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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Thus, in most states,
RNs provide direct supervision when starting nutrients, and LPNs may monitor and
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Medication/Drug Errors
Curated Library
Primers
Medication Administration Errors
Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March,
12 2021
Medication administration errors are a persistent patient saf…
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The Dangerous Detour
Citation Text:
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - ED staff are obligated to monitor patients in the waiting room, to escalate care when a patient’s condition … waiting room safety, hospitals should implement strategies to improve triage accuracy, expedite care, and monitor
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - discuss safety issues, prioritize safety concerns, develop and implement risk-reduction strategies, and monitor
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - These technologies are now commonly applied in virtually every medical specialty to educate, monitor,
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.
Citation Text:
Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Annual Perspective
Technology as a Tool for Improving Patient Safety
A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg
| March 29, 2023
View more articles from the same authors.
Citation Text:
Holmgren AJ, McBride S, Gale B, et al. Technology as a …
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications
Citation Text:
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - limited implementation of interventions to prevent cUTIs.( 18 ) In this study, 56% of hospitals did not monitor … catheter insertions, and 74% did not monitor duration of catheter use.
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psnet.ahrq.gov/node/47648/psn-pdf
February 27, 2019 - Comparing the outcomes of reporting and trigger tool
methods to capture adverse events in the emergency
department.
February 27, 2019
Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to
Capture Adverse Events in the Emergency Department. J Patient Saf. 2019;15(1):61…
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psnet.ahrq.gov/node/34734/psn-pdf
March 28, 2005 - The Definition of Quality and Approaches to Its
Assessment. Vol 1. Explorations in Quality Assessment
and Monitoring.
March 28, 2005
Donahedian A. Ann Arbor, MI; Health Administration Press: 1980. ISBN: 9780914904489.
https://psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-…
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - put both clinicians and laboratory personnel in a difficult position, laboratories should proactively monitor
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Conduct a nursing education program that stresses the importance of bringing the MAR to the bedside and monitor
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
https://psnet.a…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - RW : When you think about the ability to monitor and manage things that maybe patients didn't have 10
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - SPOTLIGHT CASE
Cognitive Overload in the ICU
Citation Text:
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Team Training: Classroom Training vs. High-Fidelity Simulation
Stephen D. Pratt, MD and Benjamin P. Sachs, MB | March 1, 2006
View more articles from the same authors.
Citation Text:
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulatio…
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Bloody BP Cuff
Citation Text:
Madan AK. Bloody BP Cuff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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