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psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - Tips include establishing protocols for commonly used vaccines, requiring periodic training for staff
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psnet.ahrq.gov/node/43408/psn-pdf
May 01, 2015 - attempted to answer this question found a
mixed picture, with certain diagnoses (especially those requiring
-
psnet.ahrq.gov/node/46178/psn-pdf
December 22, 2017 - Interventions included requiring reentry of patient identifiers prior to order entry as well
as a new
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - The most common harm was oversedation leading to apnea and requiring the use of reversal
agents or prolonged
-
psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - serious
preventable events were identified: inappropriate client service plans, medication errors requiring
-
psnet.ahrq.gov/node/42966/psn-pdf
November 21, 2018 - common source of patient harm in ambulatory care, this
system—which identified thousands of patients requiring
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - The Case An elderly patient, over 80 years of age, with a history of autism-spectrum disorder and requiring … therapist at the hospital determined that this patient needed a higher level of care during toileting, requiring … the Needs and Services Plan of that resident to determine whether the resident was identified as requiring
-
digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients
January 01, 2023 - the intervention to patients; and electronic integration of health information to identify patients requiring … Ninety-six percent of patients received correctly sequenced ATSM calls; 70 percent of those requiring
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/colorectal-cancer-screening
May 16, 2019 - , 6 to 9 mm, ≥10 mm) or by location (e.g., proximal or distal colon, rectum)
KQ 3: Serious harms requiring … unexpected or unwanted medical attention (e.g., requiring hospitalization) and/or resulting in death
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psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
December 18, 2019 - Requiring a prescriber to include an indication for a medication can reduce the risk of wrong-patient
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psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
August 18, 2021 - commentary discussed an incident involving an elderly patient who experienced an adverse drug event requiring
-
psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly
October 19, 2022 - They caution clinicians to carefully consider type 1 diabetes in adults requiring insulin .
-
psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - In-hospital cardiac arrests (IHCAs) are complex clinical scenarios requiring effective communication
-
psnet.ahrq.gov/issue/predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients
March 10, 2021 - sought to identify risk factors predisposing inpatients to opioid-related adverse drug events (ADEs) requiring
-
psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
August 31, 2022 - This study describes a new method of ensuring the appropriate medication is selected by requiring users
-
psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children
December 02, 2020 - decision algorithm for primary care physicians accurately identified children at risk of serious illness requiring
-
psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
November 30, 2022 - Safe diagnosis is a complex challenge requiring multidisciplinary approaches .
-
psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - contribute to central venous catheterization mistakes and applies the Fishbone diagram to show areas requiring
-
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
-
www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-7-formulation-task-force-recommendations
June 21, 2025 - of the Chair(s).
7.4.1 General Voting Procedures
All motions on recommendations (at any stage) requiring … Motions on procedural, methodological, and other decisions requiring a vote are passed when a majority … member or the primary topic lead speaks with the Chairs, requests a vote to reconsider, and, if passed (requiring