-
psnet.ahrq.gov/node/42506/psn-pdf
August 28, 2013 - Broadly,
these triggers include team characteristics, procedural training, equipment management, and
-
psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - Strategies include training to help clinicians recognize fatigue-related
cognitive and performance decline
-
psnet.ahrq.gov/node/46746/psn-pdf
March 07, 2018 - Recommendations to reduce risks include team
assessment of barcode scanning processes, communicating
-
psnet.ahrq.gov/node/42555/psn-pdf
January 15, 2014 - Article topics include action learning and simulation
as patient safety education methods and developing
-
psnet.ahrq.gov/node/40980/psn-pdf
December 31, 2014 - Reported challenges that require future attention include e-renewals and mail-order pharmacy
connectivity
-
psnet.ahrq.gov/node/43394/psn-pdf
July 30, 2014 - Recommendations to reduce the potential for errors include ensuring labels
conform to FDA labeling practices
-
psnet.ahrq.gov/node/46659/psn-pdf
December 06, 2017 - Topics covered include the need for improvements in documentation and the radiologist's role in reducing
-
psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - Strategies highlighted include development of organization-specific lists to guide practice
and use
-
psnet.ahrq.gov/node/47112/psn-pdf
May 09, 2018 - Tactics include considering a second opinion, bringing
an up-to-date medication list, and repeating
-
psnet.ahrq.gov/node/39676/psn-pdf
February 01, 2011 - The
authors report that successful programs include at least one of the following tactics: educational
-
psnet.ahrq.gov/node/41296/psn-pdf
April 11, 2012 - Elements include: illness severity, patient information, action list, situational awareness and
contingency
-
psnet.ahrq.gov/node/43720/psn-pdf
November 26, 2014 - The potential causes
of the mistake include laboratory sample confusion and misinterpretation of biopsy
-
psnet.ahrq.gov/node/37759/psn-pdf
April 07, 2010 - majority of adverse events around
interhospital transfers, and targeted prevention strategies should include
-
psnet.ahrq.gov/node/42984/psn-pdf
February 26, 2014 - Suggested interventions include disclosure training and implementing a just culture.
-
psnet.ahrq.gov/node/42907/psn-pdf
August 02, 2015 - Highlighted efforts include the National Surgical Quality Improvement Program, the WHO surgical safety
-
psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - 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
-
psnet.ahrq.gov/node/49526/psn-pdf
December 01, 2006 - psychiatric outpatient and 15% and 20% of psychiatric
inpatient populations.(5) Common comorbidities include … patients with BPD is between 8% and
10%.(9,10) Risk factors for suicidal behavior in patients with BPD include … Note: do not include suicidal or self-mutilating
behavior covered in Criterion 5. … Note: do not include suicidal or self-mutilating behavior covered in
Criterion 5.
5.
-
psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - structured approach to error detection and
prevention.(5-10) The key steps in pathology laboratory workflow include … Latent errors also
include insufficiently redundant system checks, and failures in preanalytic (e.g. … Active errors include heuristic biases related to diagnostic decision making and ancillary test
ordering … Strategies to promote these
behaviors include training in and standardization of pathologist–clinician
-
psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - Common complications of chest tube placement include malpositioning (the most common complication), … Factors contributing to the error in this case include lack of clear guidelines on chest tube removal … Common complications of chest tube placement are malpositioning and empyema; more unusual
complications include … Possible strategies to prevent chest tube complications include checklists for removal,
multidisciplinary
-
psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - In cases of
trauma, the most serious diagnoses that should be considered and excluded include ruptured … In atraumatic cases, the most common serious diagnoses that should be considered
include acute angle … Findings include distortion of the architecture, flattening of the globe,
and vitreous hemorrhage (bleeding … When in doubt, radiographic testing (which may include CT scanning, MRI
scanning, and/or ocular ultrasound