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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty
Program Uses Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-
driven-decision
Summary
The team at Geisinger sought to develop a…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
…
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/node/40243/psn-pdf
June 10, 2018 - Preventing medication errors during codes.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3.
https://psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
This piece discusses medication errors during emergency resuscitations and outlines risk-reduction
strategies.
…
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psnet.ahrq.gov/node/35603/psn-pdf
February 06, 2019 - Use of color-coded patient wristbands creates
unnecessary risk.
February 6, 2019
PA PSRS Patient Saf Advis 2005 Dec 2;(Suppl. 2):1-4.
https://psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
This supplemental advisory recommends that a limited, standard set of colors and correspondi…
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psnet.ahrq.gov/node/36729/psn-pdf
June 17, 2014 - Coding for Success: Simple Technology for Safer Patient
Care.
June 17, 2014
Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007.
https://psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
This report discusses the impact that automated technologies, such as…
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD
June 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - software including computerized physician order entry (CPOE), electronic medical records (EMR), bar code
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - don't have people connecting the frontline docs, nurses, pharmacists, and the people who understand the code
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - Luckily, the arrest
occurred in front of a staff who called a code blue.
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - References
Figure
Related Resources From the Same Author(s)
Bar-code
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - In addition to the patient, cues are provided by monitors, code carts, and other
working medical equipment
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - requirement of one direct care staff to three residents as provisioned in the California Health & Safety Code
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - When the bedside nurse returned to assess her pain, she found the patient unresponsive and called a code
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Effect of bar-code technology on the safety of medication administration.
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - A code blue was called but the patient had been dead for some time.
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - sometimes referred to as patient
‘ownership’ – is made clear in the American College of Surgeons’ code