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psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
May 01, 2019 - Experts recommend that prescribing begin with the indication for the medication, with decision support
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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - surgical practice, they argue for standardization of surgical equipment and the hospital environment, recommend
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psnet.ahrq.gov/issue/critical-issues-food-allergy-national-academies-consensus-report
November 16, 2022 - The authors recommend process changes and research directions to help improve allergy identification
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psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
October 14, 2020 - In particular, the authors recommend focusing on misdiagnosis-related harm in specific clinical scenarios
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psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
June 09, 2021 - The authors recommend numerous key milestones, including improving measurement methods, routine monitoring
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psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
July 07, 2021 - The authors recommend increased support and measurement of the impact of patient safety events on these
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psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - The authors recommend a patient-centered, systems-oriented approach built on leadership , teamwork,
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psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
March 13, 2019 - The authors recommend implementing fatigue-management training during residency.
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - The authors recommend ways to improve the safety of VHA services, including creating new classifications
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psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
September 23, 2020 - Interventions included standardized processes and checklists, and the authors recommend that future articles
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - The authors recommend verifying the procedure and patient with multiple sources of information, using
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psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
August 04, 2021 - The authors recommend that patient safety programs incorporate structured communication to frontline
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psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
August 04, 2021 - The authors expressed concern about the low frequency of perceived diagnostic errors and recommend further
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - The authors recommend more direct observation of hand hygiene to prevent health care–associated infections
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psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
March 10, 2021 - The authors recommend “flexibly standardized” handoff intervention tools for safe transfer from operating
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psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspective
January 12, 2022 - Instead of developing a standardized definition, the authors recommend considering how the timing and
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psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice
May 22, 2019 - The authors discuss the types of errors that may occur at each stage of radiotherapy and recommend error
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psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
March 16, 2022 - They recommend enhancing safety culture to reduce missed nursing care and improve safety.
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psnet.ahrq.gov/node/45944/psn-pdf
August 15, 2018 - The authors recommend that hospitals test
new information technologies to help identify weaknesses and
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psnet.ahrq.gov/node/45780/psn-pdf
March 15, 2017 - The authors recommend specific practices for safe opioid use, including
prescription of smaller quantities