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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
    November 01, 2023 - Recovering After Emergency Appendectomy Recovering After Emergency Appendectomy e Emergency Appendectomy Patient Education Guide 1 Recovering After Emergency Appendectomy Patient Name ___________________________________________________________________ Surgeon Name _________________________________________…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - The literature is clear that unrecognized, untreated delirium leads to adverse events such as falls, … Risk of Bias (High, Moderate, Low) Babine et al., 20181 Education and training to reduce falls … and length of stay via delirium recognition Retrospective study looking at delirium and falls. … Two chart reviews were performed on patient falls as identified in the hospital safety reporting … The fall rates in 2011 and 2012 were 3.01 and 2.82 falls per 1,000 patient days and in 2013 decreased
  3. psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
    September 06, 2023 - Newspaper/Magazine Article EU to tackle issue of patient safety. Citation Text: Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  4. psnet.ahrq.gov/issue/medical-error-second-victim-0
    February 17, 2017 - Commentary Medical error: the second victim. Citation Text: McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…
  5. psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
    February 24, 2016 - Newspaper/Magazine Article Understanding human over-reliance on technology. Citation Text: Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4. Copy Citation Save Save to your library Pr…
  6. psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
    February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
  7. psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
    February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …
  8. psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…
  9. psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…
  10. psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
    September 15, 2021 - Newspaper/Magazine Article Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Citation Text: Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Ellis B, Hicken M. CNN. May 14, 2020. Co…
  11. psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…
  12. psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
    July 21, 2010 - Study Airway carts: a systems-based approach to airway safety. Citation Text: Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
  13. psnet.ahrq.gov/issue/crisis-within-crisis
    May 05, 2021 - Newspaper/Magazine Article A crisis within a crisis. Citation Text: A crisis within a crisis. Ellis NT, Broaddus A. CNN. August 25, 2021.  Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  14. psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
    December 21, 2022 - Book/Report Malnutrition in Hospitalized Adults: A Systematic Review. Citation Text: Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021.  AHRQ Publication No. 21(22)…
  15. psnet.ahrq.gov/issue/eau-policy-live-surgery-events
    December 29, 2014 - Review EAU policy on live surgery events. Citation Text: Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  16. psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
    June 24, 2020 - Newspaper/Magazine Article Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Citation Text: Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Gillispie-Bell V. USA Today. April 14, 2023. Copy Citation S…
  17. psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
    January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…
  18. psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
    December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…
  19. psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices. Citation Text: Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. Copy Citation F…
  20. psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
    June 15, 2022 - Newspaper/Magazine Article Education is “predictably disappointing” and should never be relied upon alone to improve safety. Citation Text: Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …