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361. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet
     psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
     August 01, 2012 - It includes a checklist to gauge readiness for implementation, measurement strategies , and recommendations … 19, 2022 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations

362. External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. | PSNet
     psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
     September 10, 2014 - The report makes 48 recommendations to help minimize the likelihood of this mistake. … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury

363. Infection prevention and control in pediatric ambulatory settings. | PSNet
     psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings
     April 11, 2011 - This guideline provides recommendations to reduce transmission of infectious agents in pediatric ambulatory … Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations

364. When Things Go Wrong: Responding to Adverse Events. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
     November 19, 2014 - In addition to offering recommendations on how to effectively communicate with patients and families, … Finally, the comprehensive report offers several appendices that include recommendations and a case study

365. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet
     psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
     May 07, 2014 - Recommendations included providing visual alerts, limiting the amount of labels printed, and verifying … June 18, 2014 Recommendations for practitioners and manufacturers to address system-based

366. Improving pediatric electronic health record usability and safety through certification: seize the day. | PSNet
     psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
     November 28, 2018 - This commentary provides recommendations to guide the development of certification processes for pediatric … May 12, 2021 Duplicate medication order errors: safety gaps and recommendations for improvement

367. 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

368. 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.

369. Global Guidelines on the Prevention of Surgical Site Infection. | PSNet
     psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
     July 20, 2011 - The document includes recommendations for improvement informed by the latest evidence. … June 8, 2022 APSF endorsed statement on revising recommendations for patient monitoring

370. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. | PSNet
     psnet.ahrq.gov/issue/facilitating-patient-understanding-discharge-instructions-workshop-summary
     October 08, 2014 - reveals how health literacy affects patients' abilities to follow discharge instructions and makes recommendations … qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations

371. Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. | PSNet
     psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
     June 18, 2014 - of a survey indicating when and why intravenous (IV) medications are unnecessarily diluted and makes recommendations … November 5, 2014 Recommendations for practitioners and manufacturers to address system-based

372. Guidelines for Adult IV Push Medications. | PSNet
     psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
     April 01, 2015 - To ensure the applicability and use of the recommendations in hospitals, the authors sought broader consensus … June 7, 2017 Error-avoidance recommendations for tubing misconnections when using luer-tip

373. Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. | PSNet
     psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
     July 08, 2015 - The second article discusses risks during vaccine use and offers recommendations to prevent them. … May 7, 2014 Recommendations for practitioners and manufacturers to address system-based

374. Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet
     psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
     November 30, 2016 - It shares improvement recommendations that include best practice adherence, standardization, monitoring … Review of medication error sources associated with inpatient subcutaneous insulin: recommendations

375. 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

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46931/psn-pdf
     January 15, 2019 - evaluation-perioperative-medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations … https://psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations

377. 2007 Guide to State Adverse Event Reporting Systems. | PSNet
     psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
     November 29, 2009 - July 3, 2013 Opportunities and Recommendations for State–Federal Coordination to Improve … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … July 7, 2010 Opportunities and Recommendations for State–Federal Coordination to Improve

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47011/psn-pdf
     June 20, 2018 - standardized-competencies-parenteral-nutrition-administration-aspen-model https://psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations … aspen-parenteral-nutrition-safety-summit https://psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37809/psn-pdf
     November 21, 2016 - Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations … Key recommendations include involving patients and families in health care leadership, through measures

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39976/psn-pdf
     November 17, 2010 - duty-hours-and-patient-safety https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety 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/