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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73639/psn-pdf
     August 25, 2021 - report-morecambe-bay-investigation https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services … https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60186/psn-pdf
     April 01, 2020 - eleven-basic-procedurespractices-dental-patient-safety Based on malpractice claims data in Spain, the authors propose eleven recommendations … These recommendations include developing a culture of safety, improving the quality of clinical records

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867751/psn-pdf
     March 12, 2025 - epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers https://psnet.ahrq.gov/primer/triggers-and-trigger-tools https://psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety … https://psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety

284. Preventing maternal death. | PSNet
     psnet.ahrq.gov/issue/preventing-maternal-death
     April 26, 2023 - Adherence to these recommendations is then assessed as part of Joint Commission accreditation surveys … The alert also provides recommendations around educational strategies, identifying specific clinical

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837146/psn-pdf
     May 18, 2022 - Using the principles of requisite imagination, this article outlines six recommendations for safe EHR … https://psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60622/psn-pdf
     January 01, 2021 - psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-evidence-based-tips This article summarizes evidence-based recommendations … These recommendations focus on team functioning, safety culture, and resilience.

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60932/psn-pdf
     January 01, 2021 - suicide events in VA hospitals to characterize suicide attempts and deaths and provide prevention recommendations … Recommendations include avoidance of environmental hazards, medication monitoring, control of firearms

288. Error disclosure in pathology and laboratory medicine: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/error-disclosure-pathology-and-laboratory-medicine-review-literature
     July 28, 2021 - barriers to disclosing diagnostic errors to patients in pathology and laboratory medicine and makes recommendations … December 5, 2018 Disclosure of harmful medical error to patients: a review with recommendations

289. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
     psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
     March 15, 2022 - This article summarizes 3 new areas of focus included in current recommendations for sustaining medication … A survey accompanies the article to gather data on the presence of the new recommendations in the field

290. Guidelines in Practice: prevention of unintentionally retained surgical items. | PSNet
     psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
     August 03, 2022 - This article focuses on concepts and recommendations specific to counting procedures, reconciling discrepancies … Retained Surgical Items: Causation and Prevention February 26, 2025 Grading recommendations

291. Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. | PSNet
     psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
     May 20, 2020 - Full analysis and recommendations are provided based on the research findings and input from an expert … July 24, 2019 Recommendations from a national panel on quality improvement in obstetrics

292. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet
     psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
     March 10, 2021 - report highlights its value in assuring diagnostic communications are reliably completed and shares recommendations … The publication is accompanied by a guide for organizations to act on the recommendations for closed-loop

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60344/psn-pdf
     May 20, 2020 - american-geriatrics-society-ags-policy-brief-covid-19-and-nursing-homes This policy brief presents the American Geriatric Society’s recommendations … Recommendations focus on the production and distribution of personal protective equipment (PPE), patient

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60007/psn-pdf
     March 04, 2020 - This guideline expands on earlier recommendations  to support smart pump use in both hospitals and the … The material provides recommendations that address infrastructure, drug libraries, quality improvement

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60227/psn-pdf
     April 15, 2020 - events, rarely use external experts in the process, and lack predetermined criteria for selecting recommendations … SEs, the authors highlight the need for a transparent approach to assessing events and implementing recommendations

296. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet
     psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
     February 21, 2024 - Recommendations from the analysis focus on organizational work to limit the opportunities for swab retention … April 1, 2019 View More Related Resources Grading recommendations

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867590/psn-pdf
     January 22, 2025 - measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors https://psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-organizations-address … https://psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-organizations-address

298. Cost implications of reduced work hours and workloads for resident physicians. | PSNet
     psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
     August 05, 2015 - These recommendations included eliminating extended duration shifts or scheduling nap times during … The implementation of the IOM recommendations would cost teaching hospitals approximately $1.6 billion … January 16, 2008 The effect of race and sex on physicians' recommendations for cardiac

299. Trainees' perceptions of patient safety practices: recounting failures of supervision. | PSNet
     psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
     September 20, 2011 - Recent recommendations from the Accreditation Council for Graduate Medical Education are expected to … take effect in July 2011, and one of those recommendations emphasizes enhanced supervision of early-stage … March 13, 2013 Toward a responsible future: recommendations for AI-enabled clinical decision

300. Effectiveness and efficiency of root cause analysis in medicine. | PSNet
     psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
     July 11, 2012 - Also absent are best practices for establishing recommendations for action, follow-up, and analyzing … The authors suggest that many recommendations stemming from RCAs should focus at the level of the health … May 25, 2022 Assisting beginners in root cause analysis operations: analysis and recommendations