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psnet.ahrq.gov/node/48164/psn-pdf
August 14, 2019 - Patient safety issues continue to plague American
hospitals.
August 14, 2019
Wilensky GR. … Patient Safety Issues Continue to Plague American Hospitals. … https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
High-quality, … https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/72734/psn-pdf
February 10, 2021 - Meitheal Pharmaceuticals, Inc. issues voluntary
nationwide recall of Cisatracurium Besylate Injection …
https://psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium … https://psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium-besylate … https://psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium-besylate
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psnet.ahrq.gov/node/73295/psn-pdf
May 19, 2021 - Hospira issues a voluntary nationwide recall for one lot of
0.5% Bupivacaine Hydrochloride Injection … https://psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-
hydrochloride-injection-usp … https://psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp … https://psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
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psnet.ahrq.gov/submit-case-landing
March 25, 2025 - WebM&M Case Submission
PSNet is looking for interesting, provocative cases that illustrate key issues … professionals may submit de-identified cases that highlight medical errors or other patient safety/quality issues … Is the case an important example of a common error, or is it unique but nevertheless raises some key issues … Does the case highlight important systems issues? … form should only be used to submit de-identified, factual cases of medical errors or patient safety issues
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psnet.ahrq.gov/node/73893/psn-pdf
September 29, 2021 - How to seek care for non-covid health issues during the
pandemic, and why you shouldn’t delay. …
https://psnet.ahrq.gov/issue/how-seek-care-non-covid-health-issues-during-pandemic-and-why-you … https://psnet.ahrq.gov/issue/how-seek-care-non-covid-health-issues-during-pandemic-and-why-you-shouldnt-delay … https://psnet.ahrq.gov/issue/how-seek-care-non-covid-health-issues-during-pandemic-and-why-you-shouldnt-delay
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psnet.ahrq.gov/node/838644/psn-pdf
October 19, 2022 - Issues a Voluntary
Nationwide Recall of Atenolol 25 mg Tablets and
Clopidogrel 75 mg Tablets Due to … https://psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol … https://psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol … -25-mg-tablets-and
https://psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - workday or shift to focus on care coordination, facilitate immediate face-to-face clarification of issues … . 6 The overall goal of the safety huddle is to review the previous day’s work to identify safety issues … purpose of the huddle is to share information and highlight concerns to be followed up – not solve issues … Issues with non-functional or defective equipment, or concerns about patient rooms are included in these … and to outline plans to prevent and address those issues.
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - workday or shift to focus on care coordination, facilitate immediate face-to-face clarification
of issues … purpose of the huddle is to share information and highlight
concerns to be followed up – not solve issues … Issues with non-functional or defective equipment, or concerns about patient rooms are included in these … issue" to clearly convey the gravity of the event to the listener.8
A designated team member notes issues … and to outline plans to
prevent and address those issues.
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psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
March 10, 2021 - aimed at improving communication and early identification and timely resolution of patient safety issues … Over a 7-month period, 340 safety issues were addressed; the majority involved infection control and … medication errors (32%), communication issues (24%) and documentation issues (17%).
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psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports
May 29, 2024 - Study
Artificial intelligence related safety issues associated with FDA medical device … Artificial intelligence related safety issues associated with FDA medical device reports. … Artificial intelligence related safety issues associated with FDA medical device reports.
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psnet.ahrq.gov/node/60051/psn-pdf
March 18, 2020 - aimed at improving communication and early identification and timely resolution of patient safety issues … Over a 7-month period, 340 safety issues were addressed; the majority involved infection control and … medication errors (32%), communication issues (24%) and documentation issues (17%).
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psnet.ahrq.gov/node/42175/psn-pdf
April 10, 2013 - Advanced practice nursing students' identification of
patient safety issues in ambulatory care. … Advanced practice nursing students' identification of patient safety
issues in ambulatory care. … https://psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues- … ambulatory-care
Recent research has focused on identifying patient safety issues in the ambulatory … In this study,
advanced practice nursing students recognized more than 800 patient safety issues during
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psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
November 13, 2013 - Review
Pharmacists and health information technology: emerging issues in patient … Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. … Pharmacists and Health Information Technology: Emerging Issues in Patient Safety.
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psnet.ahrq.gov/issue/product-related-issues-make-error-potential-enormous-investigational-drugs
May 07, 2018 - Newspaper/Magazine Article
Product-related issues make error potential enormous with … Citation Text:
Product-related issues make error potential enormous with investigational drugs. … Copy URL
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Citation
Citation Text:
Product-related issues
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psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
February 24, 2011 - Study
Tying up loose ends: discharging patients with unresolved medical issues. … Tying up loose ends: discharging patients with unresolved medical issues. … Tying up loose ends: discharging patients with unresolved medical issues.
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psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
May 28, 2015 - Commentary
Application of lean thinking to health care: issues and observations. … Application of lean thinking to health care: issues and observations. … Application of lean thinking to health care: issues and observations.
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psnet.ahrq.gov/node/46975/psn-pdf
November 16, 2018 - Electronic health record usability issues and potential
contribution to patient harm. … Electronic Health Record Usability Issues and Potential
Contribution to Patient Harm. … https://psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient … In particular, issues with EHR usability (the ease of understanding, learning,
and using the interface … the EHR vendors' legal liability, meaning that patients may not be able to seek
compensation if EHR issues
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psnet.ahrq.gov/node/38137/psn-pdf
October 15, 2008 - Ethical and legal issues in the use of health information
technology to improve patient safety. … Ethical and legal issues in the use of health information technology to improve patient safety. … https://psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient … -
safety
This review explores the emerging privacy, security, and regulatory issues in using health … https://psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
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psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
September 28, 2016 - Newspaper/Magazine Article
How communications issues between doctors and nurses can … Citation Text:
How communications issues between doctors and nurses can affect your health. … URL
Cite
Citation
Citation Text:
How communications issues … October 1, 2016
Costly issues of an uncommunicative OR.
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psnet.ahrq.gov/node/36337/psn-pdf
October 26, 2010 - Technology, governance and patient safety: systems
issues in technology and patient safety. … Technology, governance and patient safety: systems
issues in technology and patient safety. … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and- … adverse events related to medical devices, equipment, and other
technologies and discuss governance issues … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety