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  1. 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

  2. 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

  3. 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

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39714/psn-pdf
    April 14, 2011 - New recommendations have kept the debate front and center among educational leaders and in training … The explicit input of public opinion into work hour restrictions was not part of the ACGME recommendations … issue/effect-residency-duty-hour-limits-views-key-clinical-faculty https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force

  5. Severe hyperglycemia in patients incorrectly using insulin pens at home. | PSNet

    psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
    December 15, 2021 - This alert raises awareness of hazards related to insulin pen misuse and offers recommendations to … March 16, 2011 Recommendations for Safe Use of Insulin in Hospitals.

  6. Smart infusion pump investigations after an unexplained over-infusion. | PSNet

    psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
    May 03, 2023 - Recommendations to minimize similar occurrences include removing the involved device from service and … February 15, 2023 Developing strategic recommendations for implementing smart pumps in

  7. 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

  8. 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

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74049/psn-pdf
    January 01, 2022 - This article discusses action-oriented safe practice recommendations from health information technology … Recommendations focus on screening (e.g., integrated screening tools and triggers in electronic health

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47136/psn-pdf
    July 02, 2019 - Researchers examined the degree to which 8 organizations adhered to the 140 SAFER recommendations and … Across the 8 sites, 25 of the 140 recommendations were fully implemented.

  11. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet

    psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
    February 14, 2024 - April 20, 2022 Perioperative patient safety recommendations: systematic review of clinical … January 15, 2025 Grading recommendations for enhanced patient safety in sentinel event … June 12, 2024 Prioritising recommendations following analyses of adverse events in healthcare

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34622/psn-pdf
    March 17, 2011 - NCEPOD seeks to review clinical practices and make recommendations to improve the quality and delivery … They perform confidential surveys exploring a variety of medical care issues and provide recommendations

  13. 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

  14. 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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852445/psn-pdf
    August 16, 2023 - patient-safety-resident-education-and-resident-well-being-following-implementation-2003-acgme https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force … https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33953/psn-pdf
    February 05, 2018 - Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  … Relevant literature was collected and reviewed to provide evidence-based recommendations.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44263/psn-pdf
    November 06, 2015 - Recommendations to prevent such errors include standardizing practices and using whiteboards as communication … //psnet.ahrq.gov/issue/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations

  18. Better care for surgical patients: recognizing and responding to the unexpected to save lives. | PSNet

    psnet.ahrq.gov/issue/better-care-surgical-patients-recognizing-and-responding-unexpected-save-lives
    January 11, 2017 - This brief summarizes gaps in failure to rescue processes and shares recommendations for health systems … WebM&M Cases "Recurrent" Appendicitis October 1, 2010 Recommendations

  19. Enhancing physicians' use of clinical guidelines. | PSNet

    psnet.ahrq.gov/issue/enhancing-physicians-use-clinical-guidelines
    July 01, 2017 - This commentary outlines recommendations to augment guideline development to increase physician adherence … May 9, 2018 ASPEN parenteral nutrition safety consensus recommendations: translation

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45234/psn-pdf
    November 18, 2016 - This commentary provides recommendations from expert consensus to help organizations design and implement … The authors also define three levels of management responsibilities required to support those recommendations
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