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  1. A hard look at hard stops and workarounds in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting
    June 26, 2013 - Newspaper/Magazine Article A hard look at hard stops and workarounds in the acute care setting. Citation Text: A hard look at hard stops and workarounds in the acute care setting. ISMP Medication Safety Alert! Acute care edition. June 29, 2023;28(13);1-4. Copy Citation …

  2. Differentiating close calls from errors: a multidisciplinary perspective. | PSNet

    psnet.ahrq.gov/issue/differentiating-close-calls-errors-multidisciplinary-perspective
    February 09, 2011 - Study Differentiating close calls from errors: a multidisciplinary perspective. Citation Text: Differentiating close calls from errors: a multidisciplinary perspective. Etchegaray JM; Thomas EJ; Geraci JM; Simmons D; Martin SK. Copy Citation Save Save to your…

  3. Non-technical Skills and the Future of Teamwork in Healthcare Settings. | PSNet

    psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings
    January 30, 2013 - Book/Report Non-technical Skills and the Future of Teamwork in Healthcare Settings. Citation Text: Non-technical Skills and the Future of Teamwork in Healthcare Settings. Sevdalis N. London, UK: The Health Foundation; June 2013. Copy Citation Save Save to your…

  4. National Coordinating Council for Medication Error Reporting and Prevention. | PSNet

    psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
    April 15, 2015 - Multi-use Website National Coordinating Council for Medication Error Reporting and Prevention. Citation Text: National Coordinating Council for Medication Error Reporting and Prevention. National Coordinating Council for Medication Error Reporting and Prevention. Copy Citation …

  5. Fluorouracil error ends tragically, but application of lessons learned will save lives. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
    June 10, 2018 - Newspaper/Magazine Article Fluorouracil error ends tragically, but application of lessons learned will save lives. Citation Text: Fluorouracil error ends tragically, but application of lessons learned will save lives. ISMP Medication Safety Alert! Acute care edition. September 20, 2007. …

  6. Errors with injectable medications: unlabeled syringes are surprisingly common! | PSNet

    psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common
    December 27, 2018 - Newspaper/Magazine Article Errors with injectable medications: unlabeled syringes are surprisingly common! Citation Text: Errors with injectable medications: unlabeled syringes are surprisingly common! ISMP Medication Safety Alert! Acute care edition. November 15, 2007. Copy Citation …

  7. Doing the "right" things to correct wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
    October 21, 2020 - Newspaper/Magazine Article Doing the "right" things to correct wrong-site surgery. Citation Text: Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory Copy Citation Save Save to your library Print Download PDF Share…

  8. Patient Safety Huddle. | PSNet

    psnet.ahrq.gov/issue/patient-safety-huddle
    March 27, 2005 - Audiovisual Patient Safety Huddle. Citation Text: Patient Safety Huddle. VA National Center for Patient Safety. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  9. World Patient Safety Day. | PSNet

    psnet.ahrq.gov/issue/world-patient-safety-day
    September 30, 2020 - Multi-use Website World Patient Safety Day. Citation Text: World Patient Safety Day. World Health Organization. September 17, 2025. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

  10. Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. | PSNet

    psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
    January 17, 2017 - Government Resource Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. Citation Text: Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA. Copy Citati…

  11. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-15
    February 17, 2021 - Multi-use Website Patient Safety. Citation Text: Patient Safety. National Pharmacy Association; NPA. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 22,…

  12. ADC survey shows some improvements, but unnecessary risks still exist. | PSNet

    psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
    January 23, 2019 - Newspaper/Magazine Article ADC survey shows some improvements, but unnecessary risks still exist. Citation Text: ADC survey shows some improvements, but unnecessary risks still exist. ISMP Medication Safety Alert! Acute care edition. January 17, 2008. Copy Citation Save…

  13. Prescription for Improving Patient Safety: Addressing Medication Errors. | PSNet

    psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors
    July 10, 2024 - Book/Report Prescription for Improving Patient Safety: Addressing Medication Errors. Citation Text: Prescription for Improving Patient Safety: Addressing Medication Errors. The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.   Copy Citation …

  14. Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting. | PSNet

    psnet.ahrq.gov/issue/consumers-priorities-hospital-quality-improvement-and-implications-public-reporting
    May 30, 2008 - Book/Report Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting. Citation Text: Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting. Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation…

  15. Mental health conditions leading cause of pregnancy-related deaths. | PSNet

    psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
    November 29, 2017 - Newspaper/Magazine Article Mental health conditions leading cause of pregnancy-related deaths. Citation Text: Mental health conditions leading cause of pregnancy-related deaths. Quick Safety. January 16 2023;(67):1-3. Copy Citation Save Save to your library …

  16. Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. | PSNet

    psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer-2003-2005
    November 25, 2009 - Book/Report Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. Citation Text: Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. Lewis G, ed. London, England: Confidential Enquiry into Maternal and Child Health; 2007…

  17. For some troops, powerful drug cocktails have deadly results. | PSNet

    psnet.ahrq.gov/issue/some-troops-powerful-drug-cocktails-have-deadly-results
    August 13, 2008 - Newspaper/Magazine Article For some troops, powerful drug cocktails have deadly results. Citation Text: For some troops, powerful drug cocktails have deadly results. Dao J; Carey B; Frosch D. Copy Citation Save Save to your library Print Download PDF…

  18. Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. | PSNet

    psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
    June 10, 2018 - Newspaper/Magazine Article Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. Citation Text: Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3. Copy Citati…

  19. Cap 3 Decidexecut

    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.

  20. CAMH_Template_Long_Instructions (pdf file)

    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.
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