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psnet.ahrq.gov/
March 25, 2025 - Primary Care
Surgery
Sign up for PSNet Issues … Read More
Have you encountered medical errors or patient safety issues … Have you encountered medical errors or patient safety issues?
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psnet.ahrq.gov/node/37363/psn-pdf
February 03, 2011 - Generalizing the results
from positive RRT outcome studies is often limited by methodological issues … An accompanying editorial [link below]
discusses these issues and the implications of this study for
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - 13
Communication Issues (1)
Most notably, this patient’s team experienced a breakdown in communication … compression—all problems that potentially require immediate intervention.
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14
Communication Issues … management of such findings are all good routine communication practices.3
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16
Communication Issues … Issues related to the impact of EHR usability, copy-and-paste notes, and autopopulated text are discussed … Patient Safety Issues From Information Overload in Electronic Medical Records.
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psnet.ahrq.gov/issue/fentanyl-patch-can-be-deadly-children
January 13, 2021 - March 4, 2015
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
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - October 3, 2017
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … March 27, 2005
Oversight Hearing on Recent Patient Safety Issues.
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psnet.ahrq.gov/node/41027/psn-pdf
September 01, 2016 - Reviewing the legal issues around decision support systems, this commentary advocates for
stronger regulation … A recent consensus conference identified the key
issues in developing more effective alert mechanisms
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psnet.ahrq.gov/node/44039/psn-pdf
December 23, 2016 - The Joint Commission issues sentinel event alerts periodically to highlight emergent safety
issues,
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psnet.ahrq.gov/node/45858/psn-pdf
March 24, 2017 - It also requires an organizational structure that facilitates identifying and addressing safety issues … The authors provide examples of how this framework was used to address safety
issues such as health
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psnet.ahrq.gov/node/45553/psn-pdf
October 13, 2018 - A prior study funded by the US Food and Drug Administration
found that many of the safety issues associated … psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - multifaceted
interventions targeted organizational factors, such as safety culture and specific clinical issues … improvements associated
with introduction of SPI, but no additional benefit on many other targeted issues
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psnet.ahrq.gov/node/44643/psn-pdf
July 21, 2016 - of the
quality of staff training in patient safety and the openness of communication around safety issues … of safety culture across
professional roles will impair an organization's ability to address safety issues
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psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - The investigators compared safety issues identified through traditional event
reporting, patient complaints … frequently cited in
malpractice cases, but executive walk rounds highlighted equipment and supply issues
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psnet.ahrq.gov/node/61082/psn-pdf
July 23, 2020 - These staffing issues not only exacerbate concerns regarding appropriate infection control and prevention … While the pandemic has emphasized that there are many complex issues associated with LTC facility
staffing … -19
https://www.cms.gov/newsroom/press-releases/cms-issues-nursing-homes-best-practices-toolkit-combat-covid … https://www.washingtonpost.com/graphics/2020/local/social-issues/coronavirus/nursing-homes-patients- … 31888867/
https://psnet.ahrq.gov//#_ednref4
https://www.washingtonpost.com/graphics/2020/local/social-issues
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2022
December 21, 2022 - April 22, 2021
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … December 6, 2011
Oversight Hearing on Recent Patient Safety Issues.
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psnet.ahrq.gov/issue/fda-101-how-use-consumer-complaint-system-and-medwatch
February 15, 2024 - August 11, 2010
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of … November 3, 2009
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - What do you
think are some of the key patient safety issues that the LGBTQ+ community faces? … What about post-care patient safety issues? … Do you
see any potential patient safety issues in that part of the healthcare continuum? … Sarah Mossburg: We talked about the issues and challenges facing this community. … How can healthcare
systems address patient safety issues?
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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - multiphase nationwide quality improvement project in the United Kingdom to
address four patient safety issues … First, investigators developed a single measure of harm-free care that
encompassed each of these issues
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psnet.ahrq.gov/node/43712/psn-pdf
December 03, 2014 - 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
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psnet.ahrq.gov/node/44084/psn-pdf
November 03, 2015 - safety and quality
of hospital care, and prior studies have shown that patients can identify safety issues … study provides further evidence for including patient perspectives in
identifying and measuring safety issues
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psnet.ahrq.gov/node/42868/psn-pdf
October 31, 2014 - errors are fully disclosed and an offer of compensation is made, along with
investigation of safety issues … structured
interviews with key participants, the authors identify crucial regulatory, legal, and practical issues