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psnet.ahrq.gov/node/40630/psn-pdf
September 07, 2016 - cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-
patterns
This article discusses how drug shortages in hospitals can endanger care and suggests
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psnet.ahrq.gov/node/61112/psn-pdf
November 11, 2020 - clinician-level
Clinical decision support (CDS) alerts can improve patient safety, and prior research suggests
-
psnet.ahrq.gov/node/50535/psn-pdf
October 16, 2019 - This small, qualitative study in one hospital diabetes ward suggests that small iterative
changes can
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psnet.ahrq.gov/node/60743/psn-pdf
July 29, 2020 - The author suggests roles for
leadership and Medicare to drive improvements.
-
psnet.ahrq.gov/node/48101/psn-pdf
August 14, 2019 - This
newsletter article suggests that utilizing this risk prevention strategy in peripheral care areas
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psnet.ahrq.gov/node/50376/psn-pdf
September 25, 2019 - stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-
multisite
Smart infusion pumps have the potential to improve medication safety, but research suggests
-
psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
This report suggests
-
psnet.ahrq.gov/node/43674/psn-pdf
November 12, 2014 - and
ineffective patient–provider communication contributed to a patient's experience with harm and suggests
-
psnet.ahrq.gov/node/41122/psn-pdf
February 08, 2012 - can-we-make-airway-management-even-safer-lessons-national-audit
This commentary summarizes a report on airway management safety in the United Kingdom and suggests
-
psnet.ahrq.gov/node/40568/psn-pdf
June 29, 2011 - published case studies on tubing misconnections and expert recommendations for improvement,
this review suggests
-
psnet.ahrq.gov/node/40610/psn-pdf
July 13, 2011 - This commentary applied Joint Commission patient safety standards to the endoscopy care setting and
suggests
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psnet.ahrq.gov/node/36111/psn-pdf
September 28, 2010 - prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
The author discusses how technology can help minimize medication errors and suggests
-
psnet.ahrq.gov/node/35226/psn-pdf
June 16, 2010 - He suggests that this
process will result in underreporting and provides a model for analyzing reporting
-
psnet.ahrq.gov/node/42959/psn-pdf
February 19, 2014 - article describes how changes in batch preparation processes can introduce opportunities
for errors and suggests
-
psnet.ahrq.gov/node/35084/psn-pdf
November 04, 2015 - comments on two articles that address the behavior of physicians in high-liability specialties and
suggests
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psnet.ahrq.gov/node/40950/psn-pdf
November 23, 2011 - getting-moving-patient-safety-harnessing-electronic-data-safer-care
Describing weaknesses in current safety measurement tools, this perspective suggests
-
psnet.ahrq.gov/node/40499/psn-pdf
June 01, 2011 - psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
This commentary suggests
-
psnet.ahrq.gov/node/40979/psn-pdf
June 01, 2012 - //psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
This study suggests
-
psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - Research suggests six principles for guiding these efforts.
Contemplate culture. … Evidence suggests this process is effective for leading organizational change.( 6 ) It also models a … This suggests that understanding the rationale for someone else's conclusions can reveal opportunities … In summary, research suggests a number of concrete actions that leaders can take to help promote cultural
-
psnet.ahrq.gov/node/40259/psn-pdf
December 04, 2016 - successful-remediation-patient-safety-incidents-tale-two-medication-errors
This commentary compares two cases of preventable medical errors and suggests