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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - It involves five components including:
1. Identify the unexpected harm event.
2.
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psnet.ahrq.gov/issue/description-medical-malpractice-claims-involving-advanced-practice-providers
August 19, 2020 - Study
A description of medical malpractice claims involving advanced practice providers.
Citation Text:
Myers LC, Sawicki D, Heard L, et al. A description of medical malpractice claims involving advanced practice providers. J Healthc Risk Manag. 2021;40(3):8-16. doi:10.1002/jhrm.21412.
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psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning
February 20, 2019 - Commentary
Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?
Citation Text:
Ocloo JE, Fulop NJ. Developing a 'critical' approach to patient and public involvement in patient safety in…
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psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
September 21, 2016 - Study
Increased risk of burnout for physicians and nurses involved in a patient safety incident.
Citation Text:
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…
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psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - Circumstances involved in unsupervised solid dose
medication exposures among young children.
April 22, 2020
Agarwal M, Lovegrove MC, Geller RJ, et al. Circumstances involved in unsupervised solid dose medication
exposures among young children. J Pediatr. 2020;219. doi:10.1016/j.jpeds.2019.12.027.
https://psnet.ahr…
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - The care for pregnant individuals during pregnancy, childbirth, and the postpartum period
involves strategies
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - requirements: a preprocedural verification of the correct patient and procedure, a surgical site marking that involves
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Management of intestinal failure involves
slowly increasing nutrition enterally, reducing parenteral
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - required Infectious Diseases
consultation or referral to an OPAT team.
24
Take-Home Points
• OPAT involves
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - However, the rarity of this condition, especially if it involves a subacute presentation—as likely occurred
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - simulators before operating on patients.( 9,10 ) The second category for potential system failure involves
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - This involves all persons involved in the care of the patient as the procedure starts, which is important
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psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors
February 18, 2009 - Study
Nurses relate the contributing factors involved in medication errors.
Citation Text:
Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-57.
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psnet.ahrq.gov/issue/predictors-prescription-errors-involving-anticancer-chemotherapy-agents
February 01, 2012 - Study
Predictors of prescription errors involving anticancer chemotherapy agents.
Citation Text:
Ranchon F, Moch C, You B, et al. Predictors of prescription errors involving anticancer chemotherapy agents. Eur J Cancer. 2012;48(8):1192-9. doi:10.1016/j.ejca.2011.12.031.
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psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
July 18, 2018 - Newspaper/Magazine Article
Taking a closer look at medication errors that involve oxytocin.
Citation Text:
Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6.
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…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
June 14, 2017 - Study
Disclosing medical errors to patients: effects of nonverbal involvement.
Citation Text:
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
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Format:
DO…
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psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
August 08, 2018 - Commentary
Pharmacist involvement in a rapid-response team at a community hospital.
Citation Text:
Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8.
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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - One involves drawing on the collective intelligence of staff to notice and report problems, such as via … The other involves ubiquitous monitoring technologies that can automatically identify unusual events
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psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient
February 17, 2021 - Review
Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research.
Citation Text:
Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…