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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37170/psn-pdf
    February 15, 2011 - Simulation in health care: setting realistic expectations. … https://psnet.ahrq.gov/issue/simulation-health-care-setting-realistic-expectations This article discusses … https://psnet.ahrq.gov/issue/simulation-health-care-setting-realistic-expectations
  2. psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - 18 Delirium in the Acute Care Setting (1) • Delirium is the most common psychiatric disorder in … the hospital setting … up to 80% in the ICU setting.16,17 – It is estimated that 75% of cases of delirium are unrecognized … A tutorial on enteral access in adult patients in the hospitalized setting. … Delirium in the acute care setting: Characteristics, diagnosis, and treatment.
  3. psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
    April 26, 2012 - Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting … Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting … Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36753/psn-pdf
    April 30, 2014 - Medication errors in the outpatient setting: classification and root cause analysis. … Medication errors in the outpatient setting: classification and root cause analysis. … https://psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis … https://psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42917/psn-pdf
    February 05, 2014 - /issue/promises-project The majority of early patient safety interventions focused on the hospital setting … A past AHRQ WebM&M perspective explored patient safety in the office setting. … when-things-go-wrong-responding-adverse-events https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting … ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
  6. psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - We spoke with her about patient safety in the outpatient setting. Dr. … In the outpatient setting if we're lucky, we get our patients for a 15-minute visit a few times per year … If so, then all we need to do is to apply what we know to this setting. … In the outpatient setting, we physically see the patient at most one hour out of every month. … Patient safety in the ambulatory setting. A clinician-based approach.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49548/psn-pdf
    October 01, 2007 - In the hospital setting, thyrotoxic storm may be precipitated by a number of events. … Another common clinical setting for iodine-induced thyrotoxicosis is the patient with arrhythmia being … The standard laboratory tests of thyroid function are often altered in the setting of acute illness, … The strongest proof of thyroid hyperfunction in the acute setting is the free T3 measurement (elevated … Take-Home Points Exacerbation of underlying thyroid disease in the setting of acute illness may lead
  8. psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
    March 11, 2011 - s) Strategies for detecting adverse drug events among older persons in the ambulatory setting … Incidence and preventability of adverse drug events among older persons in the ambulatory setting … February 9, 2011 The safety of warfarin therapy in the nursing home setting. … February 23, 2011 Dementia and risk of adverse warfarin-related events in the nursing home setting … December 22, 2018 Nurse-physician communication in the long-term care setting: perceived
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42029/psn-pdf
    September 06, 2016 - Management of drug shortages in the perioperative setting. … https://psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting This magazine article details … https://psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting https://psnet.ahrq.gov/issue
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38914/psn-pdf
    May 24, 2015 - Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. … https://psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting This white paper … https://psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting https://psnet.ahrq.gov
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38800/psn-pdf
    July 22, 2009 - Medication error reporting and the work environment in a military setting. … https://psnet.ahrq.gov/issue/medication-error-reporting-and-work-environment-military-setting This study … https://psnet.ahrq.gov/issue/medication-error-reporting-and-work-environment-military-setting
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33894/psn-pdf
    April 11, 2011 - Prevention of medication errors in the pediatric inpatient setting. … https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting Key areas of recommendations … https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836942/psn-pdf
    April 27, 2022 - The high-stress, high-acuity nature of the perioperative setting requires that clinicians often bypass … As a result, the perioperative setting may have higher rates of medication errors and adverse drug events … In the ICU setting, two studies reported an overall rate of 80.5 medication errors associated with harm … , but not necessarily in perioperative settings.10 The perioperative setting presents unique challenges … Nanji et al found very high rates of medication errors in the perioperative setting, compared with prior
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43161/psn-pdf
    December 12, 2014 - Burnout in the NICU setting and its relation to safety culture. … Burnout in the NICU setting and its relation to safety culture. … https://psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture Many health care professionals … https://psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture https://psnet.ahrq.gov
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39355/psn-pdf
    June 27, 2011 - efforts in patient safety have focused on error reduction in hospitalized patients, and the ambulatory setting … This study analyzed more than 160 studies to develop a taxonomy for adverse events in the homecare setting … The authors advocate for standardized definitions of common homecare–setting events that can foster … below] discusses the opportunities to advance our understanding of patient safety in the homecare setting
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38399/psn-pdf
    February 11, 2009 - provider order entry with clinical decision support on adverse drug events in the long-term care setting … computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting … effect-computerized-provider-order-entry-clinical-decision-support-adverse- drug-events-long Adverse drug events (ADEs) are common in the long-term care setting … incidence-adverse-drug-events-two-large-academic-long-term-care-facilities https://psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
  17. psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term-care-residents
    February 11, 2009 - computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting … Computerized physician order entry with clinical decision support in the long-term care setting … 2011 Prescribers' responses to alerts during medication ordering in the long term care setting … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - ambulatory-medication-errors-and-adverse-events-involved-medicine-related- malpractice-cases Most medication safety research occurs in the inpatient setting … ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases https://psnet.ahrq.gov/issue/frequency-and-preventability-adverse-drug-events-outpatient-setting
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42510/psn-pdf
    August 21, 2013 - By analyzing 111 root cause analyses of diagnostic error cases in the outpatient setting, the authors … facilitate communication between clinicians and for emphasizing teamwork training in the outpatient setting … root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims … system-related-interventions-reduce-diagnostic-errors-narrative-review https://psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862620/psn-pdf
    February 14, 2024 - ismp-medication-safety-alertr-nurse-advise-err https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk

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