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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - The specific CUSP interventions in this study, conducted in a surgical inpatient unit at an academic
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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - methods (such as incident reporting systems), error analysis, and systems to mitigate and reduce specific
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - rated readiness for independent practice and level of supervision for surgical trainees performing specific
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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
January 19, 2012 - The algorithm identified patients with elevated prostate-specific antigen levels, positive fecal occult
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psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
May 20, 2009 - evaluate health care quality, the authors present a detailed discussion of attributes necessary for safety-specific
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psnet.ahrq.gov/node/33604/psn-pdf
December 15, 2024 - These initiatives may include developing risk-
specific protocols for high-alert medications; identifying … practices
resulted in significant increases in appropriate prescribing and monitoring practices for specific
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - that a drug warrants a REMS program, it works with the drug manufacturer to approve the REMS.( 2 ) The specific … that lists all current REMS drugs, and FDA-approved prescribing information can provide details about specific … Rather, it is focused on preventing, monitoring, and/or managing very specific and serious risks—to inform … medication requires a prescriber or patient to be enrolled in a REMS program, it can be incorporated as drug-specific … ordering information, as well as include specific questions asking whether the provider and/or patient
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - These strategies should be available in an institution-specific protocol readily accessible to practitioners … care systems, they also include Elements to Assure Safe Use, which may require prescribers to have specific … prescribing and dispensing of the medication, the risks associated with the drug still exist, and institution-specific … Risk Evaluation and Mitigation Strategy, and all hospitals and practitioners must follow the outlined specific … Hospitals
Health Care Providers
Cardiology
Medication Errors/Preventable Adverse Drug Events
Specific
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - KH : Going back to our discussion about specific adverse events, we had talked about infection control … Those are really our very specific AEs and they are very related to the fact that we are using a high … So it's really very specific to hand skills or a sudden movement. … These are all obviously very specific to dentistry. … Targeted research activities into interventions in specific AEs can help to bridge that knowledge gap
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - requires that the results of the fall risk screening be used to develop a care plan to address patient-specific … To prevent falls, interventions must be tailored to patient-specific risk factors.( 10 ) Table 3 includes … in fall risk assessment and to understand how to tailor the fall prevention plan to address patient-specific … three-step process: (i) screening for fall risk, (ii) identifying interventions tailored to patient-specific … wheels locked Interventions to Reduce Anticipated Physiological Falls (Tailored to patient-specific
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - widely implemented and appear to reduce medication errors , little data exists on the effectiveness of specific
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psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
April 23, 2014 - The authors note that simulation studies exploring which combinations of PPE and specific donning/doffing
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psnet.ahrq.gov/training-catalog/safety-pediatric-dental-care
April 10, 2025 - It is based on the latest knowledge on safety in healthcare, while also offering resources specific to
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - In the scenario described above, the referring ED physician did not appropriately communicate the specific … understood in order for it to be addressed appropriately.( 3 ) The ED physician did not convey the specific … A request for a routine or general consult will generate a different response than one asking for specific … Be specific, including medication details.
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - DOAC agents interfere at a specific step in the coagulation cascade whereas warfarin works by lowering … Another key aspect of creating proper order sets is to link the correct set of orders to specific indications … Examples of specific indications include: VTE treatment vs atrial fibrillation treatment, using warfarin … the DOAC as an inpatient, but a starter pack is not available, then clear written instructions and specific … Verbal education and instructions should still be provided as well, with specific attention drawn to
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - This theoretical focus allows for generalizing beyond a specific checklist or environment. … Specific advice concerning the tasks and users is included under these major categories. … Such chunking tends to result in losing conscious access to each of the specific steps that a novice … Request specific task outcomes. … Moffett Field, CA: NASA Center: NASA (non Center Specific); 1991.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - This theoretical focus allows for generalizing beyond a specific checklist or environment. … Specific advice concerning the tasks and users is included under these major categories. … Such chunking tends to result in losing conscious access to each of the specific steps that a novice … Request specific task outcomes. … Moffett Field, CA: NASA Center: NASA (non Center Specific); 1991.
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
implementation of a surgical safety checklist, which included specific … complex sociotechnical endeavor, requiring frontline providers to not only change their approach to a
specific
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - Performance Issues
Individual clinician performance issues may relate to technical competence to perform specific … a PSNet perspective, it remains unclear what proportion of physicians with problems lack skill
in specific … the combination of
simulation and individualized coaching can reduce adverse events associated with specific
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - Digital health technology-specific risks for medical malpractice liability. … ethics-governance-artificial-intelligence-health
https://psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability … Digital health technology-specific risks for medical malpractice liability. … artificial-intelligence-health-care-hope-hype-promise-peril
https://psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability