-
psnet.ahrq.gov/node/43565/psn-pdf
March 22, 2016 - role-failure-mode-and-effects-analysis-health-care
Failure mode and effects analysis (FMEA) has been recommended
-
psnet.ahrq.gov/node/38873/psn-pdf
August 19, 2009 - what-are-covering-doctors-told-about-their-patients-analysis-sign-out-among-
internal-medicine
Signouts among internal medicine housestaff generally did not follow recommended
-
psnet.ahrq.gov/node/40541/psn-pdf
July 22, 2011 - technology–based intervention, which identified nursing home patients at high risk for
adverse drug events and recommended
-
psnet.ahrq.gov/node/45711/psn-pdf
March 27, 2017 - Recommended corrective
actions included educating staff about latex allergies and using a checklist
-
psnet.ahrq.gov/node/44118/psn-pdf
May 19, 2018 - inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-
events
Though preoperative briefings are recommended
-
psnet.ahrq.gov/node/43478/psn-pdf
August 27, 2014 - heuristics can both increase and reduce risk of diagnostic error, this commentary applies
a set of recommended
-
psnet.ahrq.gov/node/42450/psn-pdf
August 07, 2013 - practice
This ethnographic study found that preoperative time outs were invariably not performed as recommended
-
psnet.ahrq.gov/node/47188/psn-pdf
August 08, 2018 - disclosure-and-apology-nursing-and-risk-management-working-together
Disclosure and apology for errors is recommended
-
psnet.ahrq.gov/node/42541/psn-pdf
January 15, 2014 - actual prescribing behavior at hospital admission revealed that physicians did not consistently follow
recommended
-
psnet.ahrq.gov/node/44181/psn-pdf
June 03, 2015 - preventing-device-associated-infections-us-hospitals-national-surveys-2005-
2013
This national survey found that use of recommended
-
psnet.ahrq.gov/node/43937/psn-pdf
May 05, 2018 - hospitals which demonstrated modest progress in implementation of medication safety best practices that
recommended
-
psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - indication; therefore, use of these drugs (apixaban, rivaroxaban, edoxaban and dabigatran) is not recommended … subcutaneously administered low molecular weight heparin (enoxaparin, 1 mg/kg given every 12 hours) is recommended … thromboembolism, intravenous therapeutic heparin coupled with discontinuation or reversal of warfarin is recommended … Specialty consultation could have determined if more imaging was needed and recommended the optimal frequency … issues, ED physicians can seek phone consultations and ask for transfer if a higher level of care is recommended
-
psnet.ahrq.gov/node/39070/psn-pdf
November 27, 2009 - Investigators surmised that less than half the
claims could have been prevented by using recommended
-
psnet.ahrq.gov/node/43568/psn-pdf
April 25, 2016 - medication-safety-operating-room-survey-preparation-methods-and-drug-
concentration
In 2010, the Anesthesia Patient Safety Foundation recommended
-
psnet.ahrq.gov/node/43988/psn-pdf
February 22, 2018 - This study of 117 FMEAs from 3 hospitals in Sweden found that the
recommended safety interventions were
-
psnet.ahrq.gov/node/47217/psn-pdf
June 27, 2018 - The group recommended actions needed to guide prevention and mitigation efforts such as
developing best
-
psnet.ahrq.gov/node/44403/psn-pdf
June 21, 2016 - preventability-hospital-acquired-venous-thromboembolism
Prevention of hospital-acquired venous thromboembolism (VTE) is a strongly recommended
-
psnet.ahrq.gov/node/43980/psn-pdf
March 18, 2015 - Outlining key
elements of hospital-to-home transitions recommended by The Joint Commission, this commentary
-
psnet.ahrq.gov/node/46699/psn-pdf
March 20, 2018 - disclosure-harmful-medical-error-patients-review-recommendations-
pathologists
Disclosure of medical errors is a recommended
-
psnet.ahrq.gov/node/46514/psn-pdf
October 18, 2017 - These results underscore the need to perform autopsies in order to
improve diagnosis, as recommended