-
psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
June 13, 2015 - June 13, 2015
Improvement in detection of wrong-patient errors when radiologists include … September 24, 2016
Improvement in detection of wrong-patient errors when radiologists include
-
psnet.ahrq.gov/node/837607/psn-pdf
June 29, 2022 - This website provides access to tools supporting use of the Common
Formats that include forms and a
-
psnet.ahrq.gov/node/72651/psn-pdf
January 20, 2021 - The author reviews weaknesses of this approach which include a lack of emphasis on state-
level analysis
-
psnet.ahrq.gov/node/60186/psn-pdf
April 01, 2020 - These recommendations include developing a culture of safety,
improving the quality of clinical records
-
psnet.ahrq.gov/node/836999/psn-pdf
April 27, 2022 - Sections of the kit include items such an action plan
template, implementation playbook, and team interaction
-
psnet.ahrq.gov/node/50709/psn-pdf
December 04, 2019 - Strategies include automated
cognition, team performance sensor-based measurement systems and computer
-
psnet.ahrq.gov/node/48055/psn-pdf
June 26, 2019 - Strategies
include disposal recommendations, tapering, and coprescribing of naloxone.
-
psnet.ahrq.gov/node/47766/psn-pdf
March 27, 2019 - Recommended steps for leadership to successfully implement safe pain
management include obtaining commitment
-
psnet.ahrq.gov/node/60669/psn-pdf
July 08, 2020 - The authors suggest that
prelicensure training include reinforcement of systems thinking principles
-
psnet.ahrq.gov/node/849613/psn-pdf
May 31, 2023 - Recommendations to minimize
similar occurrences include removing the involved device from service and
-
psnet.ahrq.gov/node/837744/psn-pdf
July 27, 2022 - Recommendations to mitigate the potential for similar errors include risk assessment, hard stop use,
-
psnet.ahrq.gov/node/61054/psn-pdf
October 21, 2020 - These actions include proactive determination of metrics and a process for tracking
activities, use
-
psnet.ahrq.gov/node/73147/psn-pdf
April 14, 2021 - This
news story discusses a patient’s experience with common contributors to delay that include Insufficient
-
psnet.ahrq.gov/node/72559/psn-pdf
December 09, 2020 - The 12 recommendations stemming from the investigation include
improvements in disclosure support, clinician
-
psnet.ahrq.gov/node/50761/psn-pdf
December 18, 2019 - Initial insights
discussed include the lack of a safety culture at the Trust Hospital facilitating the
-
psnet.ahrq.gov/node/48043/psn-pdf
October 01, 2023 - Investigation areas include medication delivery for older patients and safe
maternity care.
-
psnet.ahrq.gov/node/60020/psn-pdf
March 04, 2020 - Next steps for platform development and implementation
include creating capability for personalized
-
psnet.ahrq.gov/node/50785/psn-pdf
January 08, 2020 - The
recommendations include engaging patients as stakeholders, adopting an integrated view of the health
-
psnet.ahrq.gov/node/72711/psn-pdf
February 03, 2021 - Recommendations include revision of the NHS never events list,
identification of strong and systemic
-
psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - that leads to
the majority of serious or fatal vascular outcomes worldwide.3 Anti-thrombotic agents include … Examples of specific indications include: VTE treatment vs atrial
fibrillation treatment, using warfarin … .15
Prescriptions sent to retail pharmacies from hospitals at discharge or physician’s offices can include … Instead, current recommendations for
patients with acute arterial occlusion include use of intravenous … limited stock.28 Delivery of bedside discharge education should be
free of distractions and should include