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www.ahrq.gov/news/newsroom/case-studies/201530.html
November 01, 2015 - Research Medical Center Develops Video to Encourage Continued Use of TeamSTEPPS®
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November 2015
The Graduate Nurse Residency Program at Research Medical Center in Kansas City, Missouri, created a video highlighting nine concepts of AHRQ's TeamSTEPPS® program as a way to re-…
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psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
April 20, 2022 - Newspaper/Magazine Article
IV potassium given epidurally: getting to the "route" of the problem.
Citation Text:
IV potassium given epidurally: getting to the "route" of the problem. ISMP Medication Safety Alert! Acute care edition. April 6, 2006.
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psnet.ahrq.gov/issue/burnout-crisis-american-medicine
September 03, 2014 - Newspaper/Magazine Article
The burnout crisis in American medicine.
Citation Text:
The burnout crisis in American medicine. Xu R. The Atlantic. May 11, 2018.
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psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
March 14, 2012 - Newspaper/Magazine Article
Patients taking their own medications while in the hospital.
Citation Text:
Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.
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psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-polsts
July 18, 2018 - Newspaper/Magazine Article
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.
Citation Text:
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15…
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psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
March 01, 2007 - Newspaper/Magazine Article
Maintain accountability in patient safety efforts.
Citation Text:
Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32.
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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - Newspaper/Magazine Article
Ways to avert potential patient care disasters.
Citation Text:
Spath P. Ways to avert potential patient care disasters. Hospital peer review. 2006;31(9):128-30.
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - Government Resource
Opioid Epidemic & Health IT
Citation Text:
Opioid Epidemic & Health IT Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology.
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psnet.ahrq.gov/issue/limiting-resident-physicians-work-hours-save-lives
May 04, 2011 - Newspaper/Magazine Article
Limiting resident physicians' work hours to save lives.
Citation Text:
Limiting resident physicians' work hours to save lives. Leape L, Haskell H. Los Angeles Times. July 1, 2011.
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psnet.ahrq.gov/issue/putting-sleepy-resident-issue-bed-federal-legislation-not-answer-excessive-medical-resident
November 03, 2015 - Commentary
Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours.
Citation Text:
Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours. Stone …
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psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors
August 17, 2016 - Newspaper/Magazine Article
Health-care providers want patients to read medical records, spot errors.
Citation Text:
Health-care providers want patients to read medical records, spot errors. Landro L. Wall Street Journal. June 9, 2014.
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psnet.ahrq.gov/issue/debriefing-patient-safety
December 10, 2014 - Newspaper/Magazine Article
Debriefing for patient safety.
Citation Text:
Debriefing for patient safety. Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008:5:42-44,46.
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psnet.ahrq.gov/issue/focus-patient-safety
January 23, 2008 - Book/Report
Focus on Patient Safety.
Citation Text:
Focus on Patient Safety. Annu Rev Nurs Res. 2006;24:1-331.
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psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
February 10, 2021 - Newspaper/Magazine Article
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
Citation Text:
Six ways to lower errors—and unnecessary surgeries—in radiology exams. Panner M. Forbes. August 12, 2019.
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psnet.ahrq.gov/issue/cardiovascular-drugs-linked-many-errors
June 07, 2006 - Newspaper/Magazine Article
Cardiovascular drugs: linked to many errors.
Citation Text:
Cardiovascular drugs: linked to many errors. Santell JP. Drug Topics. June 20, 2005.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume—tips for increasing error reporting.
Citation Text:
Pump up the volume—tips for increasing error reporting. ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
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psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities
December 22, 2008 - Book/Report
Medication Safety: A Guide for Health Care Facilities.
Citation Text:
Medication Safety: A Guide for Health Care Facilities. Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896.
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psnet.ahrq.gov/issue/statement-hospital-healthsystem-association-pennsylvania
January 08, 2020 - Congressional Testimony
Statement of The Hospital & Healthsystem Association of Pennsylvania.
Citation Text:
Statement of The Hospital & Healthsystem Association of Pennsylvania. Combes J; Hospital & Healthsystem Association of Pennsylvania
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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.