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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - 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 … procedures
involving multiple care teams, whether in the operating room or because their expertise is required
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psnet.ahrq.gov/issue/safety-requires-state-mindfulness
May 02, 2018 - Newspaper/Magazine Article
Safety requires a state of mindfulness.
Citation Text:
Safety requires a state of mindfulness. ISMP Medication Safety Alert! Acute care edition. July 31, 2014.
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psnet.ahrq.gov/primer/missed-nursing-care
September 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 … 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
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psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
April 24, 2018 - 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
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - The reintubation required multiple attempts but was ultimately successful. … She required urgent reintubation, which was technically difficult because her vocal cords were edematous … The patient remained intubated for 2 more days and required intravenous steroids to reduce laryngeal … The ICU decided to implement a standardized protocol for positive pressure weaning trials, which also required … Only one-third of patients who required intubation were considered high risk for extubation failure by
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - multi-level construct, so it seems likely that a commensurate multi-level
interventional approach is required … Hunt and colleagues published a commentary describing areas of action and interventions required to … Establishing
and validating an assessment tool will be required to systematically test and confirm the … in the field of psychological safety that warrant further attention:
First, additional knowledge is required … If there are negative consequences of high psychological
safety, then a better understanding is required
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psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - The reintubation required
multiple attempts but was ultimately successful. … She required urgent reintubation,
which was technically difficult because her vocal cords were edematous … The patient remained intubated for 2 more days and required intravenous steroids to reduce
laryngeal … ICU decided to implement a standardized protocol for positive pressure weaning trials, which also
required … Only one-third of patients
who required intubation were considered high risk for extubation failure
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - multi-level construct, so it seems likely that a commensurate multi-level interventional approach is required … Hunt and colleagues published a commentary describing areas of action and interventions required to … Establishing and validating an assessment tool will be required to systematically test and confirm the … the field of psychological safety that warrant further attention:
First, additional knowledge is required … If there are negative consequences of high psychological safety, then a better understanding is required
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - hospital without any alerts because he was not writing a new order or prescription (which would have required … During this gap in therapy, the patient experienced recurrence of paranoia and required readmission to … Required activities may include mandatory certifications and agreement to complete risk mitigation activities … Once a REMS designation is required for a given medication, clinical decision support can be embedded
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psnet.ahrq.gov/node/47675/psn-pdf
November 28, 2023 - Topics covered include organizational characteristics
required for successful web-based distribution
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - hospital without any alerts
because he was not writing a new order or prescription (which would have required … During
this gap in therapy, the patient experienced recurrence of paranoia and required readmission … Required activities may include mandatory certifications
and agreement to complete risk mitigation activities … Once a REMS designation is required for a given medication, clinical decision support can be embedded
-
psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - sedation for imaging procedures, especially in high-risk patients, when multiple medication doses are
required … agitation, yet by the time the patient was evaluated
back on the medical unit, she was somnolent and required … psnet.ahrq.gov//#8
https://psnet.ahrq.gov//#8
https://psnet.ahrq.gov//#11
Airway Unaffected No intervention
required … Intervention may be
required
Unarousable even
with painful
stimulation
Spontaneous
Ventilation … Unaffected Adequate May be inadequate Intervention often
required
Cardiovascular
Function
Unaffected
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - medication, however, is following a manufacturer-provided package insert that details the diluent and volume required … preference cards that serve as a guide to prepare for surgery, and those preference cards include lists of required … visual outcomes. 13-15
Compounding Safety
Due to the nature of procedural areas, many required … common themes are not typically standardized or tracked in the perioperative setting; however, all are required … If this case occurred in a state that does not allow nurses to compound, education is required for the
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - , however, is following a manufacturer-provided
package insert that details the diluent and volume required … medications by assessing each surgeon’s preference card for the planned surgery and
preparing the required … visual outcomes.13-15
Compounding Safety
Due to the nature of procedural areas, many required … common themes are not typically standardized or tracked in the perioperative setting; however, all are
required … psnet.ahrq.gov//#19
https://psnet.ahrq.gov//#19
that does not allow nurses to compound, education is required
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - an initial immunization at age 2 months, followed by 2 booster injections, each 2 months apart, are required … Part of the concern likely stems from the more than 25 separate injections associated with the required … reviewed with the mother before administration and the CDC Vaccination Information Sheets handed out as required … Providing workflows that satisfy all the redundancies and checks required to ensure safety will vary
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psnet.ahrq.gov/node/839327/psn-pdf
December 05, 2024 - psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
The large system change required
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psnet.ahrq.gov/issue/choosing-right-strategy-medication-error-reduction-part-i-and-part-ii
September 24, 2010 - Available at (subscription required); Part I
PubMed citation; Part II
PubMed citation; Part I
Available … at (subscription required); Part II
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-
psnet.ahrq.gov/node/48038/psn-pdf
June 05, 2019 - the complexity of the opioid epidemic and suggests that system-focused multisector strategies are required
-
psnet.ahrq.gov/node/48154/psn-pdf
July 31, 2019 - The initiative offers materials and community opportunities to engage NHS
physicians in the work required
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psnet.ahrq.gov/node/865721/psn-pdf
May 01, 2024 - The right to dignity, competent clinicians, and medical record access are amongst the
required elements