-
psnet.ahrq.gov/node/41317/psn-pdf
January 31, 2013 - Care pathways are intended to improve outcomes by standardizing
use of evidence-based practices, and
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psnet.ahrq.gov/node/43007/psn-pdf
December 12, 2014 - These findings spotlight the
challenge of implementing interventions intended to bolster safety culture
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psnet.ahrq.gov/node/36530/psn-pdf
January 07, 2011 - impact-extended-duration-shifts-medical-errors-adverse-events-and-
attentional-failures
The institution of work hour regulations for housestaff in 2003 was intended
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - only if there is identifiable patient harm ( 3 ); in others an error is any discrepancy between the intended … conference convened by the Anesthesia Patient Safety Foundation ( 8 ) has issued a set of recommendations intended … Proposals intended to reduce syringe swap errors include improvements in syringe labeling, standardized … The current case raises another issue: the drug accidentally injected IV, bupivacaine, had been intended
-
psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Here,
information technology (IT) intended to bridge the gap in continuity actually contributed to the … records, computerized provider order entry (CPOE), and bar coded
medication administration (BCMA), is intended … identified by accidents such as this one tend not to lead directly to better designs but to patches intended … In the final analysis, the IT intended to bridge what threatened to become a gap in the
continuity of
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - to be compromised by periodic errors due to faulty execution even in the hands of competent and well intended … introduction of bar coding systems.( 13 ) As is often the case, the introduction of a new technology, intended … importance of careful design, but the cautious monitoring of the effects of change as well.( 14 )
Just as intended
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psnet.ahrq.gov/node/48125/psn-pdf
July 24, 2019 - These duty hour reforms were intended to enhance patient
safety and trainee physician well-being.
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psnet.ahrq.gov/issue/case-studies-medication-reconciliation
February 15, 2023 - Copy Citation
Related Resources From the Same Author(s)
Intended and unintended
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psnet.ahrq.gov/node/50434/psn-pdf
September 04, 2019 - which could be explained by
intrafamilial errors (e.g., a medication was ordered for one twin when intended
-
psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - Results of the assessment
are intended for use in system-level safety improvement efforts, clinician … Through a standard and systematic process, the instrument is intended to help circumvent the typical … measuring diagnostic errors in emergency department
settings.14
The original Safer Dx Instrument was intended … The instrument is intended to maximize objectivity to
address the challenge of inter-rater reliability
-
psnet.ahrq.gov/node/41519/psn-pdf
September 01, 2016 - This Australian study found that many clinicians did not use CPOE
system features that were intended
-
psnet.ahrq.gov/node/45314/psn-pdf
September 01, 2018 - implementing the
AHRQ Communication and Optimal Resolution (CANDOR) toolkit, an intervention bundle intended
-
psnet.ahrq.gov/node/43076/psn-pdf
June 17, 2014 - Halpern and Detsky
called for more research evaluating the intended and unintended effects of these
-
psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - In one seminal case, a patient underwent an
invasive procedure intended for another patient with a similar
-
psnet.ahrq.gov/node/41555/psn-pdf
January 03, 2017 - Safety Culture to assess safety culture in assisted living facilities, another type of
long-term care intended
-
psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - staff perceiving that the rounds are being used for monitoring and evaluation rather than for their
intended
-
psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
September 27, 2016 - This commentary describes the results of a two-phase initiative intended to reduce errors related to
-
psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - The article also provides an overview of AHRQ resources intended to facilitate engagement between providers
-
psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update
March 23, 2012 - These practices are intended to be universally applicable, "gold standard" interventions for reducing
-
psnet.ahrq.gov/node/41941/psn-pdf
February 11, 2013 - annually, and the number of RCAs was positively correlated with the development of strong
actions intended