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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - solutions to effective communication between healthcare providers
The Case
https://psnet.ahrq.gov/ … , initial vital signs, and a visual assessment. … It is a “team-building tool that increases effective communication among healthcare providers.”
24 … Most healthcare providers know the critical
actions necessary to care for a critically ill patient but … Healthcare providers should train in
teams to support a team-based healthcare delivery paradigm.
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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - The similarities in the first two letters of each drug name and the availability of 2.5 mg
tablet strengths … The FDA has an internal process for the evaluation and review of proposed drug names and their
associated … error potential of
medications by performing an internal risk assessment. … This process should include an assessment of the
product's look-alike and sound-alike similarity compared … evaluated through an internal proactive risk assessment.
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psnet.ahrq.gov/issue/diagnostic-errors-medicine-case-neglect
July 15, 2015 - A review of evidence, practice and consumer perspectives. … March 16, 2011
A systems approach to morbidity and mortality conference. … December 13, 2023
Complexity and challenges of the clinical diagnosis and management … April 12, 2023
Assessment of potentially inappropriate prescribing of opioid analgesics … July 6, 2022
Improving medical residents’ self-assessment of their diagnostic accuracy
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - systems with sophisticated clinical decision support systems that incorporate relevant clinical information … .( 13 ) Structured communication strategies, including the use of SBAR ("Situation, Background, Assessment … exclusive of efforts to improve communication between health care providers, may have only limited benefits … , and quality measures whereby a consumer can compare one place to another. … Topic
Long-Term Care
Health Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - What systems are available to the nurse and others who administer medications to recognize acceptable … in these medications can help inform the implementation of effective error-prevention systems. … system that warn the physicians, pharmacists, and other staff of the differences between and specific … a patient's medication orders and adjustment of the regimen based on the patient's level of care and … Most BCMA systems require that all products are packaged and bar coded by unit of use; BCMA may have
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psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
April 27, 2016 - March 8, 2006
Patient safety, systems design and ergonomics. … March 5, 2014
Clinical ICT Systems in the Victorian Public Health Sector. … November 11, 2015
The Sociology of Healthcare Safety and Quality. … April 26, 2023
Impact of sleep deficiency on surgical performance: a prospective assessment … July 6, 2022
Assessment of perioperative outcomes among surgeons who operated the night
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psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
October 03, 2007 - October 21, 2015
Unintended side effects: arbitration and the deterrence of medical error … May 11, 2005
The consumer: and now, a warning about labels. … Candour and of the Incentives for Care Organisations to Be Candid. … March 6, 2005
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance … of Human Errors, System Failures and Lack of Mindfulness.
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Alert fatigue is a significant concern in healthcare, as healthcare workers may become
desensitized … In pediatric care, accurate assessment of a child’s weight and growth trajectory is critical for
determining … for weight/height, and fostering a culture of learning,
healthcare systems can improve safety for their … , supervision, and pharmacist oversight in healthcare systems. … effective alerts
within EHR systems.
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psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
May 10, 2006 - May 11, 2005
The consumer: and now, a warning about labels. … Candour and of the Incentives for Care Organisations to Be Candid. … March 6, 2005
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance … July 13, 2016
View More
See More About The Topic
Hospitals
Health Care … Providers
Health Care Executives and Administrators
Information Professionals
Governmental
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Learning Objectives
Describe how health care providers should evaluate acute neurological deficits of … AHA/ASA guidelines recommend implementation of
acute clinical assessment teams, imaging protocols, and … This situation facilitated the growth of the neurohospitalist
specialty and the rise of telestroke systems … , information in the electronic health record, and “teleradiology”
assessment of images. … , due in part to safe and timely administration of intravenous thrombolysis with both
systems.16 However
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psnet.ahrq.gov/issue/teamstepps-20-online-master-trainer-course
October 03, 2023 - October 8, 2023
- October 11, 2023
Quality of Care Concerns and the Facility Response … August 5, 2020
Scalia's death and the value of autopsy: a teachable moment. … April 6, 2016
The relationship between patient safety culture and the intentions of the … August 2, 2017
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. … May 6, 2020
The impact of post-fall huddles on repeat fall rates and perceptions of safety
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - No increased level of care was needed.
The Commentary
Some health care providers will think Dr. … outpatient setting, so most systems probably do not have similar rigorous checks in place.( 6 ) But … reproductive and family issues arise and when the safety and effectiveness of the interventions that … the Handoff Communication Assessment. … Topic
Ambulatory Clinic or Office
Health Care Providers
Information Professionals
Primary
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - As he did so, the pump flew out of his hand and hit the magnet, which is always on. … at a single institution.( 3 ) Before any discussion of systems approaches to this and all cases involving … In addition, several items found in health care delivery systems can cause artifacts in the scanned image … 2016
Locating errors through networked surveillance: a multimethod approach to peer assessment … Hospitals
Health Care Providers
Facility and Group Administrators
Anesthesiology
Pediatrics
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - , in which patients are constantly connected to their
health care providers. … This shift is driven by the need to optimize the performance of the health care
system and enabled by … security and
encryption systems to protect patient privacy; (iv) increase regulatory, professional, … On the whole, telemedicine is improving the health of patients and has the promise to revolutionize health … The impact of telehealthcare on the quality and safety of care: a
systematic overview.
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psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-ambulatory-surgery-center-survey-2021-user-database
June 01, 2022 - This analysis from the Agency for Healthcare Research and Quality (AHRQ) shares results of 235 ambulatory … July 7, 2021
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting … During and Immediately After Childbirth: State of the Science. … Evidence Report/Technology Assessment. … July 1, 2015
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer
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psnet.ahrq.gov/issue/safety-issues-and-concerns-neurological-patient-emergency-department
March 19, 2014 - May 17, 2006
Complexity and challenges of the clinical diagnosis and management of Long … August 19, 2020
Tolerance of uncertainty and the practice of emergency medicine. … health record systems: a systematic review. … December 19, 2012
Effect of a systems intervention on the quality and safety of patient … March 8, 2023
Risk assessment of the acute stroke diagnostic process using failure modes
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - , and quality measures whereby a consumer can compare one place to another. … should move from quality assessment to a performance improvement mode, operating more along the lines … systems with sophisticated clinical decision support systems that incorporate relevant clinical information … .( 13 ) Structured communication strategies, including the use of SBAR ("Situation, Background, Assessment … exclusive of efforts to improve communication between health care providers, may have only limited benefits
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
April 27, 2022 - Approach to Improving Safety and Systems Change Needed
To help clinicians avoid similar errors, hospitals … Systems-level changes like checklists and forcing functions, when integrated into the EHR, provide additional … Checklists and forcing functions are two tools that healthcare providers can use to mitigate cognitive … Assessment of a Best Practice Alert and Referral Process for Preprocedure Antithrombotic Medication Management … Case
The Commentary
Background
Approach to Improving Safety and Systems Change Needed
Conclusion
-
psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - systems. … health care providers, and protection against
errors. … care provider or system, and others offered by
outside vendors. … Developing effective information technology systems will require the involvement of not only patient … Robust personal health record systems are now available and will continue to flourish with the
advent
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psnet.ahrq.gov/issue/safety-information-alaris-se-infusion-pumps
June 07, 2006 - : Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. … care providers. … SARS-CoV-2--letter to clinical laboratory staff and health care providers. … April 30, 2014
Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples … September 7, 2022
Letter to Health Care Providers: Safe Use of Surgical Staplers and