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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
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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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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-dissemination
January 01, 2021 - Research Dissemination
The impact of AHRQ-funded research goes beyond the studies themselves, as the dissemination of research findings from the DHR program is critical to the transfer of successful digital healthcare knowledge, tools, and strategies that improve healthcare delivery, optim…
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Becoming a Patient Safety Organization
July 1, 2011
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization
Perspective
While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story
…
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - To LP or Not LP
October 1, 2003
Landrigan CP. To LP or Not LP. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lp-or-not-lp
The Case
A 4-month-old male infant was seen in the office setting of a large multisite practice. He presented with
fever and irritability without an obvious source. He was referred to …
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - Mixup Beyond the Medication Label
August 1, 2018
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
The Case
An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another
hospi…
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…
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digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
January 17, 2006 - Office of the National Coordinator for Health Information Technology - Panel Discussion
Office of the National Coordinator
for Health Information Technology
Panel Discussion:
Kelly Cronin
John Loonsk, MD
Lynn Egan, JD
Visit our website at:
http://www.hhs.gov/healthit/
Overview
• ONC overview
• ONC Major Initi…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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psnet.ahrq.gov/node/49563/psn-pdf
May 01, 2008 - Is It Safe to Be Direct?
May 1, 2008
Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/it-safe-be-direct
The Case
A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician
(PCP) for progressive shortness of breat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
April 01, 2015 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide
PATIENT
SAFETY
AMBULATORY
SURGERY
CENTER
SURVEY
ON PATIENT
SAFETY
CULTURE
User’s Guide
AHRQ Ambulatory Surgery Center Survey on
Patient Safety Culture: User’s Guide
Prepared for:
Agency for Healthcare Research and Quality
U.S. …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
July 01, 2018 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide
PATIENT
SAFETY
AMBULATORY
SURGERY
CENTER
SURVEY
ON PATIENT
SAFETY
CULTURE
User’s Guide
AHRQ Ambulatory Surgery Center Survey on
Patient Safety Culture: User’s Guide
Prepared for:
Agency for Healthcare Research and Quality
U.S. …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
April 01, 2015 - AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide
PATIENT
SAFETY
AMBULATORY
SURGERY
CENTER
SURVEY
ON PATIENT
SAFETY
CULTURE
User’s Guide
AHRQ Ambulatory Surgery Center Survey on
Patient Safety Culture: User’s Guide
Prepared for:
Agency for Healthcare Research and Quality
U.S. …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - A second task is ensuring your intensive care unit (ICU) has an overarching, protocolized approach to
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - First, ensuring sputum
cultures are sent for all patients with suspected HAP
whenever possible is critical
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psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
November 04, 2015 - medications each time they pick up a prescription, they can become even more important partners in ensuring
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - may be justified to avoid any delay or problem with therapy—provided that all of the safeguards for ensuring
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - diverse populations, health care systems and providers should practice
"universal precautions" by ensuring
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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - Innovation
For the pre-implementation planning phase, according to the innovation team, focus should be on ensuring