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psnet.ahrq.gov/node/42559/psn-pdf
May 28, 2014 - understanding pre-registration nursing students' survey
response to patient safety and peer reporting issues … understanding pre-registration nursing
students' survey response to patient safety and peer reporting issues
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/identifying-evidence-gaps
June 01, 2018 - The USPSTF issues an “I statement” when there is not enough evidence or when the available evidence is … When the USPSTF issues a recommendation for or against providing a service (i.e., an A, B, C, or D grade … Annual Report to Congress
As requested by Congress, each year the USPSTF issues the “ Annual Report
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psnet.ahrq.gov/node/47005/psn-pdf
June 13, 2018 - no-go-considerations-situ-simulation-safety
Frontline simulations offer valuable opportunities to explore system issues … psnet.ahrq.gov/primer/simulation-training
https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
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digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/annual-summary/2012
January 01, 2012 - In Phase I, an open trial of CCBT that focuses on feasibility issues of providing this intervention in … discuss various aspects of the research plan (e.g., manual development, protocol implementation, study issues … included: 1) a call for the site therapists and lead therapy consultant to discuss treatment procedures, issues … project coordinator to discuss concerns of implementing the study, recruitment, and participant tracking issues
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2010
January 01, 2010 - transitions in care among primary and specialty care providers, and 2) the lack of knowledge about survivor issues … and specialty care for pediatric and increase patient, family, and provider knowledge about survivor issues … In addition, there will be educational materials that improve awareness of survivorship issues and best … SurvivorLink utilization has on aspects of survivor care, including patient and provider awareness of survivor issues
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psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - should a multicampus hospital be considered a
single entity for public reporting on patient safety issues … should a multicampus hospital be considered a single
entity for public reporting on patient safety issues
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psnet.ahrq.gov/node/47460/psn-pdf
October 10, 2018 - https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
https://psnet.ahrq.gov/issue/ethical-issues-patient-safety … https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
https://psnet.ahrq.gov/perspective
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effectivehealthcare.ahrq.gov/sites/default/files/s13.pdf
October 01, 2007 - Finally, special
logistical issues can arise, including data access problems, difficul-
ties in conveying … This article
provides a conceptual overview of these methodologic issues. … SPECIAL LOGISTICAL ISSUES
Finally, unique logistical issues arise in the study of
patient safety and … Yet, attempts to obtain records are
inhibited by logistical issues such as cost, institutional review … Addressing these issues
will require novel research approaches such as new study
designs, innovative
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psnet.ahrq.gov/node/39910/psn-pdf
July 03, 2014 - intervention for contextualizing patient
care and medical students' abilities to probe for
contextual issues … intervention for contextualizing patient care and
medical students' abilities to probe for contextual issues
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - September 6, 2016
Oversight Hearing on Recent Patient Safety Issues. … October 1, 2014
Oversight Hearing on Recent Patient Safety Issues. … December 23, 2012
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. … Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006. … https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
Perspective … It is important that there is opportunity at all medical staff meetings to discuss safety issues. … What other important issues should you consider when starting a safety program?
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digital.ahrq.gov/sites/default/files/docs/page/SRD%20Call%208.30.06.ppt
August 22, 2006 - Francis went 24/7 on August 22, 2006
Issues with the system are primarily work flow related
Current … waited for a draft of the Model contract last summer, we recognized the need to tackle a number of issues … The dialogue and debate around these issues laid the foundation for an environment of trust where all … views are considered viable and discussed openly
Board members were kept apprised of the issues both … They weighed in on the issues when appropriate but waited till there was a recommendation from the work
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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
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digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - While all
vendors described a process, procedures to classify and report usability issues of EHR … In general, safety issues are given a
high-priority tag. … Once patient safety issues are identified, vendors address them in various
ways, including tracking … Methods for overcoming these types of bias issues
included suggestions such as certifying workflows … but must be further explored to identify underlying issues.
-
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
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Although not
universal, several participants recalled incidents where hardware and/or software issues … Some said that issues happened “all the time” before implementing their EHR. … Implementation Themes:
Approaches to preventing safety issues from mishandling test results included … safety issues not related
to the 12 SAFER recommendations addressed. … ONC issues guides for SAFER EHRs. J AHIMA.
2014;85(4):50-2. Epub 2014/05/20.
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digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - An "Issues Log" is a tool for identifying emergent unintended consequences. … Collect all issues,
problems, and unexpected situations from all sources. … USEFUL TOOL
Issues Log Template: The Issues Log is a central repository of information about EHR-
related … The Issues Log can also be used to track the progress of your remediation plan. … What issues does the unintended consequence create for them?
-
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
-
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
-
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