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psnet.ahrq.gov/node/35207/psn-pdf
December 19, 2009 - discharged patients from two hospitalist services to capture the
number and types of test results that required
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psnet.ahrq.gov/node/44589/psn-pdf
January 01, 2016 - also describe drawbacks to this method, such as the Hawthorne effect and the substantial
resources required
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psnet.ahrq.gov/node/44973/psn-pdf
April 06, 2016 - papers from various organizations, this review found
little agreement regarding core competencies required
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psnet.ahrq.gov/node/36588/psn-pdf
March 03, 2011 - Few centers had formal safety protocols, and rarely
required practices that are considered standard
-
psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - It found that, even in states with required hospital reporting of
adverse events, only about one in
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - He required two prescriptions for rivaroxaban
(per protocol), one for 15 mg twice a day for 10
more … committee learned
that transmission of start and stop date fields in
electronic prescriptions is not required
-
psnet.ahrq.gov/node/47754/psn-pdf
April 17, 2019 - FDA identifies harm reported from sudden
discontinuation of opioid pain medicines and requires
label changes to guide prescribers on gradual,
individualized tapering.
April 17, 2019
Silver Spring, MD: US Food and Drug Administration; April 9, 2019.
https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-…
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - After having his abscess successfully drained, the patient required a 6-week course of IV
antibiotics … ,
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 lacked any … The hospital team is required to provide safe
care, but the patient is not obliged to treat himself
-
psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - These universal checklists are recommended by the World Health Organization and required by the Joint … procedure site, and performing a time-out. 12 The pre-operating room portion includes verifying any required … documentation, required radiologic reports or test results, and any special equipment required for the … procedures involving multiple care teams, whether in the operating room or because their expertise is required
-
psnet.ahrq.gov/node/46889/psn-pdf
October 13, 2018 - Evaluation of reasons why surgical residents exceeded
2011 duty hour requirements when offered flexibility.
October 13, 2018
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011
Duty Hour Requirements When Offered Flexibility: A FIRST Trial Analysis. JAMA Surg. 2018;153…
-
psnet.ahrq.gov/node/73446/psn-pdf
June 30, 2021 - A comprehensive departmental care review model:
requirements, structure, and flow.
June 30, 2021
Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model:
requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509.
doi:10.1016/j.jcjq.2021.04.009.
https:/…
-
psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - A few years later, an amendment was made to the
act that required long-term care facilities to report … Because facilities are
required to report patient safety events to us, the entire patient safety team … The biggest difference is that hospitals are not required to belong to a PSO. … If they belong to a PSO, they
are not required to submit information to them; it is voluntary. … Pennsylvania hospitals are required by law to
submit information to the Patient Safety Authority.
-
psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - Based on these types of analyses, most institutions in recent years have reduced the number of required … Examination of the abdomen would not normally be part of the minimum required physical examination before … rate.( 12 ) Among 234 patients seen in this clinic, the anesthesiologist identified 26 patients who required … study at Brigham and Women's Hospital in Boston, 565 of 5083 patients seen in a preoperative clinic required … additional 115 patients with new medical problems.( 13 ) Among the patients with new problems, 20% required
-
psnet.ahrq.gov/node/50604/psn-pdf
October 30, 2019 - Speaking up about patient safety requires an observant
questioner and a high index of suspicion.
October 30, 2019
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2019;24.
https://psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-
suspicion
The bundling o…
-
psnet.ahrq.gov/issue/posters-medication-safety-topics
March 27, 2005 - Available at (purchase required)
Related Resources
Audiovisual
Image/Poster
Suicidal patient slips
-
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/44104/psn-pdf
July 16, 2015 - that additional processes initialized earlier and continuing later through
the surgical process are 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/46656/psn-pdf
February 07, 2018 - Researchers evaluated 117 autopsies
for patients in Shanghai whose cause of death was disputed or required