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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - continued interest and importance to AHRQ PSNet users and therefore was selected to be updated and included … Included in this notice is a request that the physician confirm receipt of the information and notify … Planning and Development Process
Key elements of the planning and development process included the … University researchers conducted an RCT comparing use of the protocols and a structured collaboration that included … Use opt-out approach: HomeMeds risk screening and problem resolution is important and should be included
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psnet.ahrq.gov/node/72815/psn-pdf
March 10, 2021 - interventions commonly used to support handoffs between the
operating room and intensive care units included
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psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
May 01, 2015 - Culture was inconsistent across the NHS and barriers to safety culture included competing priorities,
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psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
April 23, 2014 - The authors included 24 studies (14 randomized controlled trials) representing over 2,200 patients.
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psnet.ahrq.gov/node/60641/psn-pdf
July 01, 2020 - Situational and cultural triggers for incivility included
excessive workload, communication issues,
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - The strategy was developed after consultation with obstetric safety
experts and included teamwork... … Implementing a comprehensive safety program, which included teamwork training, additional staffing
and … The strategy was developed after consultation with obstetric safety
experts and included teamwork... … Implementing a comprehensive safety program, which included teamwork training, additional staffing
and
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Investigators compared a global measure of safety, which included pressure ulcers , venous thromboembolism
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psnet.ahrq.gov/node/39333/psn-pdf
May 04, 2010 - The patterns discovered included inappropriate responses
to objective characteristics of immigrant patients
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psnet.ahrq.gov/node/47648/psn-pdf
February 27, 2019 - The system
included two event reporting methods and five trigger tools.
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - continued interest and importance to AHRQ PSNet users and therefore was selected to be updated and included … Planning and Development Process
Key steps included the following:
Team formation: In April 2004 … The team included 33 emergency, anesthesiology, surgical, and critical care medical and nursing staff … Training included online education packages, simulated trauma cases, and real cases in which trainees
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psnet.ahrq.gov/node/40769/psn-pdf
March 21, 2012 - The guiding principles included a focus on events that were potentially preventable during
the continuum
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psnet.ahrq.gov/node/44400/psn-pdf
September 23, 2015 - Common issues included medication safety, handoffs, human factors,
and systems vulnerabilities, all
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psnet.ahrq.gov/node/34094/psn-pdf
September 27, 2017 - Investigators used a number of different strategies to capture device-
related events, which included
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - A 2017 meta-analysis included 97 studies comparing mortality between weekend and weekday admissions … , with most included studies defining weekend admissions as occurring between midnight on Friday and … A study conducted at four hospitals in the United Kingdom included multiple specific markers of patients
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Frontline staff should be included and consulted in the project planning process to ensure the intervention … Health system attending included: University of Washington; VA Puget Sound Health Care System; University … Frontline staff should be included and consulted in the project planning process to ensure the intervention
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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - This sociotechnical approach included checklists, care team education,
leadership engagement, communication
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - These included usability issues, such as poor information display, complicated screen
sequences and … Additional
safety hazards included data entry errors created by the use of copy-forward, copy-and-paste
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - factors were found to increase the likelihood of a provider recommending deprescribing to patients, included … Prescribing Opioids for Chronic Pain (hereafter referred to as the “CDC guideline”). 5 The CDC guideline included … Results from a recent study provided an additional assessment of a bundled intervention that included … Examples included the use of dose error reduction software (DERS) and integration of smart infusion pumps
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - cesarean delivery rates over 23.9%), participated in the CMQCC vaginal birth initiative. 7 The initiative included … Using certain strategies from past innovations, CMQCC’s multimodal initiative to support vaginal birth included … Where possible, the analysis included a review of data indicating the drivers for each hospital’s cesarean … That specifically included all of the actions above and engaging all of the organizations listed in “
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - Among others, the list included "Toprol-XL 75 mg po daily." … Of these errors, 45 events involved the patient's home medication.( 2 ) These events included omitted … In this case, the preoperative assessment should have included a review of home medication bottles along