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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Toolkit
Patient Safety Essentials Toolkit.
Citation Text:
Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019.
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digital.ahrq.gov/events/national-web-conference-using-health-it-chronic-disease-management
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
August 03, 2005 - Book/Report
Medical Errors and Medical Narcissism.
Citation Text:
Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617.
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psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
July 29, 2009 - Newspaper/Magazine Article
Alarm management: first things first: using reliable data to eliminate unnecessary alarms.
Citation Text:
Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Vanderveen T. Patient Saf Qual Healthc. November/December 2014;1…
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psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
November 19, 2014 - Audiovisual
AJR Podcast Series on Diagnostic Excellence and Error.
Citation Text:
AJR Podcast Series on Diagnostic Excellence and Error. Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025.
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digital.ahrq.gov/sites/default/files/docs/page/Building%20Bridges%20-%20Consumer%20Needs%20and%20the%20Design%20of%20Health%20IT%20-%20Workshop%20Agenda.pdf
June 16, 2021 - Building Bridges - Consumer Needs and the Design of Health IT - Workshop Agenda
BUILDING BRIDGES:
CONSUMER NEEDS AND THE DESIGN OF HEALTH INFORMATION TECHNOLOGY
July 27-28, 2009
AGENDA
DAY ONE: FROM PERSONAL HEALTH INFORMATION MANAGEMENT TO EFFECTIVE DESIGN
8:00 am Refreshments
8:30 am Insight Policy Research, …
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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.
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-services-through-system-modeling-research/annual-summary/2012
January 01, 2012 - Advancing Health Services through Systems Modeling Research - 2012
Project Name
Advancing Health Services through System Modeling Research
Funding Mechanism
Interagency Agreement
Contract Number
12-689F-12
Project Period
July 2012 – June 2016
AHRQ Funding Amount
$1,…
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psnet.ahrq.gov/issue/quick-safety
May 30, 2012 - Newsletter/Journal
Quick Safety.
Citation Text:
Quick Safety. Oakbrook Terrace, IL: The Joint Commission.
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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.
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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.
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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…
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psnet.ahrq.gov/issue/patient-safety-15
February 17, 2021 - Multi-use Website
Patient Safety.
Citation Text:
Patient Safety. National Pharmacy Association; NPA.
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May 22,…
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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.
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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.
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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.
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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…
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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.