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121. Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. | PSNet
     psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
     September 23, 2015 - reviews the current state of knowledge on safety issues in the operating room (OR) and provides detailed recommendations … These recommendations include using checklists and formal handoff protocols for every procedure, … June 24, 2020 Medication safety in the operating room: literature and expert-based recommendations … August 10, 2011 Improving care teams' functioning: recommendations from team science. … May 11, 2022 APSF endorsed statement on revising recommendations for patient monitoring

122. Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. | PSNet
     psnet.ahrq.gov/issue/challenges-ethics-safety-best-practices-and-oversight-regarding-hit-vendors-their-customers
     May 14, 2008 - The paper provides wide reaching recommendations about contracts, education and ethics, best practices … June 22, 2005 Recommendations for the safe, effective use of adaptive CDS in the US healthcare … November 10, 2021 Recommendations for the safe, effective use of adaptive CDS in the … July 1, 2019 Transition planning for the senior surgeon: guidance and recommendations … May 18, 2019 Recommendations from a national panel on quality improvement in obstetrics

123. Infections associated with reprocessed flexible bronchoscopes. | PSNet
     psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
     March 11, 2015 - FDA regarding infections related to reprocessed flexible bronchoscopes, this announcement offers recommendations … November 19, 2014 FDA Safety Communication: recommendations to reduce surgical fires … March 4, 2015 FDA Safety Communication: flexible bronchoscopes and updated recommendations … August 25, 2021 New dosing recommendations to prevent potential Valcyte (valganciclovir … April 26, 2006 Heparin-containing medical devices and combination products: recommendations

124. Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet
     psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
     February 23, 2022 - This editorial presents six recommendations for the patient safety field to support advances in health … Experiences of transgender and gender nonbinary patients in the emergency department and recommendations … September 12, 2012 ASPEN parenteral nutrition safety consensus recommendations: translation … August 20, 2014 ASPEN parenteral nutrition safety consensus recommendations. … April 3, 2005 Medication safety in the operating room: literature and expert-based recommendations

125. A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet
     psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
     October 26, 2022 - qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations … Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilities and Recommendations … November 29, 2023 The reduction of race and gender bias in clinical treatment recommendations … May 24, 2023 Safe practice recommendations for the use of copy-forward with nursing flow … Experiences of transgender and gender nonbinary patients in the emergency department and recommendations

126. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet
     psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
     December 12, 2012 - Recommendations include incident debriefings , early warning systems, rapid response systems , and … August 22, 2007 Recommendations from a national panel on quality improvement in obstetrics … March 6, 2005 Error-avoidance recommendations for tubing misconnections when using luer-tip … November 8, 2006 Variation in printed handoff documents: results and recommendations … January 22, 2014 ASPEN parenteral nutrition safety consensus recommendations.

127. Procedure Complications – Who is Responsible for Follow up? | PSNet
     psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
     July 31, 2023 - No recommendations were communicated by the thoracic surgery team, in part because there was no active … inpatient encounter available in the electronic medical record to allow consultants to document their recommendations … clear communication regarding the operator’s confidence in the success of endoscopic closure and their recommendations … It is generally inappropriate for a consultant to order imaging studies or leave recommendations while … patient has been admitted or transferred to the ED, the surgical consultant can then be involved in recommendations

128. American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. | PSNet
     psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
     June 12, 2019 - This guideline updates existing recommendations and simplified the listing by removing rarely used … July 21, 2021 Evidence-based Recommendations for Best Practices in Weight Loss Surgery … measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations … April 25, 2018 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  … October 17, 2012 Recommendations for Safe Use of Insulin in Hospitals.

129. FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. | PSNet
     psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
     January 30, 2008 - The alert provides recommendations to minimize these hazards. … July 9, 2014 FDA Safety Communication: flexible bronchoscopes and updated recommendations … June 25, 2008 FDA Safety Communication: recommendations to reduce surgical fires and … January 9, 2013 FDASIA Health IT Report: Proposed Strategy and Recommendations for a … March 6, 2005 New dosing recommendations to prevent potential Valcyte (valganciclovir

130. Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet
     psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
     October 28, 2020 - Recommendations focused on organizational activities to promote a culture of safety , evidence generation … March 3, 2021 Developing the Safer Dx Checklist of Ten Safety Recommendations for Health … August 11, 2010 Eight recommendations for policies for communicating abnormal test results … October 24, 2018 Recommendations for using the Revised Safer Dx instrument to help measure … April 17, 2024 Lack of timely follow-up of abnormal imaging results and radiologists' recommendations

131. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet
     psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
     February 03, 2021 - The authors offer recommendations to enhance the safety of electronic prescribing, including standardizing … July 11, 2023 FDA Safety Communication: recommendations to reduce surgical fires and … April 8, 2009 FDA Safety Communication: flexible bronchoscopes and updated recommendations … January 9, 2005 FDASIA Health IT Report: Proposed Strategy and Recommendations for a … November 19, 2008 Heparin-containing medical devices and combination products: recommendations

132. ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. | PSNet
     psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19
     November 25, 2020 - Organizational Policy/Guidelines ACR Recommendations for the use of Chest Radiography

133. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet
     psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
     February 01, 2023 - We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations … May 12, 2021 Recommendations for the safety of hospitalised patients in the context of … March 2, 2022 Improving safety recommendations before implementation: a simulation-based … June 24, 2020 Assisting beginners in root cause analysis operations: analysis and recommendations … February 8, 2023 Recommendations for the safety of hospitalised patients in the context

134. Five Medication Safety Tips for Older Adults. | PSNet
     psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
     March 26, 2008 - July 9, 2014 FDA Safety Communication: recommendations to reduce surgical fires and related … June 2, 2021 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … April 8, 2020 FDA Safety Communication: flexible bronchoscopes and updated recommendations … July 30, 2008 New dosing recommendations to prevent potential Valcyte (valganciclovir … May 18, 2011 Heparin-containing medical devices and combination products: recommendations

135. Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet
     psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
     April 27, 2011 - Recommendations include ensuring availability of various staple sizes and avoiding use of staples on … March 27, 2005 FDA Safety Communication: flexible bronchoscopes and updated recommendations … July 9, 2014 FDA Safety Communication: recommendations to reduce surgical fires and related … March 6, 2005 Heparin-containing medical devices and combination products: recommendations … July 26, 2006 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

136. Examples of Medical Device Misconnections. | PSNet
     psnet.ahrq.gov/issue/examples-medical-device-misconnections
     April 16, 2023 - July 9, 2014 FDA Safety Communication: recommendations to reduce surgical fires and related … February 21, 2007 FDASIA Health IT Report: Proposed Strategy and Recommendations for … February 15, 2024 Heparin-containing medical devices and combination products: recommendations … February 15, 2023 New dosing recommendations to prevent potential Valcyte (valganciclovir … December 14, 2022 Developing strategic recommendations for implementing smart pumps in

137. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. | PSNet
     psnet.ahrq.gov/issue/optimal-preoperative-assessment-geriatric-surgical-patient-best-practices-guideline-american
     December 12, 2012 - This guideline describes recommendations for preoperative assessment of elderly surgical patients, including … September 18, 2019 Recommendations from a national panel on quality improvement in obstetrics … Systematic review, recommendations, and novel model for health IT collaboration. … August 24, 2022 APSF endorsed statement on revising recommendations for patient monitoring … June 12, 2019 Transition planning for the senior surgeon: guidance and recommendations

138. Fire Safety. | PSNet
     psnet.ahrq.gov/issue/fire-safety
     September 13, 2023 - This initiative provides information on surgical fires and makes recommendations to address the risk … January 12, 2012 NCPDP Recommendations and Guidance for Standardizing the Dosing Designations … July 27, 2005 Duplicate medication order errors: safety gaps and recommendations for … September 28, 2022 Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0

139. Holding out for an apology. | PSNet
     psnet.ahrq.gov/issue/holding-out-apology
     January 31, 2024 - The author offers recommendations for clinicians to demonstrate their concern and improve practice … June 12, 2019 Transition planning for the senior surgeon: guidance and recommendations

140. Patient controlled analgesia by proxy. | PSNet
     psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
     March 27, 2024 - The Joint Commission summarizes the experience of reported PCA incidents and makes recommendations to … June 15, 2016 Evidence summary and recommendations for improved communication during