-
psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
October 20, 2021 - November 7, 2012
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
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psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
April 08, 2020 - July 15, 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
-
psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-instructions-use-safety-scalpel
August 20, 2021 - March 12, 2010
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
-
psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
December 16, 2020 - January 19, 2011
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium … April 8, 2020
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a
-
psnet.ahrq.gov/issue/chronology-medication-errors-nurses-accumulation-stresses-and-ptsd-symptoms
September 23, 2020 - Issues Ment Health Nurs. 2005;26(8):873-86. … Issues Ment Health Nurs . 2005; 26 (8) :873-86 . … Issues Ment Health Nurs. 2005;26(8):873-86.
-
psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
October 28, 2020 - November 7, 2012
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
-
psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety
August 24, 2022 - August 24, 2022
Identifying health information technology usability issues contributing … July 29, 2020
Electronic health record use issues and diagnostic error: a scoping review … May 25, 2022
Identifying electronic medication administration record (eMAR) usability issues
-
psnet.ahrq.gov/node/848036/psn-pdf
April 26, 2023 - Issues identified included medical device-related pressure injuries
and device dislodgement, concerns … with care delivery, staffing levels, and acuity issues.
-
psnet.ahrq.gov/node/47880/psn-pdf
June 18, 2019 - teaching-residents
The rise in maternal morbidity and mortality is one of the most pressing patient safety issues … serious maternal harm and implemented several safety measures (including teamwork
training) to address issues
-
psnet.ahrq.gov/node/844538/psn-pdf
February 15, 2023 - Challenges include discomfort, communication issues, especially for people with hearing loss, and skin … Despite these issues, the authors state the benefits outweigh the risks of masks and appropriate
education
-
psnet.ahrq.gov/node/60182/psn-pdf
April 01, 2020 - characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
https://psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement … https://psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
-
psnet.ahrq.gov/node/74035/psn-pdf
January 01, 2022 - Key issues identified by the study involved
relationships (e.g., communication, patient rights) as well … as clinical and management issues.
-
psnet.ahrq.gov/node/72795/psn-pdf
March 03, 2021 - with diagnostic
error – reports of return visits for the same or worsening symptoms, interpersonal issues … , and diagnostic
testing issues.
-
psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - The majority of complications were attributed to personal performance (technical or
judgement issues … ) and a small proportion (3%) were attributed to systemic issues, such as poor
communication or inadequate
-
psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
Discharged with IV antibiotics:
When issues arise, who manages
the complications … have occurred, and the central line
would have been removed at completion of therapy
20
Case #2 Issues … • This process may be able to prevent hospital readmissions,
resolve parenteral access issues, and … – This physician and OPAT team, manages complications, IV access
issues, and/or drug related side-effects … Case #2 Issues
Both Cases
Both Cases (2)
Summary
Take-Home Points
Take-Home Points
Take-Home
-
psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
July 07, 2021 - Resources From the Same Author(s)
Identifying health information technology usability issues … October 17, 2018
Electronic health record usability issues and potential contribution … April 15, 2020
Artificial intelligence related safety issues associated with FDA medical
-
psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
December 16, 2020 - Womens Health Issues. 2022;32(4):327-333. doi:10.1016/j.whi.2022.03.001. … Womens Health Issues . 2022; 32 (4) :327-333 . … Womens Health Issues. 2022;32(4):327-333. doi:10.1016/j.whi.2022.03.001.
-
psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - March 12, 2010
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
-
psnet.ahrq.gov/issue/free-text-computerized-provider-order-entry-orders-used-workaround-communicating-medication
July 29, 2020 - July 29, 2020
Identifying health information technology usability issues contributing … May 12, 2021
Identifying electronic medication administration record (eMAR) usability issues … March 22, 2023
Electronic health record use issues and diagnostic error: a scoping review
-
psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - June 22, 2011
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … October 28, 2020
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium … February 17, 2021
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of