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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/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/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/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/860383/psn-pdf
January 10, 2024 - Interventions include ensuring staff receive competitive compensation, work to the top of their license
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psnet.ahrq.gov/node/847726/psn-pdf
January 01, 2024 - The authors include recommendations for clinicians, educators and
researchers for teaching, implementing
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psnet.ahrq.gov/node/866285/psn-pdf
October 30, 2023 - Specific areas of
emphasis related to patient safety include the development of an AI safety program
-
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/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
-
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
-
psnet.ahrq.gov/node/46105/psn-pdf
May 01, 2022 - Elements discussed include error reduction, leadership engagement, and safe working environment..
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psnet.ahrq.gov/node/72585/psn-pdf
December 16, 2020 - Barriers
inherent to a universal testing strategy include operational challenges, patient testing volume