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psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
September 26, 2012 - Study
Morning handover of on-call issues: opportunities for improvement. … Morning handover of on-call issues: opportunities for improvement. … Covering physicians frequently failed to inform primary clinicians about important clinical issues that … Morning handover of on-call issues: opportunities for improvement.
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psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
November 01, 2023 - New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues … New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues … This study discusses emerging patient safety issues in radiation oncology. … New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues
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psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
July 07, 2021 - Study
Identifying electronic medication administration record (eMAR) usability issues … Identifying electronic medication administration record (eMAR) usability issues from patient safety event … In this study, usability issues related to eMAR contributed to 473 patient safety event reports. … Identifying electronic medication administration record (eMAR) usability issues from patient safety event … Resources From the Same Author(s)
Identifying health information technology usability issues
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … that length of stay was a key theme in found-on-floor incidents and signaled underlying system-level issues … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … August 12, 2020
Identifying health information technology usability issues contributing
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - A qualitative exploration of mental health service user and carer perspectives on safety issues … A qualitative exploration of mental health service user and carer perspectives on safety issues in UK … These interviews identified a broad range of safety issues; the authors suggest that patient safety in … A qualitative exploration of mental health service user and carer perspectives on safety issues in UK … Related Resources From the Same Author(s)
Health professionals' perspectives of safety issues
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psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
May 05, 2018 - Newspaper/Magazine Article
Collaboration focused on priority issues promotes safety … Citation Text:
Collaboration focused on priority issues promotes safety. … Cite
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Collaboration focused on priority issues
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Press Release/Announcement
Medication safety issues with newly authorized PAXLOVID … Citation Text:
Medication safety issues with newly authorized PAXLOVID. … Copy URL
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Medication safety issues
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psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues-ambulatory-care
March 02, 2012 - Study
Advanced practice nursing students' identification of patient safety issues … Advanced practice nursing students' identification of patient safety issues in ambulatory care. … Recent research has focused on identifying patient safety issues in the ambulatory setting . … In this study, advanced practice nursing students recognized more than 800 patient safety issues during … Advanced practice nursing students' identification of patient safety issues in ambulatory care.
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psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
August 28, 2019 - Study
Staying silent about safety issues: conceptualizing and measuring safety silence … Staying silent about safety issues: Conceptualizing and measuring safety silence motives. … This study found several motives explaining why employees stay silent about safety issues, including … Staying silent about safety issues: Conceptualizing and measuring safety silence motives.
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psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
April 24, 2013 - Study
Participation in EHR based simulation improves recognition of patient safety issues … Participation in EHR based simulation improves recognition of patient safety issues. … In this educational study, medical residents missed patient safety issues in a simulated review of … Participation in EHR based simulation improves recognition of patient safety issues. … February 1, 2023
Electronic health record use issues and diagnostic error: a scoping
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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - Review
Electronic health record use issues and diagnostic error: a scoping review … Electronic health record use issues and diagnostic error: a scoping review and framework. … EHR issues fell into three general areas: information gathering, medical decision-making, and plan implementation … The majority of issues were a related to providers’ cognitive processing, revealing an important area … Electronic health record use issues and diagnostic error: a scoping review and framework.
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and … Technology, governance and patient safety: systems issues in technology and patient safety. … adverse events related to medical devices, equipment, and other technologies and discuss governance issues … Technology, governance and patient safety: systems issues in technology and patient safety. … December 31, 2014
Socio-technical issues and challenges in implementing safe patient
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
June 10, 2020 - Commentary
Ethical issues in patient safety: implications for nursing management. … Ethical issues in patient safety: Implications for nursing management. … Ethical issues in patient safety: Implications for nursing management. … December 19, 2014
Speaking up: factors and issues in nurses advocating for patients when
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature
April 21, 2021 - Review
Ethical issues in patient safety research: a systematic review of the literature … Ethical issues in patient safety research: a systematic review of the literature. … This systematic review of ethics in patient safety research identified several universal issues, including … Ethical issues in patient safety research: a systematic review of the literature.
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psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
July 22, 2020 - Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … The intervention demonstrated lasting improvements in systems issues, consistent with prior data using … Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues
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psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
October 14, 2020 - after discharge: the association of limited English proficiency and postdischarge patient-reported issues … after discharge: the association of limited English proficiency and postdischarge patient-reported issues … English proficiency , but that patients with limited English proficiency experienced more post-discharge issues … after discharge: the association of limited English proficiency and postdischarge patient-reported issues
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psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
October 02, 2013 - Study
ASPEN survey of parenteral nutrition access issues: how the system fails the … ASPEN survey of parenteral nutrition access issues: how the system fails the patient. … In this study, patients and caregivers were surveyed about supply and access issues related to home parenteral … In addition to supply issues, lack of qualified healthcare providers and poor insurance reimbursement … ASPEN survey of parenteral nutrition access issues: how the system fails the patient.
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psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
June 19, 2013 - Study
Priority patient safety issues identified by perioperative nurses. … Priority patient safety issues identified by perioperative nurses. … Priority patient safety issues identified by perioperative nurses. … Citation
Related Resources From the Same Author(s)
Top 10 patient safety issues
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psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium-besylate
February 03, 2021 - Press Release/Announcement
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide … Citation Text:
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Meitheal Pharmaceuticals, Inc. issues … May 19, 2021
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection … Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a
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psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
July 30, 2014 - Review
Ethical and legal issues in the use of health information technology to improve … Ethical and legal issues in the use of health information technology to improve patient safety. … This review explores the emerging privacy, security, and regulatory issues in using health information … Ethical and legal issues in the use of health information technology to improve patient safety.