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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
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psnet.ahrq.gov/node/74166/psn-pdf
March 14, 2022 - This guideline suggests
strategies to enhance medication safety at home that include focusing on health
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psnet.ahrq.gov/node/50641/psn-pdf
November 06, 2019 - The authors share six recommendations for improvement which include
redesign of the learning environment
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psnet.ahrq.gov/node/50387/psn-pdf
September 25, 2019 - Topics covered
include the role of the pharmacist in addressing opioid misuse, physician–pharmacist
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psnet.ahrq.gov/node/764410/psn-pdf
March 02, 2022 - This article shares five
strategies to enhance individual clinician diagnostic practices which include
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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
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psnet.ahrq.gov/node/47978/psn-pdf
May 01, 2019 - Topics covered include human error, blame, and responsibility.
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psnet.ahrq.gov/node/849138/psn-pdf
May 17, 2023 - Themes identified as contributing to the problems include lack of
information sharing, inconsistent
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psnet.ahrq.gov/node/47983/psn-pdf
May 01, 2019 - Tactics used to improve reliability include huddles, purposeful
redundancy, and leadership engagement
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psnet.ahrq.gov/node/50722/psn-pdf
December 04, 2019 - Topics covered include the
ineffectiveness of current measures and lack of leadership commitment to
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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
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psnet.ahrq.gov/node/855000/psn-pdf
November 01, 2023 - Topics discussed include team dynamics, operating room design, and high reliability.
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psnet.ahrq.gov/node/60553/psn-pdf
June 03, 2020 - Topics include threat
perception, leadership, individual and collective interests, science communication
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - intended to replace writing out, faxing, or calling in prescriptions, and its many proposed benefits include … Three prescription fields commonly requiring manual manipulation include medication name, quantity, and … Other recommendations include providing additional physician training and developing best practices to … care summaries at transitions of care as a requirement for meaningful use incentives should extend to include … In addition, the commentary does not include information regarding investigational or off-label use of
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - Other risks related to remote telemetry monitoring include the potential mesmerizing effect of viewing … Each hospital has standards of care, which include frequency of checking a
patient's vital signs or … Take-Home Points
Risks of remote telemetry monitoring include the mesmerizing effect of multiple monitor … Will monitor screens be provided on unit and/or will telemetry boxes
include waveforms? … Will monitor screens be provided on unit and/or will telemetry boxes
include waveforms?
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - The obstetric preoperative huddle and time-out checklist were rushed and probably did
not include review … Her risk factors
for VTE include pregnancy and obesity. … • Facilitating simulation sessions after updating the preoperative check list to include
pertinent … pre-incision time out checklists should be
implemented on all labor and delivery wards and should include … Topics should include drug name, dose
of medication, and timing of last administration of anticoagulation
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - cardiotoxic compared to lidocaine, for example, which has a
ratio of 7.3
Predisposing factors for LAST include … Patient characteristics
include age, low weight, pregnancy, or renal, hepatic or cardiac disease. … Drug factors include the drug
administered, dose administered, use of vasoconstrictors (e.g., epinephrine … There are also
notable differences to standard ACLS resuscitation protocols, which include reduced doses
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - In most cases with warfarin, patients are provided an identification card, which can
include the anticipated … duration of therapy and might be expanded to include DAPT. … pharmacist receives a new prescription for a medication like
clopidogrel, there is another opportunity to include … Medication reconciliation should be accomplished at each clinic or office visit and should include a
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - patients to wander while in an acute care hospital
From experience, common reasons patients wander include … beyond their assigned ward or unit without assistance place themselves at risk for complications that include … Publishing; 2002:Sec 27-62.
13
Reducing the Risk
Options for reducing the risk of patient wandering include … physical security measures that reduce the potential for elopement and reduce risk to patients
These might include
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Specific prophylactic approaches to reduce immunosuppression-related adverse effects include treatments … The most effective care transitions interventions span the entire transitional period and include elements … Common adverse effects with longer-term corticosteroid exposure include Cushingoid appearance, osteoporosis … The most common errors made in prescribing corticosteroids include issues with tapering, drug choice, … In addition, the commentary does not include information regarding investigational or off-label use of