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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/47317/psn-pdf
August 15, 2018 - actions-needed-address-employee-misconduct-process-and-ensure-
accountability
Both organizational and individual accountability are required
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psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - Careful
attention is required to assure safe processes and functionality.
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Due to his clinical condition in the ED, he required intubation as well as placement of a right femoral … new UCSF CVC Removal “Kit” ( Figure ) includes the air occlusive dressing, while a previous version required
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psnet.ahrq.gov/periodic-issue/periodic-issue-397
June 28, 2023 - Anna Curtin, MD and Nina Schloemerkemper, MD, FRCA | June 28, 2023
A 25-year-old obese patient required … MAS, and Jonathan Trask, RN | June 28, 2023
A 56-year-old man was admitted to the hospital and required … During the next few days, the respiratory therapist noticed a leak that required additional inflation … team could change the tracheostomy, the tracheal cuff burst, and the patient developed hypotension and required
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psnet.ahrq.gov/periodic-issue/periodic-issue-393
June 28, 2023 - Anna Curtin, MD and Nina Schloemerkemper, MD, FRCA | June 28, 2023
A 25-year-old obese patient required … MAS, and Jonathan Trask, RN | June 28, 2023
A 56-year-old man was admitted to the hospital and required … During the next few days, the respiratory therapist noticed a leak that required additional inflation … team could change the tracheostomy, the tracheal cuff burst, and the patient developed hypotension and required
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psnet.ahrq.gov/periodic-issue/periodic-issue-395
June 28, 2023 - Anna Curtin, MD and Nina Schloemerkemper, MD, FRCA | June 28, 2023
A 25-year-old obese patient required … MAS, and Jonathan Trask, RN | June 28, 2023
A 56-year-old man was admitted to the hospital and required … During the next few days, the respiratory therapist noticed a leak that required additional inflation … team could change the tracheostomy, the tracheal cuff burst, and the patient developed hypotension and required
-
psnet.ahrq.gov/periodic-issue/periodic-issue-396
June 28, 2023 - Anna Curtin, MD and Nina Schloemerkemper, MD, FRCA | June 28, 2023
A 25-year-old obese patient required … MAS, and Jonathan Trask, RN | June 28, 2023
A 56-year-old man was admitted to the hospital and required … During the next few days, the respiratory therapist noticed a leak that required additional inflation … team could change the tracheostomy, the tracheal cuff burst, and the patient developed hypotension and required
-
psnet.ahrq.gov/periodic-issue/periodic-issue-394
June 28, 2023 - Anna Curtin, MD and Nina Schloemerkemper, MD, FRCA | June 28, 2023
A 25-year-old obese patient required … MAS, and Jonathan Trask, RN | June 28, 2023
A 56-year-old man was admitted to the hospital and required … During the next few days, the respiratory therapist noticed a leak that required additional inflation … team could change the tracheostomy, the tracheal cuff burst, and the patient developed hypotension and required
-
psnet.ahrq.gov/node/49539/psn-pdf
June 01, 2007 - The patient reportedly signed an anesthesia
permit required by this hospital that stated that any change … Regardless, the consent process should provide information about what is planned for the patient, why it is
required … Without evidence of either general
anesthesia being emergently required for the patient, or general
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - Abstract&list_uids=10532508
Pharmacology of Warfarin
Wide intersubject variation in dose of warfarin required … To shorten time required to achieve INR of 2.5, could give a modestly higher dose of 7.5 mg on days 4 … The patient developed an acute episode of bleeding that required transfusion.
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - Upon admission, she was found to be hypoxic, and she required increasing amounts of oxygen to maintain … In addition, community pharmacies are required to have updated references on hand to answer dosing and … In one analysis of prescriptions requiring clarification, while faxed and written prescriptions required … Pharmacists should be required to document their interventions to prevent adverse drug events, and should
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Potentially improve outcomes
Preoperative Assessment Clinic for Vascular Surgery Patients
26 of 234 required … 16480347
Preoperative Assessment Clinic Findings
565 of 5083 patients seen in preoperative clinic required … information regarding known medical problems
Additional 115 patients with new medical problems
20% required … review of previous medical records or test results
80% required additional testing or consultation
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psnet.ahrq.gov/node/74044/psn-pdf
November 03, 2021 - Challenges with requiring five characters during ADC
drug searches via override.
November 3, 2021
ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3.
https://psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
Shortcuts in automated data entry beha…
-
psnet.ahrq.gov/node/47660/psn-pdf
January 27, 2019 - Improving electronic health record usability and safety
requires transparency.
January 27, 2019
Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires
Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079.
https://psnet.ahrq.gov/issue/improving-electron…
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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Very few patient-generated reports
described an error, suggesting that different strategies may be required
-
psnet.ahrq.gov/node/40702/psn-pdf
October 16, 2012 - responsibility in most cases of errors, and a vigorous debate continues around the level of accountability
required
-
psnet.ahrq.gov/node/34651/psn-pdf
March 04, 2011 - Using a random sample of records, the study
design required a physician and a nurse to review charts
-
psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Recommendations include
improving communication by standardizing the format of test results, including required
-
psnet.ahrq.gov/node/46256/psn-pdf
August 09, 2017 - what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-
curriculum
In the United States, patient safety is a required