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psnet.ahrq.gov/issue/tablet-splitting-do-it-only-if-you-half-and-then-do-it-safely
November 13, 2018 - Newspaper/Magazine Article
Tablet splitting: Do it only if you "half" to, and then do it safely.
Citation Text:
Tablet splitting: Do it only if you "half" to, and then do it safely. ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-summit
February 17, 2015 - Special or Theme Issue
ASPEN Parenteral Nutrition Safety Summit.
Citation Text:
ASPEN Parenteral Nutrition Safety Summit. Andris DA, Mirtallo JM, Guenter P, eds. JPEN J Parenter Enteral Nutr. 2012;36(2 Suppl):1S-62S.
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - Multi-use Website
National Patient Safety Board Advocacy Coalition.
Citation Text:
National Patient Safety Board Advocacy Coalition. EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
March 16, 2016 - Book/Report
Patient-Centered Care: What Does It Take?
Citation Text:
Patient-Centered Care: What Does It Take? Shaller D. The Commonwealth Fund. October 2007.
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Sentinel Event Alerts
Preventing infection from the misuse of vials.
Citation Text:
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - Newspaper/Magazine Article
Getting beyond blame in your practice.
Citation Text:
Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34.
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psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
October 26, 2022 - Newspaper/Magazine Article
The APSF: 20-year anniversary of the first patient safety organization: past, present & future.
Citation Text:
The APSF: 20-year anniversary of the first patient safety organization: past, present & future. Cooper JB. APSF Newsletter. 2007;22(1):1,3.
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psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
November 14, 2012 - Newspaper/Magazine Article
At surgery clinic, rush to save Joan Rivers's life.
Citation Text:
At surgery clinic, rush to save Joan Rivers's life. Hartocollis A, Goodman JD. New York Times. September 9, 2014.
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psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
September 20, 2006 - Book/Report
Hospital Reporting of Deaths Related to Restraint and Seclusion.
Citation Text:
Hospital Reporting of Deaths Related to Restraint and Seclusion. Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350
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psnet.ahrq.gov/issue/does-malpractice-liability-promote-patient-safety-methodological-excursion
August 26, 2020 - Commentary
Does malpractice liability promote patient safety? A methodological excursion.
Citation Text:
Does malpractice liability promote patient safety? A methodological excursion. Saks MJ, Landsman S. Jurimetrics. 2022;62:397-419.
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psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
June 05, 2018 - Newspaper/Magazine Article
Resolving human conflicts when questions about the safety of medical orders arise.
Citation Text:
Resolving human conflicts when questions about the safety of medical orders arise. ISMP Medication Safety Alert! Acute care edition. March 13, 2008.
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psnet.ahrq.gov/issue/hospitals-move-reduce-risk-night-shift
August 17, 2016 - Newspaper/Magazine Article
Hospitals move to reduce risk of night shift.
Citation Text:
Hospitals move to reduce risk of night shift. Landro L.
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psnet.ahrq.gov/issue/ethical-aspects-limiting-residents-work-hours
November 17, 2021 - Commentary
Ethical aspects of limiting residents' work hours.
Citation Text:
Wiesing U. Ethical aspects of limiting residents' work hours. Bioethics. 2007;21(7):398-405.
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psnet.ahrq.gov/issue/engaging-minority-communities-safer-healthcare
January 15, 2017 - Meeting/Conference Proceedings
Engaging Minority Communities in Safer Healthcare.
Citation Text:
Engaging Minority Communities in Safer Healthcare. Kurz M, Tobin WN. Chestnut Hill, MA: Medically Induced Trauma Support Services Inc.; 2011.
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psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive
June 04, 2014 - Newspaper/Magazine Article
Physician: 'I almost killed a patient' because of an advance directive.
Citation Text:
Physician: 'I almost killed a patient' because of an advance directive. Betbeze P. HealthLeaders Media. May 2, 2014.
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psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors
September 14, 2016 - Newspaper/Magazine Article
What's in a name? Newborn naming conventions and wrong-patient errors.
Citation Text:
What's in a name? Newborn naming conventions and wrong-patient errors. ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019.
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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.