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psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
November 17, 2021 - July 21, 2021
Using failure mode and effects analysis to increase patient safety in cancer … March 8, 2023
Using failure mode and effects analysis to increase patient safety in cancer
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psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
June 29, 2022 - June 29, 2022
Improving safety in the operating room: medication icon labels increase … June 1, 2022
Validation of a teamwork perceptions measure to increase patient safety.
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - Advanced age along with multiple medical conditions or medications can increase the risk for a bone fracture … Additionally, changes in hearing, vision, and reflexes can increase the risk of falls in older adults … prevent falls is controversial, especially if they are used as a restraint (all 4 up), as they can increase … Conditions such as osteoporosis and medications that increase bone mineral loss (e.g., glucocorticoids … ) increase the risk of fractures.
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - examples illustrate, the interaction between workers,
the equipment, and their environment can actually increase … Workarounds frequently arise because of flawed or poorly designed
systems that actually increase the … human factors engineering is that equipment and processes should be standardized whenever
possible to increase
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psnet.ahrq.gov/issue/first-do-no-harm-improving-health-quality-and-patient-safety
September 28, 2010 - October 13, 2018
Examining the Increase in Drug Shortages. … September 6, 2016
Examining the Increase in Drug Shortages.
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psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
December 23, 2012 - November 6, 2019
Examining the Increase in Drug Shortages. … September 6, 2016
Examining the Increase in Drug Shortages.
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Effective communication is critical to patient safety and has been shown to improve health outcomes and increase … These transitions increase risk of adverse events or missed patient care by opening up opportunities … in 2023 identified and built on the following established communication strategies to reduce risks, increase … with local healthcare services before discharge, and nurse follow-up after discharge as strategies to increase … can help facilitate better communication in challenging scenarios, reduce patient safety risks, and increase
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Effective communication is critical to patient safety and has been shown to improve health
outcomes and increase … These transitions increase risk of adverse events or missed patient care by
opening up opportunities … in 2023 identified and built on the
following established communication strategies to reduce risks, increase … with local healthcare services before
discharge, and nurse follow-up after discharge as strategies to increase … can help facilitate better communication in challenging scenarios, reduce
patient safety risks, and increase
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Using technology to digitize healthcare processes has the potential to increase standardization and … However, if
technological approaches are designed or implemented poorly, the burden on clinicians can increase … Poorly designed systems that do not fit
into existing workflows lead to frustrated users and increase … Based on the feedback from users, the authors proposed some changes to increase uptake,
but both users … This will increase the frequency of appropriate alerts that foster
indicated clinical action and reduce
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - November 10, 2021
Examining the Increase in Drug Shortages. … September 6, 2016
Examining the Increase in Drug Shortages.
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psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
June 17, 2015 - August 29, 2018
Operating at night does not increase the risk of intraoperative adverse … events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - N-Acetylcysteine produced a relative risk of 0.1 in the incidence of CN (defined as increase
of 0.5 … The incidence of CN (defined as a 25% increase in serum creatinine within 2 days of
exposure) was 1.7% … 0.5 mg/dL
increase in serum creatinine). … However, severe or repeated episodes of acute kidney injury may increase the risk of
progressive chronic … Medications – Stop drugs that may increase contrast nephrotoxicity: diuretics and non-steroidal agents
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Several patient characteristics may increase the chance of misidentification. … not always be present to assist in
this process.(6) Communication difficulties caused by dementia increase … Environmental factors may also increase the likelihood of patient misidentification. … Certain patient factors such as young age or impaired sensorium increase the likelihood of
misidentification … Language barriers may lead to misidentification and increase the likelihood of adverse events.
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psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
February 10, 2021 - Equity in Patient Safety
March 27, 2024
Interventions to increase … August 17, 2022
Process failures that increase the risk of infection through respiratory
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psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
May 05, 2021 - April 7, 2022
Improving communication and response to clinical deterioration to increase … May 31, 2023
Improving communication and response to clinical deterioration to increase
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psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient
December 01, 2021 - October 20, 2021
Improving communication and response to clinical deterioration to increase … November 16, 2022
Improving communication and response to clinical deterioration to increase
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psnet.ahrq.gov/node/42325/psn-pdf
March 02, 2023 - hospital-discharge-and-readmission
This review examines hospital discharge, details elements of the process that can increase
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psnet.ahrq.gov/node/50771/psn-pdf
May 29, 2024 - help primary care practices
implement improvement actions to reduce the complexity of health care, increase
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - Centers for Disease Control
and Prevention, millions of older people fall each year, and fall rates increase … muscle weakness, dizziness, and other symptoms that increase fall risk. … It can lead to fear of falling and decreased mobility,
and these symptoms further increase the risk … Sarah Mossburg: You mentioned that falling can increase an individual’s fear of falling again. … When it came to drugs that increase fall risk, providers valued the information and liked the decision
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - healthcare teams to share information, review their performance, proactively flag safety concerns, increase … hygiene, unrecognized clinical deterioration , serious safety events, and near misses . 2,3 Huddles increase … Examples include patients who may be on medications that could increase their risk of falls or bleeding … Huddles are recommended as a teambuilding tool in TeamSTEPPS to increase situational awareness-- the