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psnet.ahrq.gov/node/43216/psn-pdf
June 25, 2014 - Banning the handshake from the health care setting.
June 25, 2014
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA.
2014;311(24):2477-8.
https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting
Hand hygiene is an important practice that prevents transmissi…
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psnet.ahrq.gov/node/38422/psn-pdf
January 31, 2011 - Joint Commission offers warnings, advice on adopting
new health care IT systems.
January 31, 2011
Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA.
2009;301(6):587-9. doi:10.1001/jama.2009.37.
https://psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adoptin…
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psnet.ahrq.gov/node/44613/psn-pdf
October 28, 2015 - Getting rid of "never events" in hospitals.
October 28, 2015
Morgenthaler T; Harper CM.
https://psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
Never events are devastating and preventable, and health care organizations are under increasing
pressure to eliminate them. This commentary discusses how the Mayo…
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psnet.ahrq.gov/node/41255/psn-pdf
May 04, 2012 - EACTS guidelines for the use of patient safety checklists.
May 4, 2012
Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J
Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009.
https://psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklist…
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psnet.ahrq.gov/node/37108/psn-pdf
October 04, 2011 - Electronic prescribing systems in pediatrics: the rationale
and functionality requirements.
October 4, 2011
Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and
functionality requirements. Pediatrics. 2007;119(6):1229-31.
https://psnet.ahrq.gov/issue/electronic-pre…
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psnet.ahrq.gov/node/35047/psn-pdf
November 04, 2015 - Managing patients with identical names in the same ward.
November 4, 2015
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care
Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
https://psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
This case rep…
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psnet.ahrq.gov/node/42703/psn-pdf
December 06, 2013 - Administrative issues to ensure safe anesthesia care in
the office-based setting.
December 6, 2013
Gaulton TG, Shapiro FE, Urman RD. Administrative issues to ensure safe anesthesia care in the office-
based setting. Curr Opin Anaesthesiol. 2013;26(6):692-7. doi:10.1097/ACO.0000000000000005.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44720/psn-pdf
December 16, 2015 - The persistent problem of diagnostic error.
December 16, 2015
Lundberg GD. Medscape. December 1, 2015.
https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error
Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a
patient safety problem, this commentary out…
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psnet.ahrq.gov/node/42256/psn-pdf
May 10, 2013 - Rapid response systems: should we still question their
implementation?
May 10, 2013
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp
Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
https://psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-…
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-evidence-review/vitamin-d-calcium-combined-supplementation-primary-prevention-falls-fractures-communitydwelling-adults
December 17, 2024 - Share to Facebook
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in progress
Draft Evidence Review
Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Falls and Fractures in Community-Dwelling Adults: Preventive Medic…
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psnet.ahrq.gov/node/38464/psn-pdf
June 06, 2018 - Follow ISMP guidelines to safeguard the design and use
of automated dispensing cabinets (ADCs).
June 6, 2018
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.
https://psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-
cabinets-adcs
This article sha…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
January 01, 2023 - Enhancing Medication CPOE Safety and Quality by Indications-Based Prescribing
Project Final Report ( PDF , 1.13 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Did We Forget Something?
September 1, 2003
Gibbs VC. Did We Forget Something? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/did-we-forget-something
The Case
A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially
attributed to ventilator-associated pneumo…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - Slide 1
Creating a Hybrid Database by
Adding a POA Modifier and
Numerical Laboratory Results to
Administrative Claims Data
Michael Pine, M.D., M.B.A.
Michael Pine and Associates, Inc.
mpine@consultmpa.com
Overview
Alternative databases for performance monitoring
Comparative performance of alternative
datab…
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - Rapid Response Teams: Lessons from the Early
Experience
November 1, 2005
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
Perspective
Health care organizations throughout the world have ide…
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Building Systems Citizenship in Health Professions
Education: The Continued Call for Health Systems
Science Curricula
February 1, 2019
Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call
for Health Systems Science Curricula. PSNet [internet]. 2019.
https://psnet.…
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Computerized Provider Order Entry
Citation Text:
Computerized Provider Order Entry. 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 t…
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - Computerized Provider Order Entry
March 15, 2025
Computerized Provider Order Entry. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascitems_sptrans.pdf
January 01, 2015 - Spanish Community Pharmacy Survey on Patient Safety Culture Items and Dimensions
Spanish Translation of AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture
November 2014
This document explains the process that was used to develop a Spanish translation of the Agency for
Healthcare Research and Qualit…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-spanish.pdf
January 01, 2015 - Spanish Community Pharmacy Survey on Patient Safety Culture Items and Dimensions
Spanish Translation of AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture
November 2014
This document explains the process that was used to develop a Spanish translation of the Agency for
Healthcare Research and Qualit…