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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46859/psn-pdf
    January 01, 2020 - Engaging patients and their family members may help to escalate safety issues not identified by other … In this mixed- methods study, investigators analyzed the types of issues patients and their care partners
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - alert within the electronic health record (EHR), and enact actionable steps to address system-based issues … any organization’s commitment to patient safety because they identify and address underlying system issues … This redesigned RCA methodology aimed to address the most persistent ineffectual issues with traditional … RCA2 also places a strong emphasis on developing robust, sustainable solutions to the issues identified … patient-safety-essentials-toolkit brainstorm actionable interventions that address the identified issues
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42233/psn-pdf
    May 01, 2013 - and safety officer: nursing students' use of safety reporting tools and their perception of safety issues … and safety officer: nursing students' use of safety reporting tools and their perception of safety issues
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33877/psn-pdf
    April 01, 2019 - The other is to focus on systems issues. The other piece is the notion of just culture. … We still need some methodology to capture the narrative on some of the professionalism issues. … That to me is one of the biggest issues. … They were allowed to call a hotline number and report issues that had happened. … That has been probably one of the biggest issues to deal with.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45687/psn-pdf
    October 31, 2017 - This survey study sought to characterize current insulin pen use and associated safety issues in the … Investigators found that insulin pens are widely utilized, but safety issues—such as using the same
  6. psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
    March 11, 2015 - 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
  7. psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
    September 21, 2009 - AACN Clin Issues. 2005;16(4):581-592. … AACN Clin Issues . 2005; 16 (4) :581-592 . View more articles from the same authors. … AACN Clin Issues. 2005;16(4):581-592.
  8. psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
    February 11, 2009 - February 11, 2009 Advanced practice nursing students' identification of patient safety issues … April 10, 2013 Patient safety issues in advanced practice nursing students' care settings … September 29, 2017 Clinical cognition and biomedical informatics: issues of patient safety
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73643/psn-pdf
    August 01, 2022 - Transitions (ECHO-CT) intends to ensure continuity of care and alleviate the risk of patient safety issues … Within one week of discharge, hospital providers discuss each patient’s transitional and medical issues … Transitions from inpatient care to post-acute services have the potential to introduce patient safety issues … on medication reconciliation, critical labs and imaging, discharge follow-up, and case management issues … allow the SNFs to interact with each other, share best practices and ideas, and discuss pertinent issues
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35850/psn-pdf
    May 27, 2011 - the implementation of new technology (eg, computerized provider order entry), which may solve safety issues … a series of articles published in the Annals of Internal Medicine that explores a range of quality issues
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47287/psn-pdf
    December 19, 2018 - shifting-and-sharing-academic-physicians-strategies-navigating- underperformance-and-failure Although individual clinician performance issues … shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
  12. 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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47777/psn-pdf
    January 01, 2021 - They found that patient-reported issues were associated with the presence of complications or safety … experience compared with patients who experienced no complications or safety events and did not report issues
  14. psnet.ahrq.gov/glossary/handoffs-and-handovers
    September 13, 2021 - about patients she has admitted so he can continue with their ongoing management, know what immediate issues … professionals working in the same clinical unit, shorter lengths of stay in hospitals and other occupancy issues
  15. 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
  16. psnet.ahrq.gov/issue/personal-digital-assistant-based-drug-information-sources-potential-improve-medication-safety
    July 14, 2010 - November 13, 2013 Pharmacists and health information technology: emerging issues in patient … More Related Resources Identifying health information technology usability issues … January 4, 2010 Pharmacists and health information technology: emerging issues in patient
  17. psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
    November 25, 2009 - Womens Health Issues. 2009;19(1):8-13. doi:10.1016/j.whi.2008.07.012. … Womens Health Issues . 2009; 19 (1) :8-13 . View more articles from the same authors. … Womens Health Issues. 2009;19(1):8-13. doi:10.1016/j.whi.2008.07.012.
  18. psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug
    September 14, 2016 - September 14, 2016 Socio-technical issues and challenges in implementing safe patient … February 12, 2014 Technology, governance and patient safety: systems issues in technology … January 12, 2011 Technology, governance and patient safety: systems issues in technology
  19. psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
    July 08, 2022 - Physicians tend to find evaluating psychosocial issues to be challenging for fear that they may not be … able to address these issues adequately. … in small or no improvements in clinical outcomes. 7 Even patients downplay their own psychosocial issues … There may not be enough time during a visit to address the issues, thus physicians tend to focus more … March 19, 2019 Critical Issues in Food Allergy: A National Academies Consensus Report
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39932/psn-pdf
    October 20, 2010 - Not surprisingly, the issues identified are known contributors to safety issues in the operating room

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