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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - communication, prompts to providers to address the evidence-based measures on a daily basis, and a data wall to provide … The authors provide a detailed description of their efforts that achieved near 100% target goals and
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psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
March 20, 2019 - Tenner’s discussions of medical and nonmedical examples provide an engaging introduction to the many … August 4, 2021
A qualitative study of what care workers do to provide patient safety
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psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
October 19, 2022 - The authors provide a detailed account of the process involved, from investigating a possible serious … conclude by sharing potential implications of the program’s efforts and how this surveillance method may provide
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psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-team-service-teaching-hospital
November 16, 2022 - in preventing adverse patient outcomes is uncertain , a major proposed benefit of such teams is to provide … Nearly all nurses felt the team helped provide more effective care for patients and helped educate nurses
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psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
March 27, 2005 - death of Betsy Lehman at Dana-Farber Cancer Institute), and other cases never previously reported to provide … Leape wrote that Internal Bleeding "shows how cognitive psychology and human factors engineering provide
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psnet.ahrq.gov/issue/basics-fmea-2nd-edition
October 23, 2013 - The authors provide a handbook that serves as the core tool for understanding and implementing the failure … of a FMEA, case studies where they have been used, and a discussion of where and when to use FMEAs provide
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - Focus groups with nurses revealed a wide array of interruptions that inhibited their ability to provide … September 19, 2012
The work of nurses to provide good and safe services to children receiving
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psnet.ahrq.gov/primer/clinical-decision-support-systems
December 15, 2024 - information technology rest in large part on the ability of these systems to use patient-specific data to provide … as diagnoses, laboratory results, medication choices, or complex combinations of clinical data) to provide … Clinical decision support systems are increasingly being used to provide support for interdisciplinary
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psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
June 16, 2010 - In addition to known issues with staffing ratios , the authors point out an opportunity to provide safer … November 9, 2011
Why patient summaries in electronic health records do not provide the
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psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
June 13, 2011 - The authors provide context to their recommendations and then offer a detailed table that walks users … Related appendices provide rationale and operating definitions for communicating critical test results
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - systemwide limitations in measuring physician performance and how this deficiency compromises the ability to provide … The authors provide a background and contextual basis for definitions such as professional competence
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psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide guidelines … on hospitals to design work schedules to minimize fatigue risks, monitor the safety of handoffs, and provide
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psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
March 12, 2010 - It also announces a requirement regarding changes to prescribing information for opioids to provide expanded … Health care providers should discuss tapering plans with patients and provide ongoing monitoring and
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psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
January 02, 2017 - The authors provide a summary of their safe practice recommendations and share their reconciliation form … Overall, the authors provide a practical, step-by-step experiential guide for institutions and individuals
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psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
April 01, 2020 - predictive model, based on electronic health record data, to identify high-risk opioid users in order to provide … They then used the electronic health record to provide physicians with an overdose or suicide risk estimate
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psnet.ahrq.gov/node/865680/psn-pdf
September 06, 2024 - workforce-and-patient-safety
The complex health care work environment creates conditions that detract from staff ability to provide … over the course of 2024 will cover workforce
challenges that can affect the safety of patients and provide
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psnet.ahrq.gov/node/45877/psn-pdf
July 19, 2017 - /psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell
The sharing of stories is a key method to provide … report-mid-staffordshire-nhs-foundation-trust-public-inquiry
https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care … https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/866956/psn-pdf
October 16, 2024 - obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-
quality-metrics
Hospitalists are physicians who provide … patients, reduced cesarean
delivery rates, and decreased preterm deliveries when compared to OBGYNs who provide
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psnet.ahrq.gov/node/866275/psn-pdf
July 10, 2024 - psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home … psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
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psnet.ahrq.gov/node/73193/psn-pdf
April 28, 2021 - This news
article introduces how they detract from safe care delivery and provide protections against … alert-fatigue
https://psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse