-
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/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/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/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/49483/psn-pdf
June 01, 2005 - Pertinent
facts include (i) a verbal direction was given by the fellow to the resident to order vasopressin … For a case such as this, other members of the team
should include an ICU physician, as well as representatives … The process could include
complete medication reconciliation and review at patient entry and exit into … doses by the
team should happen every morning (perhaps twice daily in an ICU) on rounds and should include … In addition, smart systems could include admitting
diagnoses and, by combining that with patient location
-
psnet.ahrq.gov/node/46349/psn-pdf
August 16, 2017 - Materials include
health literacy assessments and guidance for prescription medicine instructions.
-
psnet.ahrq.gov/node/34773/psn-pdf
March 08, 2017 - Topics covered include a student’s experience with error, individual response
to making a mistake, and
-
psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - Areas of focus include change management and best practices.
-
psnet.ahrq.gov/node/47289/psn-pdf
October 24, 2018 - Recommendations include conducting operational assessments, establishing a drug shortage team, and
communicating
-
psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Recommendations include involving the patient in
reconciliation and clarifying which provider is responsible