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psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
March 13, 2013 - The authors recommend applying human factors approaches to prevent this adverse event.
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psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute
May 30, 2016 - Prescribers received such feedback positively, and the authors recommend systematizing prescribing feedback
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psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
March 03, 2011 - Prevent Medical Errors " and the Joint Commission's " Speak Up " program to ensure surgical safety recommend
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psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
April 29, 2018 - The authors recommend that hospitals test new information technologies to help identify weaknesses
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psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
December 18, 2017 - They recommend practice-based competency in civility in order to improve patient safety.
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - The authors of this study recommend that consideration be given to establishing formal recommendations
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psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents
August 20, 2018 - The authors recommend increased attending supervision during the perioperative period in order to prevent
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psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
September 30, 2010 - The authors recommend tactics to reduce the risks related to data protection, service environment ,
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psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through-free-text-override
April 29, 2018 - The authors recommend routine monitoring of alert override comments to identify errors related to clinical
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psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
February 22, 2011 - The authors recommend employing both workflow and technology solutions to address this safety gap.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety
October 01, 2024 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/safety-time-covid-19-pandemic-how-keep-our-oncology-patients-and-healthcare-workers-safe
September 03, 2011 - The authors recommend several approaches ensure patient safety, including COVID-19 prescreening/screening
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psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
January 02, 2017 - They also recommend that attending physicians and other leaders learn to avoid language that evokes shame
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psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
April 06, 2011 - The authors recommend several interventions, including safety walk rounds , that could address this
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psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-medical-errors
February 15, 2011 - The researchers found that while risk managers were more likely to recommend full disclosure of both
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psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
June 27, 2018 - Investigators uncovered components of hospital culture and practice that affect parent engagement and recommend
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psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
September 28, 2010 - behaviorally specific policy has been enacted and whether staff understand the policy, and goes on to recommend
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psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
April 01, 2010 - conclude that electronic prescribing is not sufficient to ensure safe chemotherapy prescription and recommend
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psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error
February 21, 2018 - The authors also recommend fostering a “ just culture ” that advocates for system accountability.
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - The authors recommend that postmarketing surveillance of medical devices be redesigned to foster detection