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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866959/psn-pdf
    October 16, 2024 - of incidents related to health information technology in Swedish healthcare to characterise system issues … of incidents related to health information technology in Swedish healthcare to characterise system issues
  2. psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
    September 12, 2012 - Not surprisingly, the issues identified are known contributors to safety issues in the operating room
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865341/psn-pdf
    March 27, 2024 - patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast- cancer-care Patient safety issues … deteriorations in patient safety and highlighted long-term implications of involvement in patient safety issues
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48104/psn-pdf
    August 28, 2019 - A recent PSNet perspective discussed emerging safety issues in the use of artificial intelligence. … clinical-decision-support-era-artificial-intelligence https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866249/psn-pdf
    July 10, 2024 - implementation-health-information-technology-safety-classification-system- veterans-health Standardized classification of patient safety issues … technology-tool-improving-patient-safety https://psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33590/psn-pdf
    September 15, 2024 - Boards also had limited ability to address quality issues that lived within the domain of practicing … hospitals in the United States placed relatively little emphasis on identifying and addressing safety issues … measures of quality and safety—tended to have board members who were more skilled in quality and safety issues … For example, issues raised by frontline staff during walkrounds must be promptly addressed, lest staff … time and resources to structured follow through, hospital leadership can both address specific safety issues
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837422/psn-pdf
    June 15, 2022 - These incident categories included medication-intravenous fluid issues, communication failures, clinical … deterioration, and care issues identified by parents.
  8. psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
    February 10, 2021 - Related Resources From the Same Author(s) Meitheal Pharmaceuticals, Inc. issues … January 19, 2011 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
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864851/psn-pdf
    March 20, 2024 - Ongoing Professional Practice Evaluation (OPPE), which supports early detection of provider performance issues … association-between-patient-outcomes-and-accreditation-us-hospitals-observational-study https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861292/psn-pdf
    January 24, 2024 - deficiencies-community-care-network-credentialing-process-former-va- surgeon-and-veterans System fragmentation is known to enable clinicians with performance issues … deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60913/psn-pdf
    September 16, 2020 - frequent triggers included pressures from high census; environmental overload; chronic, unresolved system issues … ; and personal characteristics or issues impeding job performance.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60893/psn-pdf
    January 01, 2021 - nonpunitive reports, punitive reports were more likely to focus on communication and employee behavior issues … , policies/procedures, and staff training or competency issues.
  13. psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
    January 27, 2021 - May 4, 2015 Speaking up: factors and issues in nurses advocating for patients when patients … January 12, 2011 Clinical Issues Series. … April 27, 2010 Clinical cognition and biomedical informatics: issues of patient safety
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73247/psn-pdf
    May 12, 2021 - electronic-health-record-ehr-safety-and-usability-see-what-we-mean https://psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm … https://psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47670/psn-pdf
    March 20, 2019 - nurses-perceptions-causes-medication-errors-and-barriers-reporting https://psnet.ahrq.gov/issue/cusp-toolkit https://psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy … https://psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74152/psn-pdf
    December 08, 2021 - staff, lack of resident safety plans, and poor quality of care due to racial bias, organizational issues … , and administrative issues.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851197/psn-pdf
    July 05, 2023 - managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues … managers’ and medical directors’ perceptions of collaborating with patients concerning patient safety issues
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838310/psn-pdf
    October 12, 2022 - intravenous-smart-pumps-point-care-descriptive-observational-study Intravenous (IV) smart pumps can improve medication administration safety, but usability issues … benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review https://psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and
  19. psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
    February 22, 2019 - September 20, 2017 Identifying health information technology usability issues contributing … May 13, 2020 Electronic health record usability issues and potential contribution to … November 15, 2018 Identifying electronic medication administration record (eMAR) usability issues
  20. psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
    October 19, 2022 - Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … February 7, 2018 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … February 24, 2022 - February 24, 2022 Meitheal Pharmaceuticals, Inc. issues voluntary

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