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psnet.ahrq.gov/node/47848/psn-pdf
May 08, 2019 - A mixed-method study of practitioners' perspectives on
issues related to EHR medication reconciliation … A Mixed-Method Study of Practitioners' Perspectives on
Issues Related to EHR Medication Reconciliation … https://psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication … https://psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation … https://psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
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psnet.ahrq.gov/node/47929/psn-pdf
June 26, 2019 - Cultural Issues Related to Allegations of Bullying and
Harassment in NHS Highland: Independent Review … https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland … The report examines
cultural issues at a National Health Service trust that affected the transparency … https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review … https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
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psnet.ahrq.gov/node/73081/psn-pdf
March 31, 2021 - Health professionals' perspectives of safety issues in
mental health services: a qualitative study. … Health professionals’ perspectives of safety issues in mental health
services: A qualitative study. … https://psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services- … https://psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study … https://psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
January 01, 2023 - When examining the frequency of issues in a process.
How do I use this tool?
1. … DEVELOP A LIST of issues to be compared.
2. … DEVELOP A STANDARD MEASURE of comparison for the issues.
3. … Determine which items seem responsible for the majority of the issues or problems. … Demonstrates which issues are the most significant or frequent.
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psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
June 20, 2018 - Press Release/Announcement
Hospira issues a voluntary nationwide recall for one lot … Citation Text:
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride … Copy URL
Cite
Citation
Citation Text:
Hospira issues … February 17, 2021
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of … January 26, 2022
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of
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www.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - Implementation Issues
Peer Reviewers for Volume 4. … research and methodological focus, the volumes include a series of articles that address implementation issues … Others beget new questions, raise new issues, and require further exploration. … Only by making this information widely available can we answer these questions and resolve these issues
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www.ahrq.gov/funding/process/award-process/index.html
June 01, 2017 - requested budget/justification, other sources of support for key personnel, resolution of human subjects issues … Protections (OHRP)-approved Assurance and/or the need for Institutional Review Board approval, overlap issues … Once all administrative issues have been satisfactorily addressed, GM staff prepare a Notice of Award … The Grants Management Officer reviews the NOA and, if there are no concerns, certifies and issues the
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psnet.ahrq.gov/node/61113/psn-pdf
January 01, 2021 - Do falls and other safety issues occur more often during
handovers when nurses are away from patients … Do falls and other safety issues occur more often during handovers
when nurses are away from patients … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when- … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real. … Patient safety issues in
primary care are real.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
December 01, 2024 - Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients … 1
Contemporary Emergency Medical Treatment and
Labor Act (EMTALA) Clinical Issues Involving
Pregnant … • To summarize the clinical patterns and issues common to these types of citations,
as well as the … their Medicare provider agreements will be terminated
if the facility fails to resolve the compliance issues … Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real. … Patient safety issues in
primary care are real.
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - Individual Clinician Performance Issues
March 15, 2025
Individual Clinician Performance Issues. … https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
PSNet primers are regularly reviewed … Detection of Individual Performance Issues
Individual clinician performance issues may relate to technical … Addressing Individual Performance Issues
The first step in addressing individual performance issues … These findings raise the question of
whether clinicians with performance issues can be detected—and
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
Patients … that length of stay was a key theme in found-on-floor
incidents and signaled underlying system-level issues … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
https
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - Gathering data in "real time" to identify and address issues with clinical care. … used the toolkit’s sample presentations to senior leadership to understand the relevant governance issues … But the "noise" resulting from documentation issues made it difficult to gain consensus that they had … The team also concluded that the retrospective reviews were not the most efficient way to address the issues … With these data in hand, the QI team can intervene when needed to correct issues with documentation and
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psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
April 10, 2013 - Study
Patient safety issues in advanced practice nursing students' care settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … the Same Author(s)
Advanced practice nursing students' identification of patient safety issues
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psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
May 08, 2013 - Commentary
Top 10 patient safety issues: what more can we do? … Top 10 patient safety issues: what more can we do? … Top 10 patient safety issues: what more can we do? … Citation
Related Resources From the Same Author(s)
Priority patient safety issues
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psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
June 20, 2018 - Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … 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 … August 5, 2020
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection
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psnet.ahrq.gov/node/865530/psn-pdf
April 10, 2024 - Electronic Health Record Modernization Caused
Pharmacy-Related Patient Safety Issues Nationally and … psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-
safety-issues … /psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues … /psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - Collaborates To Develop and Implement a Plan Addressing Safety Issues
Slide 14. … Collaborating with others to develop and put into effect a plan that addresses the safety issues the … How can you use those methods to address the safety issues you identified in your organization? … Safety Issues Worksheet for Senior Executive Partnership
The Safety Issues Worksheet for Senior Executive … insight into colleague work culture and how other team members approach similar issues.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/risk
January 01, 2023 - By conducting a risk assessment, you capture feedback on workflow issues that may affect quality of care … a risk assessment you identify the how work processes will be affected by your health IT system and issues … By conducting a risk assessment, issues related to how tasks and activities will be accomplished post … Proactive risk assessments help identify issues and prepare for a health IT system implementation by … also prioritizing issues and identifying how they can be resolved.