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Combs CA, Einerson BD, Toner LE. Am J Obstet Gynecol. 2021;225:b43-b49.
Maternal and newborn safety is challenged during cesarean delivery due to the complexities of the practice. This guideline recommends specific checklist elements to direct coordination and communication between the two teams engaged in cesarean deliveries. The guideline provides a sample checklist and steps for its implementation.
Jt Comm J Qual Patient Saf. 2021;47:394-397.
Smart infusions pumps with built-in dose error reduction software (DERS) are designed to protect against dosing errors that result in patient harm. This alert summarizes recommendations to enhance the effective implementation and use of smart infusion pumps such as drug library maintenance and pump error report monitoring.
Cicero MX, Adelgais K, Hoyle JD, et al. Prehosp Emerg Care. 2020;25:294-306.
This position statement shares 11 recommendations drawn from a review of the evidence to improve the safety of pediatric dosing in pre-hospital emergent situations. Suggestions for improvement include use of kilograms as the standard unit of weight, pre-calculated weight-based dosing, and dose-derivation strategies to minimize use of calculations in real time.   
Moss M, Good VS, Gozal D, et al. Crit Care Med. 2016;44:1414-21.
Burnout in health care is a recognized issue that can diminish patient safety. This statement raises awareness of burnout in critical care clinicians, discusses organizational and individual factors associated with the problem, and offers strategies to prevent and address burnout. Recommended solutions include career counseling for new critical care clinicians and training for intensive care unit leaders to help them recognize problems that contribute to burnout and design interventions.
Bearman G, Bryant K, Leekha S, et al. Infect Control Hosp Epidemiol. 2014;35:107-21.
This guidance examined literature and hospital policies around how health care staff clothing can contribute to health care–associated infections (HAIs). The investigators reveal patients' and health care workers' perceptions regarding clinician attire and recommend research to improve understanding about its potential to spread pathogens.
Middleton B, Bloomrosen M, Dente MA, et al. J Am Med Inform Assoc. 2013;20:e2-8.
The introduction of health information technology (IT) has resulted in various documented improvements in patient safety and care delivery. However, unintended consequences have also emerged, and the potential for health IT to cause harm is now well recognized. This report includes 10 recommendations for research, policy, industry, and clinician users. These broad guidelines are aimed at coordinating diverse efforts from different stakeholder groups to improve the safe and effective use of health IT. Previously, a 2011 Institute of Medicine report and an online AHRQ guide made recommendations concerning safe implementation of electronic health records. A previous AHRQ WebM&M perspective examines the benefits and challenges of available health IT systems.
Chow WB, Rosenthal RA, Merkow RP, et al. J Am Coll Surg. 2012;215:453-66.
This guideline describes recommendations for preoperative assessment of elderly surgical patients, including risk factors for postoperative delirium and pulmonary complications, to enhance safety and reduce readmissions.