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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - Strategies to address fatigue and burnout, implementation
of which require leadership and organizational … whose skills may need updating and/or students whose accelerated certifications for active practice require … As described below,
strategies for reducing human errors that require relatively minimal resources to
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - these patients must be
managed expectantly to promptly identify those who have treatment failure and require … Individualized management decisions require
careful consideration of the etiology and severity of the … Successful post-discharge follow-up programs require bundled care changes that span the inpatient
and
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Addressing the opioid epidemic will require a complex set of approaches to balance managing the potential
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Once identified , adverse events require investigation to understand underlying causes.
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - RCAs are mandated by The Joint Commission following sentinel events and many states require them after
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - findings, the authors argue that addressing the persistent problem of retained surgical instruments will require
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Although these measures require further development and testing, this report lays the foundation for
-
psnet.ahrq.gov/node/40186/psn-pdf
April 21, 2011 - While many eHealth technologies require substantial investment,
their adoption is often justified by
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Unfortunately, many of these factors are difficult to change, require significant financial investment … approach that can be integrated into a health care delivery system to improve postoperative outcomes will require … Ultimately, avoiding inpatient deaths such as the one presented in this case will require a multipronged … Human factors and technology-focused solutions developed in research environments will require appropriate … Avoidance of failure-to-rescue events will require a combination of human factors and technological interventions
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psnet.ahrq.gov/node/851869/psn-pdf
July 31, 2023 - Training materials, simulation
equipment, and expert faculty require financial investment, which may … Looking Forward
The successful implementation of learning systems for patient safety will require ongoing
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - thrombolysis for suspected acute
ischemic stroke, and identifying patients with possible LVO strokes who require … Some stroke alert imaging protocols require
obtaining the results of serum creatinine testing prior … immediately because the patient remains on the CT scanner.
11 This is preferred over protocols that require … Neurological emergencies require collaboration among members of the ED team and one or more
neurology
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psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
May 25, 2016 - Students indicated that only 18% of adverse events would require reporting, with a common rationale of
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psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
August 30, 2017 - Their Delphi process resulted in a 46-item proposed tool that will require validation and testing in
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psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
January 17, 2012 - The authors conclude that future efforts to reduce these preventable errors in discharge follow-up require
-
psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
December 19, 2018 - Using an example case of a diagnostic error , the authors discuss how collective accountability would require
-
psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Reducing outpatient medication errors will require new approaches to patient education , especially
-
psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - Nearly 75% of hospitals carried no requirement for certification at initial privileging, though 70% did require
-
psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - learning environment and continuity of care , as well as result in increased faculty workload and require
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psnet.ahrq.gov/issue/emergency-medical-services-provider-perceptions-nature-adverse-events-and-near-misses-out
September 09, 2010 - conclude that Emergency Medical Services (EMS) providers are concerned about existing system issues that require
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psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly
February 22, 2010 - This study found that patients with complex conditions require greater care coordination, which will