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Showing results for "issues".

  1. Investigating Clinical Incidents in the NHS. | PSNet

    psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
    February 04, 2015 - July 19, 2006 Report of the Independent Inquiry into the Issues Raised by Paterson. … April 29, 2015 Oversight Hearing on Recent Patient Safety Issues.

  2. The State of VA Health Care. | PSNet

    psnet.ahrq.gov/issue/state-va-health-care
    May 01, 2015 - May 1, 2015 Oversight Hearing on Recent Patient Safety Issues. … May 1, 2015 Oversight Hearing on Recent Patient Safety Issues.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33830/psn-pdf
    March 22, 2016 - Some hospitals conduct standardized reviews of deaths in order to identify individual clinician issues … These may be performed as part of trigger tool-based reviews to identify broader safety issues or as … harm through death reviews should be viewed as part of an overall strategy to detect patient safety issues … inpatient deaths are an important part of this process, but they tend to identify a limited subset of issues

  4. The Empty Bag | PSNet

    psnet.ahrq.gov/web-mm/empty-bag
    June 01, 2018 - Since 2010, significant work has occurred to address these issues. … Infusing Patients Safely: Priority Issues from the AAMI/FDA Infusion Device Summit. … Infusing Patients Safely: Thirteen Priority Issues From the AAMI/FDA Infusion Device Summit Report ( … It is unclear how to resolve alarm issues. 13. … There are design and user issues and differences among home, hospital, and other environments.

  5. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
    March 01, 2012 - She vaguely remembered being given a number at the hospital to call if she had any issues at home, but … readmission were prevented * * Postdischarge Phone Calls Phone calls like this can identify key issues … understanding discharge instructions Obtaining outpatient appointments Problems filling prescriptions Other issues … readmissions Continuity of care may suffer if primary physician is not contacted regarding postdischarge issues … Points (2) An effective follow-up phone call program employs providers who can recognize postdischarge issues

  6. Important Warnings and Instructions for Heparin Sodium Injection (Baxter). | PSNet

    psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
    May 24, 2015 - May 24, 2015 Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine

  7. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - September 25, 2019 Advanced practice nursing students' identification of patient safety issues … April 10, 2013 Patient safety issues in advanced practice nursing students' care settings

  8. Tamiflu (oseltamivir) for oral suspension: potential medication errors. | PSNet

    psnet.ahrq.gov/issue/tamiflu-oseltamivir-oral-suspension-potential-medication-errors
    November 07, 2012 - Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine

  9. ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). | PSNet

    psnet.ahrq.gov/issue/relion-insulin-syringes-use-u-100-insulin-tyco-healthcare-covidien
    September 30, 2015 - June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … June 28, 2023 Medication safety issues with newly authorized PAXLOVID.

  10. Examining the Increase in Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/examining-increase-drug-shortages
    March 01, 2017 - November 6, 2019 Oversight Hearing on Recent Patient Safety Issues. … May 1, 2015 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment

  11. National Center for Patient Safety Falls Toolkit 2004. | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
    May 24, 2017 - Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … January 1, 2022 System issues leading to "found-on-floor" incidents: a multi-incident

  12. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. | PSNet

    psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol
    November 12, 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

  13. Fentanyl transdermal system (marketed as Duragesic) information. | PSNet

    psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
    August 12, 2015 - December 16, 2020 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

  14. What do nursing students learn about patient safety? An integrative literature review. | PSNet

    psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
    October 15, 2016 - September 22, 2021 Ethical issues in patient safety: implications for nursing management … managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues

  15. PHSO Review: Quality of NHS Complaints Investigations. | PSNet

    psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
    November 16, 2015 - November 24, 2021 Report of the Independent Inquiry into the Issues Raised by Paterson … December 22, 2010 Adverse Events in Hospitals: Overview of Key Issues.

  16. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. | PSNet

    psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
    December 10, 2014 - awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues … August 10, 2011 The use of human factors methods to identify and mitigate safety issues

  17. Medical errors and patient safety in palliative care: a review of current literature. | PSNet

    psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
    December 04, 2016 - December 4, 2016 Patient safety and end-of-life care: common issues, perspectives, and … December 15, 2014 Emerging issues and challenges for improving patient safety in mental

  18. Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. | PSNet

    psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
    March 13, 2013 - Prevention in an Emergency Department Population: ED-SAFE April 24, 2024 Cultural Issues … January 4, 2015 Using simulation to address hierarchy issues during medical crises.

  19. Second victim: a traumatic experience. | PSNet

    psnet.ahrq.gov/issue/second-victim-traumatic-experience
    October 06, 2016 - Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … August 5, 2020 Ethical issues in patient safety research: a systematic review of the

  20. FDA Drug Safety Communication: FDA requires labeling changes for prescription opioid cough and cold medicines to limit their use to adults 18 years and older. | PSNet

    psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-requires-labeling-changes-prescription-opioid-cough-and
    January 25, 2017 - June 20, 2018 Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine
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