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psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
July 29, 2020 - Study
Medication reconciliation accuracy and patient understanding of intended medication … Medication reconciliation accuracy and patient understanding of intended medication changes on hospital … Medication reconciliation accuracy and patient understanding of intended medication changes on hospital
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psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
June 02, 2021 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended … Citation Text:
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended … Citation Text:
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill
August 05, 2020 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended … Citation Text:
Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended … Citation Text:
Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended
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psnet.ahrq.gov/node/74111/psn-pdf
November 24, 2021 - Impact of the WHO Surgical Safety Checklist relative to its
design and intended use: a systematic review … Impact of the WHO Surgical Safety Checklist relative to its design and
intended use: a systematic review … https://psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use … operating room
https://psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review … https://psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review
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psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute … Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
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psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review
March 17, 2021 - Review
Impact of the WHO Surgical Safety Checklist relative to its design and intended … Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review … Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review
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psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
July 24, 2013 - Review
Emerging Classic
Workarounds to intended use of … Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors … Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors
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psnet.ahrq.gov/node/47007/psn-pdf
May 02, 2018 - Workarounds to intended use of health information
technology: a narrative review of the human factors … Workarounds to Intended Use of Health Information Technology: A Narrative Review of the
Human Factors … https://psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review- … https://psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors … https://psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
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psnet.ahrq.gov/node/43416/psn-pdf
August 13, 2014 - Compliance with a time-out procedure intended to
prevent wrong surgery in hospitals: results of a national … Compliance with a time-out procedure intended to prevent wrong
surgery in hospitals: results of a national … https://psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals- … https://psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national … https://psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient … The intended and unintended consequences of communication systems on
general internal medicine inpatient … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-
internal-medicine … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
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psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital … Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital … https://psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended- … https://psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes … https://psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
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psnet.ahrq.gov/node/41450/psn-pdf
May 30, 2012 - Hospira Carpuject pre-filled cartridges—drug alert:
products may contain more than the intended fill … psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-
intended-fill … //psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill … //psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill
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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - Intended and unintended effects of large-scale adverse
event disclosure: a controlled before-after analysis … Intended and unintended effects of large-scale adverse event
disclosure: a controlled before-after analysis … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-
controlled-after … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - Safety considerations to mitigate the risks of
misconnections with small-bore connectors intended for … ://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-
intended-enteral … https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral … https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - The transport clinician intended to administer rocuronium (a neuromuscular
blocking agent) to treat … In this instance, the intended medication was rocuronium, which is considered a high alert medication … The tagged items are arranged together as intended for the final kit. … The kit bag itself contains an RFID tag
identifying the intended contents of the kit. … Random audits of completed kits may be added to ensure that kits are prepared as intended.
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - The program has significantly reduced cases in which patients receive or almost receive care intended … pre- and post-implementation comparisons of the number of patients receiving or nearly receiving care intended … Incorrect care due to patient misidentification: Patients occasionally receive care intended for someone … infrequent occurrence, these mistakes can result in a meaningful number of patients receiving care intended … A similar decline occurred in near misses (patients who would have received care intended for someone
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psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
August 18, 2021 - Study
Intended and unintended effects of large-scale adverse event disclosure: a … Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis
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psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national
December 29, 2014 - Study
Compliance with a time-out procedure intended to prevent wrong surgery in hospitals … Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national … Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - A vial, presumed to contain rocuronium, was opened and the medication was administered, without the intended … In this instance, the intended medication was rocuronium, which is considered a high alert medication … The tagged items are arranged together as intended for the final kit. … The kit bag itself contains an RFID tag identifying the intended contents of the kit. … Random audits of completed kits may be added to ensure that kits are prepared as intended.
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - Study
Intended and unintended consequences: changes in opioid prescribing practices … Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute … Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute