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  1. Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. | PSNet

    psnet.ahrq.gov/issue/inappropriate-use-pharmacy-bulk-packages-iv-contrast-media-increases-risk-infections
    June 12, 2018 - Newspaper/Magazine Article Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. Citation Text: Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. ISMP Medication Safety Alert! Acute Care Edition. Septem…

  2. Medication errors involving neuromuscular blocking agents. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-neuromuscular-blocking-agents
    November 01, 2012 - Study Medication errors involving neuromuscular blocking agents. Citation Text: Santell JP. Medication errors involving neuromuscular blocking agents. Jt Comm J Qual Patient Saf. 2006;32(8):470-5, 417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  3. Radiology failure mode and effect analysis: what is it? | PSNet

    psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
    May 03, 2017 - Commentary Radiology failure mode and effect analysis: what is it? Citation Text: Abujudeh H, Kaewlai R. Radiology failure mode and effect analysis: what is it? Radiology. 2009;252(2):544-50. doi:10.1148/radiol.2522081954. Copy Citation Format: DOI Google Scholar PubMed Bi…

  4. The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. | PSNet

    psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
    July 08, 2015 - Meeting/Conference Proceedings The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Citation Text: The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…

  5. Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. | PSNet

    psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm
    October 19, 2016 - Toolkit Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Citation Text: Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016. Copy Citation Save Save …

  6. Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. | PSNet

    psnet.ahrq.gov/issue/partnering-patients-drive-shared-decisions-better-value-and-care-improvement-workshop
    September 23, 2015 - Meeting/Conference Proceedings Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. Citation Text: Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. Roundtable on Value and …

  7. AHRQ's Safety Program for Ambulatory Surgery. | PSNet

    psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
    January 24, 2018 - Book/Report AHRQ's Safety Program for Ambulatory Surgery. Citation Text: AHRQ's Safety Program for Ambulatory Surgery. Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF. Copy Citation …

  8. Laboratory results that should be ignored. | PSNet

    psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
    August 19, 2009 - Commentary Laboratory results that should be ignored. Citation Text: Elston DM. Laboratory results that should be ignored. MedGenMed. 2006;8(4):9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  9. Regulating compensation for injuries associated with medical error. | PSNet

    psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error
    February 15, 2023 - Commentary Regulating compensation for injuries associated with medical error. Citation Text: Regulating compensation for injuries associated with medical error. Corbett A. Sydney Law Review. 2006;28(2):259-296. Copy Citation Save Save to your library Pr…

  10. Common Program Requirements. The Learning and Working Environment (Duty Hours). | PSNet

    psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
    November 18, 2020 - Multi-use Website Common Program Requirements. The Learning and Working Environment (Duty Hours). Citation Text: Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education. Copy Citation Save …

  11. Medicine's Shadowside: Revisiting Clinical Iatrogenesis. | PSNet

    psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
    September 08, 2021 - Special or Theme Issue Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Citation Text: Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.   Copy Citation Save Save to yo…

  12. Precision standards guidelines for reporting MEPS-HC descriptive statistics

    meps.ahrq.gov/survey_comp/precision_guidelines.shtml
    Precision standards guidelines for reporting MEPS-HC descriptive statistics   Skip to main content An official website of the Department of Health & Human Services More Back …

  13. Mutual Support Half-Day Training Content | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/half-day.html
    June 01, 2023 - Mutual Support Half-Day Training Content Components you can include in Module 4 for a half-day training include: Introduction and Objectives: 3 minutes Task Assistance: 5 minutes Formative Feedback: 6 minutes Feedback Exercise: 4 minutes Advocacy and Assertion Tools: 12 minutes Conflict in Teams: …

  14. Despite technology, verbal orders persist, read back is not widespread, and errors continue. | PSNet

    psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
    June 28, 2017 - Newspaper/Magazine Article Despite technology, verbal orders persist, read back is not widespread, and errors continue. Citation Text: Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…

  15. Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet

    psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
    April 27, 2022 - Book/Report Health Literacy Practices in Primary Care Settings: Examples from the Field. Citation Text: Health Literacy Practices in Primary Care Settings: Examples from the Field. Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. Copy Ci…

  16. Eliminating CLABSI: A National Patient Safety Imperative. | PSNet

    psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
    October 23, 2019 - Book/Report Eliminating CLABSI: A National Patient Safety Imperative. Citation Text: Eliminating CLABSI: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF. Copy Citation …

  17. ISMP Medication Errors Reporting Program. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
    January 26, 2023 - Measurement Tool/Indicator ISMP Medication Errors Reporting Program. Citation Text: ISMP Medication Errors Reporting Program. Institute for Safe Medication Practices Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  18. ISMP's List of High-Alert Medications in Acute Care Settings. | PSNet

    psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
    April 17, 2024 - Fact Sheet/FAQs ISMP's List of High-Alert Medications in Acute Care Settings. Citation Text: ISMP's List of High-Alert Medications in Acute Care Settings. Horsham, PA; Institute for Safe Medication Practices: 2024. Copy Citation Save Save to your library Pri…

  19. Clinical/Practice Guidelines | Digital Healthcare Research

    digital.ahrq.gov/document-type/clinicalpractice-guidelines
    March 01, 2024 - Clinical/Practice Guidelines Addressing chronic pain through patient- and clinician-facing clinical decision support: Technical implementation guide Citation Addressing chronic pain through patient- and clinician-facing clinical decision support: Technical implementation guide…

  20. Patient Safety 101 | PSNet

    psnet.ahrq.gov/patient-safety-101
    March 26, 2025 - Patient Safety 101: The Fundamentals What is Patient Safety? The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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