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psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
January 15, 2025 - three most important measures were: (1) availability of equipment to administer oxygen to all patients requiring
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - antimicrobial therapy (OPAT), typically performed in acute care hospital, are moving to the home setting, requiring
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psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
August 31, 2016 - definition of close calls and reveals one hospital's application of this strategy to identify areas requiring
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psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care
April 05, 2013 - Describing weaknesses in current safety measurement tools, this perspective suggests that legislation requiring
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psnet.ahrq.gov/issue/electronic-health-record-challenges-workarounds-and-solutions-observed-practices-integrating
September 20, 2023 - There were issues with documentation, tracking, communication, and coordination of care, requiring practices
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psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
October 25, 2023 - fatigue and over half (55%) experienced a situation where an alarm went unchecked despite a patient requiring
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psnet.ahrq.gov/issue/computer-technology-and-clinical-work-still-waiting-godot
October 19, 2022 - June 13, 2018
Pediatric emergency department discharge prescriptions requiring pharmacy
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psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-2014
December 21, 2022 - May 1, 2015
Enacting the Washington state patient safety act requiring hospital staffing
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - November 19, 2014
FDA requiring color changes to Duragesic (fentanyl) pain patches to
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psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
March 20, 2024 - August 2, 2023
Pediatric emergency department discharge prescriptions requiring pharmacy
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psnet.ahrq.gov/node/49740/psn-pdf
August 21, 2015 - Rarely, the toxin can cause transient dysphagia,
even requiring nasogastric feeding. … include ptosis,
opthalmoplegia, dysphagia, pupillary dilatation, and generalized neuromuscular weakness requiring … patients receiving botulinum neurotoxin for spasticity often have long-term
neurological conditions requiring
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - His illness was complicated by acute renal failure requiring dialysis and by respiratory failure
requiring … intubation, as well as hepatic encephalopathy requiring therapy with lactulose.
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psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
November 10, 2021 - Nearly one-quarter of the changes were classified as emergent, requiring immediate notification to a
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - that patients admitted to the hospital on a weekend have a higher risk of mortality from conditions requiring
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psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
March 09, 2022 - Nearly one in five had an error requiring physician changes to the order.
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psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - This approach can be used with time and resource constraints to identify safety culture domains requiring
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Educational and process changes (e.g., requiring subspecialist over-read for some diagnoses) were
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - common source of patient harm in ambulatory care, this system—which identified thousands of patients requiring
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psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic-review
August 04, 2021 - Clinical decision-making is a complex process requiring consideration of information from multiple
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psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - The authors conclude that, although adverse events from a single drug requiring hospitalization are uncommon