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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - ."
– Confirmation that the container label matches the patient’s primary
identification source is required … .
– Two-person verification is required at the point of issuing blood
components and in the presence … Two independent identifiers are
required. … miss high risk transfusion event includes
1) report the event to accreditation/regulatory agencies as required
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - The Hospital at Home physician orders any follow-up care
required (e.g., physical therapy) and contacts … Resources Used and Skills Needed
Resources required depend on the size of the program in development … General resources required
include:
Staffing: One team can manage a daily census of 5 to 8 patients … Additional
equipment such as that which is required for oxygen therapy and bronchodilator therapy is … often
required by patients.
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psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
April 19, 2013 - Best practices that required system-wide changes (ie, assessing medication list accuracy) required considerable
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psnet.ahrq.gov/issue/examining-diagnostic-justification-abilities-fourth-year-medical-students
December 21, 2014 - Graduating medical students were required to pass a standardized patient examination during which they … were also required to document their diagnostic reasoning process.
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psnet.ahrq.gov/node/36118/psn-pdf
September 24, 2010 - Best practices that required system-wide changes (ie, assessing
medication list accuracy) required considerable
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - Since they are considered non-medical facilities, they are not required to have nurses, certified nursing … not uncommon for the administrator to have a background as a health professional, although it is not required … If the resident is to be admitted, then prior to admission, the facility is required to complete a written … Regulatory Response In many states, incidents such as what occurred at this facility are required to … Another way that a facility can be cited or be required to implement a Plan of Correction is if it
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psnet.ahrq.gov/webmm/submit-case
describe the impact of the error on the patient and state whether or not the patient was harmed at all or required … If you believe it would be desirable (or, in the case of mandatory reporting systems, required) to report … If you believe it would be desirable (or, in the case of mandatory reporting systems, required) to report
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psnet.ahrq.gov/node/47422/psn-pdf
October 31, 2018 - influence-stress-responses-surgical-performance-and-outcomes-literature-
review-and
Stressful clinician interactions can diminish the teamwork required … The authors recommend areas
of research required to fully understand the phenomenon.
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psnet.ahrq.gov/node/42250/psn-pdf
June 03, 2013 - Prior studies have also shown that at least 1
year of use is required to obtain the safety benefits … The article provides an excellent example of
the ongoing monitoring and adaptation required to effectively
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - Prior studies have also shown that at least 1 year of use is required to obtain the safety benefits … The article provides an excellent example of the ongoing monitoring and adaptation required to effectively
-
psnet.ahrq.gov/issue/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and
December 21, 2014 - Stressful clinician interactions can diminish the teamwork required to support safe care. … The authors recommend areas of research required to fully understand the phenomenon.
-
psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - systematic
review of 42 studies, 55%–98% of nurse respondents reported missing one or more items of required … Creativity and careful analysis may be required to
develop mechanisms to nimbly deploy appropriately … for medications, clinical
supplies, and equipment may contribute to nurses' capacity to complete all required … Some authors
suggest that moderate or radical rethinking of responsibilities may be required in nursing
-
psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Some
scenarios were algorithmic and others required more analysis. … years of training
performed better on the simpler scenarios but worse on the analytic scenarios which required
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - After having the abscess successfully drained, the patient required a 6-week course of intravenous antibiotics … uninsured, and actively abusing IV drugs, there was no appropriate care setting where he could complete his required … He required a more extensive surgical debridement and he also developed MRSA endocarditis. … Although he was ambulating at that point, he still required additional IV antibiotics and still lacked … troubled when clinical, ethical, and legal standards point in different directions
Hospital teams are required
-
psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - This AHRQ-funded study evaluated the effectiveness of an alert system,
which required entry of an appropriate … Although the system did correctly identify and prevent incorrect
prescriptions, 4000 alerts were required
-
psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
September 01, 2016 - This AHRQ-funded study evaluated the effectiveness of an alert system, which required entry of an appropriate … Although the system did correctly identify and prevent incorrect prescriptions, 4000 alerts were required
-
psnet.ahrq.gov/issue/decision-making-trauma-settings-simulation-improve-diagnostic-skills
December 20, 2017 - Some scenarios were algorithmic and others required more analysis. … years of training performed better on the simpler scenarios but worse on the analytic scenarios which required
-
psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - it significantly increased patients' understanding and knowledge of their diagnoses, treatment, and required … group outcomes to evaluate impact on patients' understanding of the inpatient care they received and of required … following:
Establishing an organizational framework for quality improvement: Several initial steps are required … Process measures might include patient/family caregiver understanding of treatments, follow-up care required … time will be well spent, as it will enhance patients' understanding of their condition, treatment, and required
-
psnet.ahrq.gov/node/43687/psn-pdf
November 12, 2014 - In response, The Joint Commission required that all hospitals maintain a standardized approach to
handoff … communication, and in 2010 the Accreditation Council for Graduate Medical Education required
that all
-
psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - proper sterile technique,
knowledge of relevant anatomic landmarks, teaching the psychomotor skills required … In addition, to guarantee a minimal proficiency at CVL insertion (the procedure most likely
to be required … In 2007, recognizing that types and numbers of procedures required by an
internist will vary depending … Now that the
MPS is required for performing procedures, we are taking advantage of the increased sample … Procedures Required for Internal Medicine. American Board of Internal Medicine.