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psnet.ahrq.gov/node/38428/psn-pdf
February 18, 2009 - experienced a never event, and approximately 4% experienced a condition on CMS's no pay for errors list
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psnet.ahrq.gov/node/853245/psn-pdf
September 06, 2023 - Intraoperative communications between pathologists and
surgeons: do we understand each other?
September 6, 2023
Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we
understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa.
https://psnet.…
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - in one study, human factors engineers created a simulated ordering environment with an alphabetical list … None of the providers looked at the second identifier when selecting patients from a pick list, even … used automated decision support to check that the medication indications match with patient's problem list … magnitude of the risk, the report specifically cited wrong-patient orders commonly arising from the "pick list
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - A review of workflow practices found that while generics were listed among the EHR drop-down list of … A list of Nudge Unit projects can be found here: https://nudgeunit.upenn.edu/portfolio . … References/Related Articles
A complete list of Nudge Unit publications can be found here: https://
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - statistics motivated the FDA to hold a summit on infusion device safety in 2010, which generated a list … piston controls fluid delivery. .hangingindent { padding-left: 21px ; text-indent: -15px ; list-style-type … :none; } .NumSpan{ margin-left:-10px; } .tableUL { list-style-type:none; padding: 5px 15px … ; list-style: disc; list-style-position: outside; }
This project was funded under contract
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psnet.ahrq.gov/issue/using-electronic-prescribing-system-ensure-accurate-medication-lists-large-multidisciplinary
August 28, 2017 - Study
Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.
Citation Text:
Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. J…
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - admission at which both 1 mg and 5 mg strengths of warfarin were noted as active on his medication list … Strategies to Reduce Medication Errors A complete, accurate, and current medication list is a critical … In the case described previously, an old prescription on the patient’s medication list contributed to … an administration error and was subsequently identified upon review of the medication list. … Reconciling the medication list increases the likelihood that the patient has been prescribed the correct
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psnet.ahrq.gov/node/40932/psn-pdf
July 05, 2016 - patient safety, many of the
purported benefits have not yet been realized, and an ever-lengthening list
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psnet.ahrq.gov/node/37392/psn-pdf
February 15, 2011 - surgical safety
recommend that patients engage in specific safety practices, such as maintaining a list
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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - The authors propose developing a list of clinical contexts and
specific diseases prone to diagnostic
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psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - Differential diagnosis generators provide a list of possible diagnoses for a problem.
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psnet.ahrq.gov/node/43544/psn-pdf
December 07, 2016 - After multiple rounds of discussion and
evidence review, investigators produced a list of 51 triggers
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - (Simply scan the list of past interviewees in our "In Conversation With?" … Lives Campaign
Leapfrog Group
NGO (consortium of large employers)
Development of list … of safe practices
National Quality Forum
NGO
Development of list of "Serious Reportable … Events" (often known as "Never Events")
Development of list of "safe practices"
National
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psnet.ahrq.gov/node/49842/psn-pdf
September 01, 2018 - American Academy of Pediatrics, along with the American College of Emergency Medicine, has
compiled a list … recommended pediatric equipment and specifies sizes for the equipment to be
stocked in most EDs.(13) This list … Today, most hospitals stock most, if not all, of the equipment on the list, and most
community and many
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psnet.ahrq.gov/node/47592/psn-pdf
July 17, 2019 - Identifying potential medication discrepancies during
medication reconciliation in the post-acute long-term care
setting.
July 17, 2019
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication
Reconciliation in the Post-Acute Long-Term Care Setting. J Gerontol Nurs. 2019;45(7):5…
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - A review of workflow practices found that while generics were listed among the EHR drop-down list
of … A list of Nudge Unit projects can be found here: https://nudgeunit.upenn.edu/portfolio. … References/Related Articles
A complete list of Nudge Unit publications can be found here: https://nudgeunit.upenn.edu
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - MS
Objectives
At the conclusion of this educational activity, participants should be able to:
List … and summary generation was 2 weeks
Summaries often do not include test results, discharge medication list … summaries
Dictate in a timely fashion
Include discharge medications (highlight changes from admission)
List
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psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - requirements for which specific tests or limits need to be incorporated into a
laboratory's critical values list … Paradoxically, adding a test to a critical values list can also prolong the
turnaround time of result … If troponin was not on
that laboratory's critical values list, and relevant stakeholders decided that
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psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - Review
"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process.
Citation Text:
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…
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psnet.ahrq.gov/node/41066/psn-pdf
October 16, 2012 - Healthcare Research and Quality and the Centers for Medicare and
Medicaid Services (CMS) create a uniform list