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psnet.ahrq.gov/issue/voices-frontlines-health-care-safety
May 03, 2023 - Audiovisual
Voices from the Frontlines of Health Care Safety.
Citation Text:
Voices from the Frontlines of Health Care Safety. Boston, MA; Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/safe-surgery-guide
May 28, 2014 - Book/Report
Safe Surgery Guide.
Citation Text:
Safe Surgery Guide. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.
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psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
December 24, 2008 - Government Resource
Bar-Coded Medication Administration (BCMA).
Citation Text:
Bar-Coded Medication Administration (BCMA). Agency for Healthcare Research and Quality; AHRQ.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/kickoffagenda_recreated.pdf
March 07, 2008 - Virginia Health Information
Adding Clinical Data to Statewide Administrative Data
Kickoff Meeting
March 7, 2008
Draft Agenda
8:30 AM
8:45 AM
Welcome and Introductions
Project Objectives,
Requirements, and Potential
Benefits to Participants
Michael Lundberg, Executive
Director, Virginia…
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psnet.ahrq.gov/issue/do-you-know-what-doses-are-being-programmed-or-make-it-expectation-use-smart-infusion-pumps
February 26, 2025 - Newspaper/Magazine Article
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS.
Citation Text:
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. ISMP Medicat…
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psnet.ahrq.gov/issue/improving-safety-telephone-or-verbal-orders
March 18, 2010 - Newspaper/Magazine Article
Improving the safety of telephone or verbal orders.
Citation Text:
Improving the safety of telephone or verbal orders. PA-PSRS Patient Saf Advis. 2006 Jun;3(2):1,3-7.
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psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare
November 30, 2016 - Book/Report
Using Safety Cases in Industry and Healthcare.
Citation Text:
Using Safety Cases in Industry and Healthcare. London, UK: Health Foundation; December 2012. ISBN: 9781906461430.
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psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
September 13, 2017 - Glossary
Canadian Patient Safety Dictionary.
Citation Text:
Canadian Patient Safety Dictionary. Royal College of Physicians and Surgeons of Canada
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psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
March 09, 2011 - Newspaper/Magazine Article
At VA hospital, a rogue cancer unit.
Citation Text:
At VA hospital, a rogue cancer unit. Bogdanich W.
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psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
May 03, 2023 - Multi-use Website
Massachusetts Alliance for Communication and Resolution Following Medical Injury.
Citation Text:
Massachusetts Alliance for Communication and Resolution Following Medical Injury. Betsy Lehman Center for Patient Safety.
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psnet.ahrq.gov/issue/state-healthcare-2008
March 28, 2018 - Book/Report
State of Healthcare 2008.
Citation Text:
State of Healthcare 2008. Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2008. ISBN: 9780102958362.
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psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
January 02, 2008 - Commentary
Managing the aftermath of iatrogenic injury.
Citation Text:
Managing the aftermath of iatrogenic injury. Vincent C; Saunders A.
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psnet.ahrq.gov/issue/safety-0
March 07, 2018 - Multi-use Website
Safety.
Citation Text:
Safety. Center for Health Design.
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June 15, 2016
Center for Heal…
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psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
May 07, 2018 - Newspaper/Magazine Article
Action needed to prevent dangerous heparin-insulin confusion.
Citation Text:
Action needed to prevent dangerous heparin-insulin confusion. ISMP Medication Safety Alert! Acute care edition. May 3, 2007;12:1-2.
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psnet.ahrq.gov/issue/opioid-wisely
April 06, 2022 - Toolkit
Opioid Wisely.
Citation Text:
Opioid Wisely. Choosing Wisely Canada.
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March 14, 2018
Choosing Wis…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
January 01, 2009 - Of these, number with documentation of recommended screening or surveillance
interval.
13. … average risk patients >= 50 years of age with no abnormal findings on screening
colonoscopy, the recommended … Of these, number with recommended followup interval <10 years / = 10 years / > 10
years.
14. … Of these, number with recommended followup interval < 5 years / 5-10 years / > 10
years.
15. … Of these, number with polypectomy (excludes procedures where a shorter interval
might be recommended
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - Educational outreach to all patients who refuse recommended interventions, including
mailing of plain … We will assess whether this
intervention increases a) provision of recommended therapies and tests, … Thus, the true failure rate for recommended tests or
therapies remains obscured. … In addition, there was a patient-
focused intervention; if a patient refused a recommended procedure … Effect of Outreach to Patients Who Refused Recommended Services
In the outreach cohort, 407 patients
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
January 01, 2017 - follow-up
recommendations to ambulatory primary care physicians (PCP) on timely implementation of
recommended … documented communication of critical results between
caregivers, a deficit remained in adherence to recommended … Specific Aim 2: Evaluate the impact of the system on timely implementation of recommended
follow-up … an explicit radiologist recommendation was a significant predictor
(p<0.05) for completion of the recommended … A secondary outcome is
the rate of completion of the recommended follow-up exam.
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_3_DecidExecut.html
January 01, 1970 - recommendation; Reason: Logic: Conditional: Direct admission to an ICU or high-level monitoring unit is recommended … Cost: Recommendation Recommended diagnostic tests for etiology.
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cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax_Post_Exposure_Prophylaxis_CDS_Validation_Report.pdf
October 17, 2018 - Logic encoded into the CDS determines the patient-
specific recommended treatment and can also provide … Either there is an indication that the recommended dosing
sequence was not followed (i.e., there is … OrderSet PlanDefinition
(STU3)
The order set containing the recommended treatment for
Anthrax PEP … It references the ActionList and the
ContainedResourcesList, which contain the recommended
treatments … If treatment is not recommended, then
this resource will be empty.