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psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
February 16, 2011 - Approximately half of respondents declined to explain how the error occurred or discuss specific plans
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psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
January 06, 2017 - Using claims data from two large health plans, the investigators selected 11 drugs and their recommended
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psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
March 29, 2007 - The article extensively reviews the challenges of implementing the program and future plans for disseminating
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psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication
December 05, 2018 - increased compliance with handoff elements, including illness severity, pending tests, contingency plans
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psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina
September 20, 2012 - schools (elementary, middle, and high schools), the number of medication errors and corrective action plans
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psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - discusses the broader certification issue, calling for greater collaboration among hospitals, health plans
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psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
June 21, 2017 - reviews revealed communication failures , such as lack of discussion about suicide risks or mitigation plans
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psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
December 21, 2014 - working within systems with census control (patient caps, fixed bed capacity, or staff augmentation plans
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - unsafe home environments,
medication issues, incomplete information, and lack of understanding of care plans … I-PASS (i.e., illness severity, patient information,
action list, situational awareness and contingency plans … EHR, are important tools for
communicating patient information such as medication and follow-up care plans … across different healthcare organizations still pose challenges for
effectively communicating follow-up plans
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psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
March 25, 2020 - , 2015
Enacting the Washington state patient safety act requiring hospital staffing plans
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psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
August 02, 2023 - June 13, 2012
Critical Incident Reviews, Significant Adverse Event Reports and Action Plans
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psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-hospice-one-agencys-journey
June 05, 2019 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/issue/safety-preservation-value
January 11, 2023 - March 6, 2024
"Plans are worthless, but planning is everything": advancing patient safety
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psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
January 08, 2020 - Poor team-SMMs were characterized by divergent opinions regarding patient care plans, delays or gaps
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - usage, polypharmacy, environmental hazards, poor communication between staff, lack of resident safety plans
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psnet.ahrq.gov/issue/covid-19-and-open-notes-new-method-enhance-patient-safety-and-trust
December 08, 2021 - strengthened patient-clinician relationships , patient engagement, and adherence to mental health care plans
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - to-do items to be completed by the clinician receiving signout Situation awareness and contingency plans … should include content such as illness assessment, patient summary, to-do action list, and contingency plans
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - abbreviation for Illness severity, Patient summary, Action list, Situation awareness and contingency plans … oral handoff elements was most notably associated with illness severity, to-do lists,
contingency plans … of the limited time they
have to manage multiple competing issues overnight, often make contingency plans … that minimize the need
to intervene until necessary, plans that could be considered “rescue care.”
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - May 19, 2015
Dallas Ebola case shows even sound plans can fail spectacularly.