-
psnet.ahrq.gov/node/46641/psn-pdf
December 20, 2017 - to enhance the safety of this practice in adult patients, confusion that may exist due
to multiple sets
-
psnet.ahrq.gov/node/45946/psn-pdf
July 02, 2017 - multicompartment-compliance-aids-community-prevalence-potentially-
inappropriate-medications
Multicomponent compliance aids (pill boxes or medi-sets
-
psnet.ahrq.gov/node/34870/psn-pdf
April 18, 2016 - Investigators aimed to evaluate the differences between the
two sets of medication lists to demonstrate
-
psnet.ahrq.gov/node/44059/psn-pdf
April 22, 2015 - These recommendations
include sets of specific actions for the overall health care system and for frontline
-
psnet.ahrq.gov/node/39309/psn-pdf
December 09, 2014 - This textbook sets a foundation for the establishment of patient
safety practices within emergency medicine
-
psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
October 23, 2019 - This web-accessible database provided access to evidence-based quality measures and measure sets.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - criteria and clinical decision support tools
Understand the role of sepsis alerts and standardized order sets … 3223-3229. https://jamanetwork.com/journals/jama/fullarticle/192825
15
Decision Support Tools & Order Sets … clinicians' actions in response to these alerts leads to better outcomes for patients
Standardized order sets … similarly
21
21
Take-Home Points (2)
Clinical decision support tools, including sepsis alerts and order sets
-
psnet.ahrq.gov/node/45701/psn-pdf
December 21, 2016 - organizations are using clinical decision support systems to track
problems and incorporating different data sets
-
psnet.ahrq.gov/node/47022/psn-pdf
July 19, 2018 - classification-antecedents-towards-safety-use-health-information-technology-systematic-review
https://psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
-
psnet.ahrq.gov/node/35762/psn-pdf
January 02, 2017 - These results included a decreased error rate in prescribing, an
increased use of preprinted order sets
-
psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - and Administration
19
PCA Prescribing and Administration (1)
• Use of standardized pain order sets … opioid-tolerant)
– Emphasis on oral opioids
– Multi-modal pain management strategies
• PCA order sets … Patient Safety Council Tool Kit (2009)
Prescribing Dispensing Administration
• Standardized PCA order
sets … basal rate
• Several institutional policy changes resulted:
– Development of standardized pain order sets … Implementation of standard order sets for patient-controlled analgesia.
-
psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - A
recent national survey showed that many hospitals do not employ order sets consistent with physiologic … accordance with ADA guidelines.9 Leveraging the electronic health record (EHR) to
include order sets … communication amongst
interdisciplinary teams.13 Clinical decision support tools and corresponding order sets … online education
modules for continuing medical education (CME) that coincide with CDS tools and order sets … Create order sets and CDS tools to guide physiologic insulin replacement, in accordance with ADA
standards
-
psnet.ahrq.gov/node/40128/psn-pdf
January 12, 2011 - implemented a multifaceted safety program including use of smart
infusion pumps, standardized order sets
-
psnet.ahrq.gov/node/35580/psn-pdf
May 27, 2011 - Such order sets may provide a useful tool while many hospitals await full
implementation of computerized
-
psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
February 19, 2020 - This report sets out the government’s response to each recommendation, including the agency responsible
-
psnet.ahrq.gov/node/38323/psn-pdf
April 27, 2010 - because investigators discovered that administration errors often resulted from confusion over two
sets
-
psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - Using large data sets consisting of more than 140 doctors and 20,000 diagnoses, the
investigators determined
-
psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - This year's
calculation for identifying "Top Performers" included three new accountability measure sets
-
psnet.ahrq.gov/node/40561/psn-pdf
March 23, 2012 - Each of these principles is discussed and sets the background for a recommendation to shift current
-
psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
June 07, 2023 - develop and employ patient safety specialists with distinct human factors and safety science skill sets