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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860015/psn-pdf
    September 01, 2024 - Group I includes four (4) classes of surgical items that comprise a traditional “surgical count” performed … Group II includes dressings and drape towels, devices used during operations and procedures, and device … This group also includes multi-component implant systems. … In contrast to NQF, TJC opines that “after surgery” includes any time after completion of the wound skin
  2. psnet.ahrq.gov/primer/responding-patient-safety-events
    October 18, 2023 - Such communication includes key facts, results of the root cause analysis and other investigations into … highlights that disclosure is an ongoing process that starts with an initial conversation after an event and includes … Patients and families report that the content of disclosure that matters most to them includes an explanation
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44629/psn-pdf
    December 09, 2015 - The toolkit includes modules that focus on implementation, sustainability, and resources to help hospitals
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34602/psn-pdf
    February 17, 2009 - Discussion also includes the initial impact of the 2001 Joint Commission on Accreditation of Healthcare
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34722/psn-pdf
    April 07, 2011 - The authors developed a taxonomy of errors that includes administrative systems, laboratory and diagnostic
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34790/psn-pdf
    December 23, 2008 - Discussion includes detailed examples of each cognitive error type to better illustrate the results,
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44221/psn-pdf
    September 27, 2016 - This commentary describes a program to augment safety in ambulatory surgery centers, which includes
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - The program, which currently includes 19 participating institutions, focuses on identifying adverse
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43874/psn-pdf
    February 25, 2015 - overview-use-and-implementation-checklists-surgical-specialities-systematic- review This systematic review includes
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46005/psn-pdf
    July 11, 2018 - Eisenberg Patient Safety and Quality Awards, this issue includes an interview with Carolyn Clancy, MD
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43700/psn-pdf
    November 19, 2014 - various errors associated with using family and untrained interpreters when treating patients and includes
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42324/psn-pdf
    July 16, 2013 - This review reveals how teamwork and leadership behaviors can affect safety in maternity care and includes
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - Discussion includes the role of false assumptions, poor information handling in complex situations,
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44695/psn-pdf
    June 07, 2016 - where scanning a patient's wristband launches a presentation on the operating room monitor, which includes
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43574/psn-pdf
    October 08, 2014 - overlapping technological, organizational, and human factors associated with the use of smart pumps and includes
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34728/psn-pdf
    December 19, 2016 - This edition, published more than two decades after Forgive and Remember was first published, includes
  17. psnet.ahrq.gov/primer/national-patient-safety-goals
    January 16, 2025 - An NPSG in the hospital setting includes preventing surgical errors by ensuring that the right surgical … A nursing care center goal includes preventing falls in patients and nursing home residents by identifying … The goal additionally includes taking steps to prevent falls in these high-risk individuals.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60646/psn-pdf
    July 01, 2020 - The recommended approach includes six key characteristics: (1) leadership commitment; (2) policies,
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840171/psn-pdf
    November 16, 2022 - with the American Association of Critical Care Nursing (AACN) Synergy Model for Patient Care, which includes
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850344/psn-pdf
    June 14, 2023 - post-anesthesia care unit (PACU) implemented a voluntary incident reporting method, Green Cross (GC), that includes

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