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psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
April 04, 2011 - Tests ordered by trainees frequently led to issues with follow-up since trainees often rotated to other … A previous AHRQ WebM&M commentary discussed the many issues that contribute to missed test follow-up … Cancer
July 31, 2023
A mixed-method study of practitioners' perspectives on issues
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psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
April 27, 2022 - Maternal death and preventable poor neonatal outcomes are indications of health care safety and quality issues … December 9, 2020
Report of the Independent Inquiry into the Issues Raised by Paterson
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psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
June 18, 2021 - The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety … issues and stimulate innovative approaches to addressing these threats.
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Related Resources From the Same Author(s)
Oversight Hearing on Recent Patient Safety Issues … September 2, 2016
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … May 1, 2015
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment
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psnet.ahrq.gov/node/45207/psn-pdf
August 17, 2016 - While similar safety issues and root causes
were identified across all units and services, medication … safety issues were more common on internal
medicine and surgical units. … On the other hand, collaboration issues were more frequent in emergency
medicine units.
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psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management
November 18, 2015 - Risk management and legal issues can affect safety responses throughout a health care system. … Articles in this publication will cover clinical, legal , and policy issues around enhancing patient
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - She also
vaguely remembered being given a number at the hospital to call if she had any issues at home … Create a resource network to troubleshoot issues raised on the call. … may uncover more issues than "Do you have any
questions about your discharge medications?" … Track call outcomes to help inpatient providers learn from issues addressed in the call. … arise after discharge, the time needed to adequately address issues may be much longer.
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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - Commentary
Comparative issues in aviation and surgical crew resource management: … COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED … COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED
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psnet.ahrq.gov/issue/non-emergency-patient-transport-what-are-quality-and-safety-issues-systematic-review
June 27, 2012 - Review
Non-emergency patient transport: what are the quality and safety issues? … Non-emergency patient transport: what are the quality and safety issues? A systematic review. … Non-emergency patient transport: what are the quality and safety issues? A systematic review.
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psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient
October 01, 2014 - awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues … awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues … awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - Author(s)
Participation in EHR based simulation improves recognition of patient safety issues … February 1, 2023
Electronic health record use issues and diagnostic error: a scoping … electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues … , 2014
Participation in EHR based simulation improves recognition of patient safety issues
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psnet.ahrq.gov/issue/roxane-laboratories-initiates-nationwide-voluntary-recall-single-manufacturing-lot
June 22, 2011 - April 8, 2020
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … May 19, 2021
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection … February 17, 2021
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of … 2021
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Related Resources
Meitheal Pharmaceuticals, Inc. issues
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - the Same Author(s)
Advanced practice nursing students' identification of patient safety issues … April 10, 2013
Patient safety issues in advanced practice nursing students' care settings … April 3, 2024
Clinical cognition and biomedical informatics: issues of patient safety … understanding pre-registration nursing students' survey response to patient safety and peer reporting issues
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - Kingdom through the establishment of offices to address inequity, emerging risk regulation , workforce issues … October 7, 2020
Report of the Independent Inquiry into the Issues Raised by Paterson.
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psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
May 07, 2018 - This article, which launches a series focusing on high-alert medications, discusses issues related to … June 10, 2018
Product-related issues make error potential enormous with investigational
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to … How willing are patients to question healthcare staff on issues related to the quality and safety of … How willing are patients to question healthcare staff on issues related to the quality and safety of
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psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
September 26, 2016 - human factors engineering approach to improving medication label safety was hampered by numerous issues … January 30, 2019
The safety of intravenous drug delivery systems: update on current issues
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
December 17, 2014 - The author summarizes key components of the legislation , as well as questions and issues that he feels … awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues
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psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
June 01, 2011 - Theor Issues Ergon Sci. 2023;8(5):365-507. … Theor Issues Ergon Sci. 2023;8(5):365-507.
View more articles from the same authors. … Theor Issues Ergon Sci. 2023;8(5):365-507.
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psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
February 07, 2019 - This well-referenced and up-to-date handbook covers many of the regulatory and operational issues relevant … March 17, 2010
Adverse Events in Hospitals: Overview of Key Issues.