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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - This systematic review of nursing educational interventions intended to enhance alarm management suggests
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psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
May 06, 2009 - A novel trigger tool intended to detect errors in pediatric otolaryngology patients unfortunately missed
-
psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
October 03, 2012 - systematic review of opioid stewardship practices following surgery identified eight intervention studies intended
-
psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
August 13, 2014 - Alarm fatigue limits the utility of physiologic monitoring devices intended to keep hospitalized patients
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psnet.ahrq.gov/issue/food-and-drug-administrations-initiative-safe-design-and-effective-use-home-medical-equipment
August 18, 2010 - This commentary describes FDA efforts intended to enhance safety of medical equipment use at home ,
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - Although medical malpractice law is intended to deter negligence among health care providers and promote
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - Order sets are used in a wide variety of clinical situations and can be categorized based on their intended … standardizing the use of potassium binding resins when treating patients with hyperkalemia ( 4 ), or those intended … in clinical complications for patients from overly high irrigation rates ( 9 ) and another order set intended
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - min rather than the ordered dose of 0.5 mcg/min, resulting in a dose that was 70 times greater than
intended … Review and Update Infusion Pump Safety Guardrails
The numeric value of the intended starting rate of … accidentally starting at a maximum rate of 0.5 mcg/kg/min when an
initial rate of 0.05 mcg/kg/min is intended
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - medications were verified by the pharmacist and bar-code labeled for the individual patients who were intended … This match confirms that the medication to be administrated is intended for the current patient, reducing … technology. 11 Only after that can compliance be assessed to confirm that the barcodes are being scanned as intended
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psnet.ahrq.gov/node/43112/psn-pdf
July 03, 2016 - systematic-review-effects-resident-duty-hour-restrictions-surgery-impact-
resident-wellness
The 2011 duty hour regulations for resident physicians were intended
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psnet.ahrq.gov/node/47272/psn-pdf
August 15, 2018 - authors conclude that the nonpayment policy for health care–associated
infections did not have its intended
-
psnet.ahrq.gov/node/45892/psn-pdf
October 31, 2017 - relationship-between-state-malpractice-environment-and-quality-health-care-
united-states
Medical malpractice law is intended
-
psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - Order sets are used in a wide variety of clinical situations and can be categorized based on their
intended … standardizing the use of potassium binding resins when treating patients with hyperkalemia (4), or those
intended … in clinical complications for patients from
overly high irrigation rates (9) and another order set intended
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psnet.ahrq.gov/issue/north-carolina-center-hospital-quality-and-patient-safety
February 15, 2023 - Copy Citation
Related Resources From the Same Author(s)
Intended and unintended
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psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
February 05, 2020 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
-
psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - , the physician identified the patient's medication as
Synthroid (levothyroxine), 150 mcg, not the intended … It appears that the intended purpose was not
written on the prescription. … The ISMP advocates that the intended use be indicated on each prescription as
an aid for pharmacists … error avoidance: (i) pharmacist access to patient-specific
information in an EMR, or at least the intended
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psnet.ahrq.gov/web-mm/techno-trip
May 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/issue/hospital-survey-patient-safety-culture-2008-comparative-database-report
May 19, 2010 - The 2008 update is intended to serve as a "rolling benchmark" that hospitals may use for comparative
-
psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - resulting from computerized provider order entry , alarm fatigue arising from the proliferation of well-intended
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psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
November 20, 2024 - December 12, 2018
Workarounds to intended use of health information technology: a narrative