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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Citation
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The Ongoing … Interview
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psnet.ahrq.gov/issue/mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care
August 03, 2022 - Detecting adverse events in the health care setting remains an ongoing challenge. … evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
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psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - With ongoing advances in such therapy and
a growing shift to outpatient treatment in infusion clinics … that came from their local findings and how the
complexity of outpatient oncology treatment warrants ongoing
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Data dissemination methods via texts and emails to providers to encourage ongoing documentation and increases … Leadership to manage implementation and ongoing feedback to providers. … Leadership to manage implementation and ongoing feedback to providers. … , for each high-risk population, establish a process to make formal recommendations to implement an ongoing … Also, use ongoing data tracking to track compliance with the program and to observe for a decrease in
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psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
February 18, 2011 - With ongoing advances in such therapy and a growing shift to outpatient treatment in infusion clinics … that came from their local findings and how the complexity of outpatient oncology treatment warrants ongoing
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psnet.ahrq.gov/node/41437/psn-pdf
January 03, 2017 - psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
Efforts to improve communication are an ongoing … Like many quality improvement efforts,
ongoing monitoring and repeat interventions are required.
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psnet.ahrq.gov/node/46459/psn-pdf
August 20, 2018 - trainees-perceptions-patient-safety-practices-recounting-failures-supervision
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension … medical-malpractice-lawsuits-involving-surgical-residents
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
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psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
October 05, 2022 - View More
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The Ongoing … Interview
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psnet.ahrq.gov/node/47467/psn-pdf
January 21, 2019 - application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
Identifying and measuring diagnostic error remains an ongoing … A past PSNet perspective discussed ongoing challenges associated with
diagnostic error.
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psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
February 04, 2015 - The authors describe the notion of preventable deaths as a focus of ongoing safety interventions. … improvement, greater adoption of safety efforts as a part of quality rather than a competitor of it, and ongoing
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psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
September 29, 2017 - Efforts to improve communication are an ongoing challenge in patient safety, particularly among providers … Like many quality improvement efforts, ongoing monitoring and repeat interventions are required.
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psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
August 12, 2020 - View More
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The Ongoing … Interview
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - View More
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The Ongoing … Interview
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - View More
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - View More
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psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
May 25, 2016 - The authors describe ongoing efforts to redesign the letters with the hope to enhance their influence … June 16, 2019
Ongoing, preventable fatal events with fentanyl transdermal patches are
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - postanesthesia care unit (PACU), the nurse called the attending physician three times to report hypotension and ongoing … The commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding … She developed signs of stroke and required ongoing resuscitation overnight before being transitioned
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - View More
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psnet.ahrq.gov/issue/aviations-gift-health-care
December 19, 2018 - View More
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - safeguard procedures that help to reduce the risk of patient error include comprehensive training and
ongoing … The training that each receives should align with those
responsibilities.7
Ongoing Open Communication … mitigation to avoid
the error being repeated.7
The use of Bluetooth-enabled devices can help to support ongoing … increase, it will be critical to ensure that patients still
have access to the dedicated training and ongoing