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  1. 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…
  2. psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
    June 10, 2018 - Newspaper/Magazine Article Administering a saline flush "site unseen" can lead to a wrong route error. Citation Text: Administering a saline flush "site unseen" can lead to a wrong route error. ISMP Medication Safety Alert! Acute care edition. May 16, 2013;18:1-3. Copy Citation …
  3. psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
    September 27, 2016 - Newspaper/Magazine Article Distractions and their impact on patient safety. Citation Text: Distractions and their impact on patient safety. Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10. Copy Citation Save Save to your library Print Download…
  4. 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…
  5. psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
    May 29, 2019 - Book/Report Avoiding Unconscious Bias: a Guide for Surgeons. Citation Text: Avoiding Unconscious Bias: a Guide for Surgeons. London, UK: Royal College of Surgeons of England; 2016. Copy Citation Save Save to your library Print Download PDF Share …
  6. psnet.ahrq.gov/issue/medical-errors-dentistry
    September 18, 2013 - Newspaper/Magazine Article Medical errors in dentistry. Citation Text: Medical errors in dentistry. Nagelberg R. RDH. September 2015;35:79-85. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…
  7. psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
    September 01, 2011 - Newspaper/Magazine Article How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Citation Text: How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Allen M. Las Vegas Sun. March 2, 2008. Copy Citation …
  8. 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 …
  9. psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee-technology
    August 09, 2017 - Newspaper/Magazine Article Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Citation Text: Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Olympio MA; Reinke B; Ab…
  10. 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 …
  11. psnet.ahrq.gov/issue/i-cant-turn-my-brain
    December 14, 2016 - Newspaper/Magazine Article I can't turn my brain off. Citation Text: I can't turn my brain off. Hoffman J. New York Times. May 16, 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  12. 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…
  13. 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 …
  14. 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 …
  15. TND-0543_05-24-2013 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0543_05-24-2013.pdf
    January 01, 2013 - TND-0543_05-24-2013 Acute Cough Illness Nomination Summary Document Results of Topic Selection Process & Next Steps  Acute Cough Illness (ACI) will go for…
  16. psnet.ahrq.gov/issue/exploring-costs-unsafe-care-nhs-report-prepared-department-health
    July 10, 2019 - Book/Report Exploring the Costs of Unsafe Care in the NHS: A Report Prepared for the Department of Health. Citation Text: Exploring the Costs of Unsafe Care in the NHS: A Report Prepared for the Department of Health. London, UK: Frontier Economics Ltd; October 2014. Copy Citation …
  17. psnet.ahrq.gov/issue/complaints-and-raising-concerns
    November 16, 2015 - Book/Report Complaints and Raising Concerns. Citation Text: Complaints and Raising Concerns. Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. Copy Citation Save Sav…
  18. 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.
  19. 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. 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.