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381. Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. | PSNet
     psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
     June 14, 2017 - into a hospital maternity service in Ireland, identifies numerous areas for improvement, and makes recommendations … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury

382. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet
     psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
     September 07, 2016 - These recommendations include sets of specific actions for the overall health care system and for frontline … November 16, 2022 Procedural safety in emergency care: a conceptual model and recommendations

383. Prevention of medication errors in the pediatric inpatient setting. | PSNet
     psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
     July 03, 2016 - Key areas of recommendations to improve medication safety are reviewed: hospital-wide system actions … April 12, 2011 Recommendations from the British Committee for Standards in Haematology

384. Medical malpractice liability in the age of electronic health records. | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
     April 05, 2013 - This commentary examines the risks associated with electronic health record use and offers recommendations … patient safety and quality of care by improving the usability of electronic health record systems: recommendations

385. 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

386. 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

387. 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

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34916/psn-pdf
     March 09, 2009 - The system contained more than 1000 decision rules capable of providing clinical recommendations, and … more than 900 recommendations were issued to the intervention group.

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43169/psn-pdf
     May 07, 2014 - paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations … paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations

390. Calculating the cost of medication errors: a systematic review of approaches and cost variables. | PSNet
     psnet.ahrq.gov/issue/calculating-cost-medication-errors-systematic-review-approaches-and-cost-variables
     November 06, 2024 - Endnote tagged PubMedId RIS Download Citation Related Resources Recommendations … but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare.

391. Assessing the performance of aging surgeons. | PSNet
     psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
     September 07, 2016 - December 30, 2016 Toward a responsible future: recommendations for AI-enabled clinical … August 21, 2019 Transition planning for the senior surgeon: guidance and recommendations … March 4, 2011 Recommendations for quality assurance and improvement in surgical and autopsy

392. Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet
     psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
     October 09, 2013 - May 19, 2021 FDA Safety Communication: recommendations to reduce surgical fires and related … October 10, 2018 FDA Safety Communication: recommendations to reduce surgical fires and … June 22, 2011 New dosing recommendations to prevent potential Valcyte (valganciclovir

393. 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

394. 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

395. 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

396. 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

397. 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

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43287/psn-pdf
     July 02, 2014 - a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations … : a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46756/psn-pdf
     May 09, 2018 - The authors outline recommendations to address these challenges. … same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky https://psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons

400. Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. | PSNet
     psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
     June 12, 2018 - March 14, 2018 ASPEN parenteral nutrition safety consensus recommendations: translation … WebM&M Cases The Need to Eat December 18, 2019 Recommendations … June 7, 2016 ASPEN parenteral nutrition safety consensus recommendations: translation