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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - Sentinel Event Alerts
Preventing adverse events caused by emergency electrical power system failures.
Citation Text:
Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3.
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - From the Same Author(s)
Effect of behavioral interventions on inappropriate antibiotic prescribing
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - https://psnet.ahrq.gov//mailto:mjarvis@geisinger.edu
https://psnet.ahrq.gov//#2
on reducing opioid prescribing
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psnet.ahrq.gov/issue/devil-inside-wired-medicine
May 30, 2018 - Newspaper/Magazine Article
The devil inside wired medicine.
Citation Text:
The devil inside wired medicine. Langreth R. Forbes Magazine. May 11, 2009;183:40.
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psnet.ahrq.gov/issue/us-inaction-lets-look-alike-tubes-kill-patients
September 01, 2008 - Newspaper/Magazine Article
U.S. inaction lets look-alike tubes kill patients.
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September 1, 2010
View more articles from the same aut…
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - in this case
included: (i) not viewing or checking the patient's complete medication history before prescribing
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psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - Patient Allergies and Electronic Health Records
April 1, 2017
Doyle MJ. Patient Allergies and Electronic Health Records. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
The Case
A 40-year-old woman presented with recurring intense right upper quadrant pain, whi…
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Walking Patient, Missing Drain
Citation Text:
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is
Staffing Adequate for Unplanned Incidents?
April 24, 2024
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for
Unplanned Incidents? PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-…
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition
Error
May 26, 2021
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
The Case
A 4-year-old (former 33-week premature) boy with a …
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - MC: Well, people have pointed out that with bar coding, smart pumps, and computerized prescribing, all … safety from a focus on accurate dispensing to other aspects of the medication use process, including prescribing
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Many prescribing and monitoring errors stem directly from inadequate information at the time of ordering … provider order entry with clinical decision support has been shown to improve the quality of medication prescribing
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - safety from a focus on accurate dispensing to other aspects of the medication use process, including prescribing … MC: Well, people have pointed out that with bar coding, smart pumps, and computerized prescribing, all
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psnet.ahrq.gov/issue/biggest-mistake-doctors-make
October 09, 2013 - Newspaper/Magazine Article
The biggest mistake doctors make.
Citation Text:
The biggest mistake doctors make. Landro L. Wall Street Journal. November 17, 2013.
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psnet.ahrq.gov/issue/safety-design
March 11, 2009 - Special or Theme Issue
Safety by Design.
Citation Text:
Safety by Design. Qual Saf Health Care. 2006 Dec;15(Suppl 1):i1-90.
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psnet.ahrq.gov/issue/five-steps-safer-health-care
July 21, 2021 - Fact Sheet/FAQs
Five Steps to Safer Health Care.
Citation Text:
Five Steps to Safer Health Care. American Hospital Association; American Medical Association; U.S. Department of Health and Human Services.
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psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
February 05, 2014 - Course Material/Curriculum
Master of Healthcare Quality and Safety.
Citation Text:
Master of Healthcare Quality and Safety. Harvard Medical School.
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psnet.ahrq.gov/issue/hospitals-own-errors
February 04, 2009 - Newspaper/Magazine Article
Hospitals own up to errors.
Citation Text:
Hospitals own up to errors. Landro L. Wall Street Journal. August 25, 2009:D1.
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psnet.ahrq.gov/issue/reprocessing-reusable-medical-devices
April 08, 2020 - Multi-use Website
Reprocessing of Reusable Medical Devices.
Citation Text:
Reprocessing of Reusable Medical Devices. US Food and Drug Administration.
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