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  1. Listening for What Matters: Avoiding Contextual Errors in Health Care. | PSNet

    psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care
    February 03, 2016 - Book/Report Listening for What Matters: Avoiding Contextual Errors in Health Care. Citation Text: Listening for What Matters: Avoiding Contextual Errors in Health Care. Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996. Copy Citation …

  2. Quick Safety. | PSNet

    psnet.ahrq.gov/issue/quick-safety
    May 30, 2012 - Newsletter/Journal Quick Safety. Citation Text: Quick Safety. Oakbrook Terrace, IL: The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Ma…

  3. Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. | PSNet

    psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
    August 06, 2016 - Book/Report Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Citation Text: Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. London, UK: Swift Press; 2022. ISBN: ‎ 9781800751224. Copy Citation Save Save to your library Pri…

  4. Handoff Communication. | PSNet

    psnet.ahrq.gov/issue/handoff-communication
    October 16, 2019 - Special or Theme Issue Handoff Communication. Citation Text: Handoff Communication. APSF Newsletter. October 2017;32:29-56. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  5. ICN Position Statement: Patient Safety. | PSNet

    psnet.ahrq.gov/issue/icn-position-statement-patient-safety
    March 09, 2022 - Organizational Policy/Guidelines ICN Position Statement: Patient Safety. Citation Text: ICN Position Statement: Patient Safety. Geneva, Switzerland; International Council of Nurses: 2023. Copy Citation Save Save to your library Print Download PDF …

  6. An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. | PSNet

    psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
    August 04, 2021 - Book/Report An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. Citation Text: An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. Manchester, UK: Parliamentary and Health Servic…

  7. A surgeon so bad it was criminal. | PSNet

    psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
    October 24, 2018 - Newspaper/Magazine Article A surgeon so bad it was criminal. Citation Text: A surgeon so bad it was criminal. Beil L. ProPublica. October 2, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…

  8. Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. | PSNet

    psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
    April 10, 2019 - Book/Report Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. Citation Text: Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. London, UK: Royal College of Surgeons of England; 2019. Copy Citation Save Sa…

  9. Sway: Unravelling Unconscious Bias | PSNet

    psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
    August 02, 2016 - Book/Report Sway: Unravelling Unconscious Bias Citation Text: Sway: Unravelling Unconscious Bias Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.  Copy Citation Save Save to your library Print Download PDF Share …

  10. How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. | PSNet

    psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
    November 18, 2011 - Special or Theme Issue How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Citation Text: How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; Jun…

  11. Sentinel Event Alert. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert
    May 30, 2012 - Newsletter/Journal Sentinel Event Alert. Citation Text: Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  12. Double key bounce and double keying errors. | PSNet

    psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
    February 01, 2023 - Newspaper/Magazine Article Double key bounce and double keying errors. Citation Text: Double key bounce and double keying errors. ISMP Medication Safety Alert! Acute care edition. January 12, 2006. Copy Citation Save Save to your library Print Downlo…

  13. Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. | PSNet

    psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
    May 05, 2018 - Newspaper/Magazine Article Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. Citation Text: Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. ISMP Medication Safety Alert! Acute Care Edition. Au…

  14. The Foundations of Safety Science. | PSNet

    psnet.ahrq.gov/issue/foundations-safety-science
    August 07, 2019 - Special or Theme Issue The Foundations of Safety Science. Citation Text: The Foundations of Safety Science. LeCoze JC, Pettersen K, Reiman T, eds. Safety Sci. 2014;67:1-70. Copy Citation Save Save to your library Print Download PDF Share Fa…

  15. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0367_11-08-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number: 0309 Document Completion Date: 03-22-11 1 Results of Topic Selection Process & Next Steps  Efficacy and safety of screening and treatment of postpartum depression will go forward for refinement as a systematic review. The scope of this topic, including popula…

  16. The pain of wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/pain-wrong-site-surgery
    November 28, 2016 - Newspaper/Magazine Article The pain of wrong site surgery. Citation Text: The pain of wrong site surgery. Boodman SG. Washington Post. June 21, 2011:E1. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  17. Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit. | PSNet

    psnet.ahrq.gov/issue/partnering-patients-and-families-enhance-safety-and-quality-mini-toolkit
    September 12, 2018 - Toolkit Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit. Citation Text: Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit. Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011. Copy Citation …

  18. Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III). | PSNet

    psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through-quality-safety-and
    June 24, 2015 - Book/Report Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III). Citation Text: Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (T…

  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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