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321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61057/psn-pdf
     October 28, 2020 - measurement-considerations With input from a stakeholder committee, the National Quality Forum identified recommendations … The report includes comprehensive, broad-scope, actionable, and specific recommendations for implementing

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852798/psn-pdf
     August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations … Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841148/psn-pdf
     December 07, 2022 - ) directed at healthcare workers in the US, the Joint Commission issued a Sentinel Event Alert and recommendations … This study evaluated the effect of one of those recommendations, a WPV-reporting culture, on nurses’

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73687/psn-pdf
     September 08, 2021 - These cases included a diagnostic recommendation from the HS-ASP team (e.g., recommendations to consider … As these diagnostic recommendations often flagged diagnostic errors, this suggests that the HS-ASP model

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39788/psn-pdf
     April 21, 2011 - effects-reducing-or-eliminating-resident-work-shifts-over-16-hours-systematic-review https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force … https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force https://psnet.ahrq.gov/ … impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures https://psnet.ahrq.gov/issue/acgme-duty-hour-recommendations-national-survey-residency-program-directors

326. 4 skin conditions doctors often misdiagnose. | PSNet
     psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose
     September 30, 2020 - The piece shares recommendations for patients to obtain an accurate diagnosis such as seeking a second … June 24, 2020 Prioritising recommendations following analyses of adverse events in healthcare

327. Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report | PSNet
     psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
     March 25, 2020 - With input from a stakeholder committee, the National Quality Forum identified recommendations for … The report includes comprehensive, broad-scope, actionable, and specific recommendations for implementing

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837414/psn-pdf
     January 01, 2023 - to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations … approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837136/psn-pdf
     May 18, 2022 - emergency Understanding human causes of diagnostic errors can lead to more specific targeted, specific recommendations … measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60812/psn-pdf
     January 01, 2021 - the pharmacological treatment, identify and report drug-related issues, and provide evidence-based recommendations … When the pharmacist’s recommendations were implemented by prescribing physicians, approximately half

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60194/psn-pdf
     April 01, 2020 - This article shares recommendations for addressing this medication safety gap including working with … risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure https://psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40167/psn-pdf
     January 22, 2017 - 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 … graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force

333. ASPEN Safe Practices for Enteral Nutrition Therapy. | PSNet
     psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
     June 12, 2018 - June 20, 2018 ASPEN parenteral nutrition safety consensus recommendations. … June 12, 2018 Error-avoidance recommendations for tubing misconnections when using luer-tip … January 10, 2017 ASPEN parenteral nutrition safety consensus recommendations. … February 17, 2015 ASPEN parenteral nutrition safety consensus recommendations: translation

334. Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet
     psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
     November 04, 2020 - Download Citation Related Resources From the Same Author(s) Prioritising recommendations … November 4, 2020 Grading recommendations for enhanced patient safety in sentinel event … November 6, 2024 Grading recommendations for enhanced patient safety in sentinel event

335. The Life and Death of Elizabeth Dixon: A Catalyst for Change. | PSNet
     psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
     November 16, 2022 - The 12 recommendations stemming from the investigation include improvements in disclosure support , … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury

336. Bias in mental health diagnosis gets in the way of treatment. | PSNet
     psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
     April 06, 2022 - The author provides recommendations for clinicians and researchers to reduce the impact of bias on diagnosis … Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations

337. ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. | PSNet
     psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
     June 07, 2017 - This guideline expands on earlier recommendations  to support smart pump use in both hospitals and … The material provides recommendations that address infrastructure, drug libraries, quality improvement

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50855/psn-pdf
     January 29, 2020 - blood-borne disease transmission associated with insulin pen sharing in hospitalized patients and provide recommendations … This paper describes the impact on insulin pen sharing after the implementation of safe practice recommendations

339. Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. | PSNet
     psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
     June 02, 2021 - ways for manufacturers, policy makers, and product designers to prevent misconnections , including recommendations … February 3, 2016 Heparin-containing medical devices and combination products: recommendations

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73252/psn-pdf
     January 01, 2022 - The authors summarize participant recommendations to reduce missed test results. … timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic https://psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations