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  1. 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?
  2. Psn-Pdf (pdf file)

    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
  3. 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. 14 14 Communication Issues … management of such findings are all good routine communication practices.3 16 16 Communication IssuesIssues 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. 
  4. 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
  5. 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.
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44039/psn-pdf
    December 23, 2016 - The Joint Commission issues sentinel event alerts periodically to highlight emergent safety issues,
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. 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.
  15. 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
  16. Psn-Pdf (pdf file)

    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?
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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