-
psnet.ahrq.gov/node/47362/psn-pdf
January 27, 2019 - contribute to nuisance alarms, and successful reduction strategies such as
bundled approaches that include
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psnet.ahrq.gov/node/34816/psn-pdf
February 28, 2018 - They include a discussion of
limitations in their proposed model as well as recommendations for future
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psnet.ahrq.gov/node/43066/psn-pdf
December 10, 2014 - Tips for patients to avoid medication errors include
being familiar with how their medicines look and
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psnet.ahrq.gov/node/38068/psn-pdf
March 10, 2011 - prescribing seemed to reduce the risk of such
errors, the authors suggest that additional research include
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psnet.ahrq.gov/node/42993/psn-pdf
March 19, 2014 - These results
underscore the need to include error disclosure training in nursing education.
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psnet.ahrq.gov/node/41715/psn-pdf
October 03, 2017 - highlights the
problems of medical errors and poor quality care, and argues that meaningful solutions must include
-
psnet.ahrq.gov/node/34744/psn-pdf
January 07, 2019 - The editors also include content on how
to understand the effects of bias and adjust to prevent their
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Note that the target population does not include patients with
OUD in medication-assisted treatment … STORM is one of several VHA overdose prevention initiatives that include the distribution of naloxone … Key features include the following:
Data that populates a clinical decision support tool that is updated … Case reviews are conducted by an interdisciplinary team and include follow-up to ensure a treatment plan … Teams
must include a facility lead and representation from the facility’s substance abuse disorder (
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Typical errors include prescribing the wrong medication, route, dose, or frequency. … 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/getting-root-matter
September 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
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psnet.ahrq.gov/node/47738/psn-pdf
February 06, 2019 - Recommended approaches include avoidance of error-prone abbreviations, use
of Tall Man lettering, and
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psnet.ahrq.gov/node/35650/psn-pdf
June 25, 2010 - discuss strategies that hospitals might take to
improve their patients' perception of safety, which include
-
psnet.ahrq.gov/node/43109/psn-pdf
December 10, 2014 - The authors summarize the results of this initiative, which include reduced rates
of certain hospital-acquired
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psnet.ahrq.gov/node/45062/psn-pdf
May 18, 2016 - Sections
include guidelines, clinical decision support, electronic prescribing, and prescription drug
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psnet.ahrq.gov/node/45253/psn-pdf
October 03, 2017 - Although error disclosure is increasingly encouraged in health care, challenges to achieving transparency
include
-
psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Strategies include applying human factors engineering concepts to alert
triggers and designing spaces
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psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - The authors include examples of how checklists can improve adoption of best practices and
discuss the
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psnet.ahrq.gov/node/34808/psn-pdf
February 18, 2011 - Results include the specific complications from surgical misadventures and the associated cost
estimations
-
psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - Topics
covered include foundations to the specialty, quality improvement, patient and family partnerships
-
psnet.ahrq.gov/node/60217/psn-pdf
January 01, 2012 - Initiatives include the Confidential Enquiries into Maternal and Infant Deaths program which produces