-
psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - behaviors that should be categorized as never events, such as use of an antibiotic longer than is required
-
psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
October 14, 2020 - illustrates the complexity of the opioid epidemic and suggests that system-focused multisector strategies are required
-
psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - authors note that prompt error disclosure to the patient and family was performed, and the patient required
-
psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - patient safety vulnerabilities during the weekend, but
further investigation of the weekend effect is required
-
psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - Prospective and standardized
data collection is required to address this high-risk population.
-
psnet.ahrq.gov/node/44104/psn-pdf
July 16, 2015 - that additional processes initialized earlier and continuing later through
the surgical process are required
-
psnet.ahrq.gov/node/47317/psn-pdf
August 15, 2018 - actions-needed-address-employee-misconduct-process-and-ensure-
accountability
Both organizational and individual accountability are required
-
psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - Careful
attention is required to assure safe processes and functionality.
-
psnet.ahrq.gov/node/46656/psn-pdf
February 07, 2018 - Researchers evaluated 117 autopsies
for patients in Shanghai whose cause of death was disputed or required
-
psnet.ahrq.gov/node/35570/psn-pdf
May 27, 2011 - Additional findings include the workflow challenges and
increased time required to enter orders compared
-
psnet.ahrq.gov/node/36698/psn-pdf
February 24, 2011 - //psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
Residency programs have been required
-
psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - This commentary
suggests that clarification is required to engage clinicians in reducing overuse-related
-
psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - warfarin therapy.( 4,5 ) In the hospital setting, where supervision of warfarin therapy is likely to be required … If medications or diet are changed, increased monitoring of the INR is required.( 8 ) When patients … For patients initiating warfarin, bloodwork will be required more often, and thus alternate arrangements … are required.
-
psnet.ahrq.gov/node/33618/psn-pdf
September 01, 2005 - studies bear this out, we can
also expect pressure for CRM or other forms of teamwork training to be required … more robust
Use of simulators
Simulator use in
aviation and the
military
Reznek, 2003 (7)
Now required … interest
Executive walk
rounds
"Management by
Walking Around" in
business
Thomas, 2005 (8)
Not required … on most prescription
medications; bar coding (or radiofrequency
identification) may ultimately be required
-
psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - expected in women with chronic
hypertension, this patient's BP worsened during the third trimester, which required … The required clinical and laboratory evaluations were not performed despite the fact that the
nurse … In addition, the physician did not obtain
required testing—24-hour urine for proteinuria, platelet count … as standardized techniques for measurements of weight, blood pressure, urine,
and documentation of required
-
psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - The physician who
removed the CVC had completed the required central line training module a year earlier … air is introduced into the venous system, such as through a CVC, the smaller the volume of air is
required … .(11) Based on this bias, CVC insertion has long been included in lists of
procedural competencies required … Procedures required for internal medicine certification. American Board of Internal Medicine.
-
psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - #figure
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
and the vigilance required … In the present case, the patient required intravenous immunoglobulin (IVIG) to treat her underlying … As an immunocompromised patient, she was at greater risk for infection and required
close observation … According to the CDC, when a vascular access device is required, clinicians should choose the least
-
psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - warfarin therapy.(4,5) In the hospital setting, where supervision of warfarin therapy is likely to be required … If medications or diet are changed, increased monitoring
of the INR is required.(8)
When patients present … For
patients initiating warfarin, bloodwork will be required more often, and thus alternate arrangements … are
required.
-
psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - High-Alert Medications in Acute Care Settings ), but there is no national standard that hospitals are required … For medications with required monitoring parameters, EHR systems may be able to link medication and monitoring … patients to be enrolled in a registry.( 11 ) Until recently, dofetilide was part of an REMS program that required … Certain medications are required by the FDA to have a Risk Evaluation and Mitigation Strategy, and all
-
psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
January 13, 2016 - throughout the disclosure process, this report provides an introductory look at the basic skill set required