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Showing results for "intended".

21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/843326/psn-pdf
    February 01, 2023 - american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines 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

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74077/psn-pdf
    November 17, 2021 - factors-associated-wrong-blood-tube-errors-international-case-series-best- collaborative-study Wrong blood in tube (WBIT) errors can be classified as intended … patient drawn/wrong label applied or wrong patient/intended label applied.

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47910/psn-pdf
    August 21, 2019 - efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems 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

24. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet
    psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general … 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

25. FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. | PSNet
    psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
    August 05, 2020 - This announcement explains a label change to a medication patch intended to reduce risk of accidental … Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended

26. Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. | PSNet
    psnet.ahrq.gov/issue/factors-associated-wrong-blood-tube-errors-international-case-series-best-collaborative-study
    September 29, 2021 - Wrong blood in tube (WBIT) errors can be classified as intended patient drawn/wrong label applied or … wrong patient/intended label applied.

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60172/psn-pdf
    March 01, 2021 - The program has significantly reduced cases in which patients receive or almost receive care intended … Addressed Although not common, patients occasionally are misidentified and consequently receive 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

28. Disclaimer | PSNet
    psnet.ahrq.gov/Information/Disclaimer
    May 18, 2025 - External links provide additional information that is consistent with the intended purpose of a Federal

29. "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. | PSNet
    psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
    February 15, 2023 - Health information technologies intended to reduce patient harm may have unintended consequences . … RIS Download Citation Related Resources From the Same Author(s) Intended

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865708/psn-pdf
    May 01, 2024 - Nearly a quarter of RNs and NAs intended to leave within the year.

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41479/psn-pdf
    December 21, 2014 - surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation- council The duty hour regulations for resident physicians implemented in 2011 were intended … Even residents themselves—who the regulations are intended to benefit—doubt the rules will achieve their

32. Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet
    psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
    July 12, 2023 - Nearly a quarter of RNs and NAs intended to leave within the year.

33. Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. | PSNet
    psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
    July 03, 2014 - The duty hour regulations for resident physicians implemented in 2011 were intended to improve patient … Even residents themselves—who the regulations are intended to benefit—doubt the rules will achieve their

34. Patient Mix-Up | PSNet
    psnet.ahrq.gov/web-mm/patient-mix
    December 01, 2007 - For example, a patient with renal failure could receive the aminoglycoside intended for another patient … ; the patient with severe asthma could receive the beta-blocker intended for another patient. … hospitalized medical patients.( 3 ) Interestingly, the chance that a patient will receive a blood product intended … In barcoding systems, nurses scan the patient's barcoded wrist identification band and scan the intended

35. The surgical ward round checklist: improving patient safety and clinical documentation. | PSNet
    psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
    March 17, 2021 - February 2, 2022 Impact of the WHO Surgical Safety Checklist relative to its design and intended … July 5, 2023 Impact of the WHO Surgical Safety Checklist relative to its design and intended

36. Say It Again | PSNet
    psnet.ahrq.gov/web-mm/say-it-again
    January 31, 2020 - After calling the charge nurse back, they discovered the panic value was intended for a different patient … Read-backs are used to help ensure that a message is understood by the receiver in the way it was intended … policy pronouncements first undergo testing in a diverse range of care settings for which they were intended … The appeal of a well-intended "fix" can be short-lived if the interdependencies among information needs … Take-Home Points Read-backs help ensure that a message is understood by the receiver in the way intended

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860015/psn-pdf
    September 01, 2024 - Background Prudent medical practice and federal and state laws require that any surgical item not intended … refers to possessing, keeping, or holding onto it; this word implies that the surgical item was not intended … or a wound vacuum system or a vascular clamp is intentionally placed for treatment or therapy and intended … If that therapeutic pack is not removed as intended, then it should be described as a “retained surgical … They are intended to be changed or removed at another site by personnel other than an OR nurse or surgical

38. A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery. | PSNet
    psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-compliance-world-health
    March 08, 2023 - March 8, 2023 Impact of the WHO Surgical Safety Checklist relative to its design and intended … March 16, 2022 Impact of the WHO Surgical Safety Checklist relative to its design and intended

39. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. | PSNet
    psnet.ahrq.gov/issue/opioid-stewardship-program-and-postoperative-adverse-events-difference-differences-cohort
    June 30, 2021 - June 29, 2009 Intended and unintended consequences: changes in opioid prescribing practices … November 4, 2020 View More Related Resources Intended and unintended

40. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/867658
    January 26, 2022 - Safe prescribing dictates that prescriptions should only be written for the patients who are intended … In 2016, the Centers for Disease Control (CDC) issued an opioid prescribing guideline intended to reverse