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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45858/psn-pdf
    March 24, 2017 - board-bedside-how-application-financial-structures-safety-and-quality-can- drive Improving safety in health care organizations requires … It also requires an organizational structure that facilitates identifying and addressing safety issues
  2. psnet.ahrq.gov/issue/importance-safety-climate-teamwork-climate-and-demographics-understanding-nurses-allied
    October 13, 2021 - Establishing a culture of safety within health care organizations requires strong leadership support … August 9, 2017 Patient safety climate strength: a concept that requires more attention
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - Reducing the risk of slips requires attention to the designs of protocols, devices, and work environments—using … unnecessary variation in the design of key devices, eliminating distractions from areas where work requires … Reducing the likelihood of mistakes, on the other hand, typically requires more training or supervision … Summary Addressing latent errors requires a concerted approach to revising how systems of care work, … An appropriate systems approach to improving safety requires paying attention to  human factors engineering
  4. psnet.ahrq.gov/issue/ismps-virtual-practitioner-residence-pir-mentorship-program
    April 22, 2021 - Medication safety requires an infrastructure and culture to initiate, support and sustain improvement
  5. psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
    April 08, 2020 - September 30, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes … October 28, 2020 FDA requires label warnings to prohibit sharing of multi-dose diabetes
  6. psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
    April 08, 2020 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires … October 25, 2017 FDA requires label warnings to prohibit sharing of multi-dose diabetes
  7. psnet.ahrq.gov/issue/governor-signs-executive-order-creating-new-division-patient-safety
    October 25, 2023 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires … January 13, 2016 FDA requires label warnings to prohibit sharing of multi-dose diabetes
  8. psnet.ahrq.gov/issue/oregon-patient-safety-commission
    June 22, 2007 - October 6, 2021 Requires DHSS to make reported information about certain adverse events … August 1, 2007 Requires DHSS to make reported information about certain adverse events
  9. psnet.ahrq.gov/issue/potential-medication-error-risks-investigational-drug-container-labels
    March 08, 2021 - Investigational medication use requires accurate information to ensure its safe use .
  10. psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-drug-administration
    September 15, 2021 - October 28, 2020 FDA Drug Safety Communication: FDA requires labeling changes for prescription … May 4, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes pen
  11. psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
    October 19, 2022 - FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires … September 30, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes
  12. psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
    April 08, 2020 - September 30, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes … July 10, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes
  13. psnet.ahrq.gov/print/pdf/node/866843
    January 01, 2024 - Fall prevention requires a coordinated, multidisciplinary approach that entails individualized risk assessment … Fall prevention requires a coordinated, multidisciplinary approach that entails individualized risk assessment
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33572/psn-pdf
    December 15, 2024 - schematic behavior, tasks performed reflexively or "on autopilot," or attentional behavior, which requires … An effective checklist also requires consensus regarding required safety behaviors. … Successful implementation of a checklist requires extensive preparatory work to maximize safety culture
  15. psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
    September 29, 2017 - This commentary builds on the notion that our health care system requires structured efforts to improve … April 24, 2018 Patient safety climate strength: a concept that requires more attention
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33585/psn-pdf
    March 15, 2025 - With Radiotherapy The field of radiation oncology is technologically sophisticated, and radiotherapy requires … Like any procedure that requires close coordination with a multidisciplinary team, errors that occur … The state of California now requires documentation and disclosure of the radiation dose of all CT examinations … and requires that all radiation dose errors be formally reported and disclosed to patients.
  17. psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - Reducing the risk of slips requires attention to the designs of protocols, devices, and work environments—using … unnecessary variation in the design of key devices, eliminating distractions from areas where work requires … Reducing the likelihood of mistakes, on the other hand, typically requires more training or supervision … Summary Addressing latent errors requires a concerted approach to revising how systems of care work, … An appropriate systems approach to improving safety requires paying attention to  human factors engineering
  18. psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
    February 26, 2025 - The innovation requires access to data to establish the links between social determinants of health and … The innovation also requires EHR-based resources and models for social needs screening tools. … The innovation requires access to data to establish the links between social determinants of health and … The innovation also requires EHR-based resources and models for social needs screening tools. … Sustaining This Innovation To sustain the innovation requires transparency, teamwork, commitment, and
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33842/psn-pdf
    January 01, 2018 - Lesson One: EHR Safety Requires "Requisite Imagination" Requisite imagination is the "ability to imagine … might have occurred, to increase the yield of manual chart reviews.(22) Prevention of these errors requires … Lesson Four: EHR Safety Requires Shared Responsibility Between EHR Vendors, Government Regulators, Health … Conclusion In summary, assessing and improving the safety of EHRs is a never-ending task, and it requires … Improving the safety of health information technology requires shared responsibility: it is time we
  20. psnet.ahrq.gov/curated-library/falls-prevention-awareness-week-2024
    September 07, 2019 - Fall prevention requires a coordinated, multidisciplinary approach that entails individualized risk assessment … Fall prevention requires a coordinated, multidisciplinary approach that entails individualized risk assessment

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