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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - March 25, 2015
Medication reconciliation accuracy and patient understanding of intended
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psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
February 03, 2010 - Regulations limiting duty hours for resident physicians were intended to improve safety, as resident
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psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
June 02, 2021 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
January 13, 2021 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - These warnings are well intended and in isolation may be helpful. … In essence, a proliferation of alerts that are intended to improve safety actually results in a paradoxical
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Regardless of how successful an intervention is demonstrated to be, it can only be effective if the intended … However, nudges are actually intended to improve these types of tools by
applying a behavioral science … should engage
representatives from all clinical areas related to the project workflow to ensure the intended
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
June 01, 2016 - April 2, 2014
Intended and unintended consequences: changes in opioid prescribing practices
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psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
March 27, 2024 - July 9, 2018
Workarounds to intended use of health information technology: a narrative
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - investigation, 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 … to error avoidance: (i) pharmacist access to patient-specific information in an EMR, or at least the intended
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psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
April 24, 2018 - adopters and for-profit organizations the least likely, adding to the notion that these systems are not intended
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psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
February 10, 2011 - continues to serve as an important reference to motivate policy and institutional investment in systems intended
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psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
September 21, 2016 - Care pathways are intended to improve outcomes by standardizing use of evidence-based practices, and
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psnet.ahrq.gov/issue/inpatient-safety-outcomes-following-2011-residency-work-hour-reform
September 04, 2013 - Halpern and Detsky called for more research evaluating the intended and unintended effects of these mandates
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psnet.ahrq.gov/issue/measuring-administrators-and-direct-care-workers-perceptions-safety-culture-assisted-living
June 02, 2010 - Safety Culture to assess safety culture in assisted living facilities, another type of long-term care intended
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psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
September 01, 2018 - implementing the AHRQ Communication and Optimal Resolution (CANDOR) toolkit, an intervention bundle intended
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psnet.ahrq.gov/issue/are-patient-safety-indicators-related-widely-used-measures-hospital-quality
December 01, 2010 - the validity of using PSIs to compare hospital performance, and in fact, the PSIs were not originally intended
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psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
April 24, 2018 - This study evaluates the accuracy of four smartphone applications intended to assess photographs of skin
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psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
August 20, 2021 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - July 13, 2009
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
March 12, 2019 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended