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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - You might also have an iPad or some other type of tablet that can similarly run these apps. … nonclinical teams who are creating these medical apps, that presents a patient safety challenge because that type … Healthcare apps are personalized for the type of end-user.
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psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - Finding Fault With the Default Alert
Citation Text:
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/73165/psn-pdf
April 21, 2021 - Recommendations for the safe, effective use of adaptive
CDS in the US healthcare system: an AMIA position
paper.
April 21, 2021
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in
the US healthcare system: an AMIA position paper. J Amer Med Inform Assoc. 2020;28(…
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - summarized the results of controlled interventions to improve handovers in the inpatient setting among any type … As medical centers implement handover education, it remains to be determined what type and intensity … e.g., patient identifiers, age, location, medications), and either pre-populate or provide a space to type … That's a very risky type of handoff—the patient is moving. … For safety, it's also important to consider more than just hours, like the type and amount of work residents
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - only constitutes a form of medical error that may affect safety, but has been deemed to be a unique
type
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together to … pharmacist and/or physician with specialized training is advisable to verify the recommended antidote and type
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - As an example, one type of eye drops (prostaglandins) has a turquoise cap on the bottle, across all manufacturers … , while another completely different type of eye drop has a pink cap (steroids).
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - As an example, one type of eye drops (prostaglandins) has a
turquoise cap on the bottle, across all … manufacturers, while another completely different type of eye drop
https://psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - Few patient care or educational outcome studies have been done to formally evaluate this type of ambulatory … High-performing practices would not accept errors of this type, and they would systematically work to
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - A cross-disciplinary team should prioritize the alarm parameters and make decisions on what type of alarm … Although this type of unit-based defaulting does reduce alarms, it is not as effective as adding in some … : Yes, that's an interesting question because I've often wondered if we shouldn't have a contextual type … and has been having these problems, and knows that in the last 1000 cases an alarm has fired in this type
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - Remote patient monitoring (RPM) is a type of telehealth in which healthcare providers monitor patients
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psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
September 18, 2024 - Commentary
Using medical-error reporting to drive patient safety efforts.
Citation Text:
Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4.
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank … In our case, the resident selected a protocol for a patient with type 2 diabetes with acute medical illness
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - meaning to sort or to choose, is the process by which patients are sorted or prioritized according to the type … areas with experienced ED nurses or physicians, and incorporating written protocols can reduce this type
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psnet.ahrq.gov/submit-your-training-landing
January 01, 2025 - Breadcrumb
Home
Training and Education
Training Catalog
Training Submissions
PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Indeed, these kinds of ambitious goals could be thought of as a type of “Big Hairy Audacious Goal,” a … your thoughts on the risk for organizations that don't have a strong safety culture espousing this type … Are there any situations where clinicians might find that type of goal motivating?
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - pre-procedure huddle, but during their check for availability of blood products, it was unclear whether blood type … Systematic Approaches to Improving Patient Safety with Intrahospital Transport
Regardless of the type
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psnet.ahrq.gov/issue/patient-safety-canada-update
December 04, 2019 - Book/Report
Patient Safety in Canada: An Update.
Citation Text:
Patient Safety in Canada: An Update. Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
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psnet.ahrq.gov/issue/back-basics-checklists-aviation-and-healthcare
May 15, 2024 - Commentary
Back to basics: checklists in aviation and healthcare.
Citation Text:
Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957.
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psnet.ahrq.gov/issue/prevalence-and-burden-healthcare-associated-infections-hais-2016-2021-hcup-statistical-brief
December 18, 2024 - Book/Report
Prevalence and Burden of Healthcare-Associated Infections (HAIs), 2016–2021. HCUP Statistical Brief #313.
Citation Text:
Miller MA, Umscheid CA, Dowell J, et al. Prevalence And Burden Of Healthcare-Associated Infections (Hais), 2016–2021. Hcup Statistical Brief #313. Rockvill…