
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Areas of focus for improvement include use of prescribing technology, and the double-check as an error
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40644/psn-pdf
    October 04, 2020 - Topics covered include speaking up, central line infection prevention, and business case development
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72585/psn-pdf
    December 16, 2020 - Barriers inherent to a universal testing strategy include operational challenges, patient testing volume
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841200/psn-pdf
    December 07, 2022 - It shares improvement recommendations that include best practice adherence, standardization, monitoring
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74248/psn-pdf
    January 12, 2022 - Problems identified include poor leadership and teamwork, as well as learning and cross- service collaboration
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72583/psn-pdf
    December 16, 2020 - Recommendations for safety include enhanced screening to ensure masks are safe for the exam environment
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843323/psn-pdf
    February 01, 2023 - Department of Health and Human Services Office of the Inspector General include heightened evaluation
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855002/psn-pdf
    November 01, 2023 - Recommendations for improvement include examining electronic health record alerts, assigning one prescriber

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