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psnet.ahrq.gov/issue/opioid-taskforce-playbook
May 01, 2023 - This Opioid Playbook is intended to support healthcare leaders implementing IT-based initiatives to
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psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-model
July 23, 2024 - Linkedin
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November 16, 2022
Rapid response teams (RRTs) are intended
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psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
October 09, 2013 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended … Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - that the
heparin vial from the garbage was a 10 units/mL concentration rather than a 1000 units/mL as intended … Nonetheless, review of a 207-hospital sample identified 15 different
concentrations in drug libraries intended … Eliminate vials of heparin intended for flushing IV catheters and evaluate the need for heparin
flushes … syringes; do not require
anesthesiologists to prepare IV flushes from vials of concentrated heparin intended … Give special consideration to pediatric use of heparin since most drugs stocked in anesthesia are
intended
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - 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
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psnet.ahrq.gov/node/50405/psn-pdf
October 02, 2019 - The article also provides an overview of
AHRQ resources intended to facilitate engagement between providers
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psnet.ahrq.gov/issue/evaluation-policies-limiting-opioid-exposure-opioid-prescribing-and-patient-pain-opioid-naive
May 18, 2022 - August 12, 2020
Intended and unintended consequences: changes in opioid prescribing practices … December 16, 2020
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Related Resources
Intended and unintended
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psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp-duodenoscopes-may-impede-effective
March 11, 2015 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended … Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/node/867648/psn-pdf
January 01, 2023 - This Opioid Playbook is intended to support healthcare leaders implementing IT-based initiatives to reduce
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psnet.ahrq.gov/node/838184/psn-pdf
September 28, 2022 - https://psnet.ahrq.gov/issue/hidden-risk-wheelchair-use
Medical devices intended to improve patient
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psnet.ahrq.gov/node/836968/psn-pdf
April 20, 2022 - This article outlines how diagnostic
timeouts, which are intended reduce bias during the identification
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psnet.ahrq.gov/node/849139/psn-pdf
May 17, 2023 - https://psnet.ahrq.gov/issue/how-opioid-backlash-went-wrong
https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
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psnet.ahrq.gov/node/60157/psn-pdf
March 25, 2020 - The authors also discuss the
barriers to adopting AI tools intended to enhance diagnostic decision making
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psnet.ahrq.gov/node/845653/psn-pdf
March 08, 2023 - https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
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psnet.ahrq.gov/node/38531/psn-pdf
June 01, 2023 - The survey is
intended for offices with at least three providers, but it also can be used as a tool
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psnet.ahrq.gov/node/841773/psn-pdf
December 21, 2022 - inappropriate-prescribing-opioids-patients-undergoing-surgery
Safe prescribing dictates that prescriptions should only be written for the patients who are intended
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psnet.ahrq.gov/node/72601/psn-pdf
January 01, 2021 - This article describes a
quality improvement intervention intended to improve physician reporting of
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psnet.ahrq.gov/glossary/forcing-function
September 13, 2021 - This action is intended to prevent the inadvertent preparation of intravenous solutions with concentrated
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psnet.ahrq.gov/node/60187/psn-pdf
April 01, 2020 - This editorial presents a framework intended to further research and clinical practice by defining
and
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psnet.ahrq.gov/node/837766/psn-pdf
August 03, 2022 - This article describes
iatrogenic harm resulting from well-intended assistance in residential long-term