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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - rates for complex admixtures (including PN) are 22%−37%
Several case reports of errors from failure to incorporate … high-alert medication requiring safety-focused policies, procedures, and systems
Institutions should incorporate
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psnet.ahrq.gov/node/74230/psn-pdf
January 12, 2022 - Learning from diagnostic errors to improve patient safety
when GPs work in or alongside emergency departments:
incorporating realist methodology into patient safety
incident report analysis.
January 12, 2022
Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety
when…
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psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - Commentary
Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety.
Citation Text:
Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Leaders at institutions considering implementing remote telemetry monitoring must incorporate perspectives … The Table outlines critical safety points to consider when deciding whether to incorporate remote telemetry … Critical Safety Points to Consider When Deciding Whether to Incorporate Remote Telemetry Monitoring.*
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psnet.ahrq.gov/node/33568/psn-pdf
June 15, 2024 - interventions and enforcing existing policies), failure to aggregate data across institutions, and
failure to incorporate
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - approaches to improving safety, such as the Comprehensive Unit-Based Safety Program , also explicitly incorporate
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - EHR systems should incorporate easily seen indicators and notifications when hemolysis is detected. … awareness of long QT syndrome:
Similar to alerts for patient allergies or device implants, EHRs should incorporate
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - The project can be implemented with existing discharge planning or nursing staff who can incorporate … The project can be implemented with existing discharge planning or nursing staff who can incorporate
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - That leads me almost directly into my next question, which is how the
Essentials incorporate safety … I would be curious to hear you
talk about how practice partners could engage academics and incorporate
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - An implementation resource that healthcare organizations can use to incorporate NPSGs into their daily
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - Protocols for tighter glucose control must incorporate adequate monitoring frequency to avoid hypoglycemia … efforts that focus on increasing use of medications and "tight control" of physiologic parameters must incorporate
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - Guidelines don't prioritize and they don't necessarily incorporate tacit
knowledge. … It fails to incorporate tacit knowledge.
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - For
example, incorporate renal function test results into the alert system so that alerts for nephrotoxic
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - and to
teach frontline staff how to explain to patients why their picture was being taken and how to incorporate
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness
https://psnet.ahrq.gov//#_edn4
also important to incorporate
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psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - Early studies have leveraged information technology to incorporate patients in medication reconciliation
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
Citation Text:
Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - and to teach frontline staff how to explain to patients why their picture was being taken and how to incorporate