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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/radiation-offers-new-cures-and-ways-do-harm
January 20, 2010 - Newspaper/Magazine Article
Radiation offers new cures, and ways to do harm.
Citation Text:
Radiation offers new cures, and ways to do harm. Bogdanich W. New York Times. January 24, 2010:A1.
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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/take-charge-5-steps-safer-healthcare
May 03, 2023 - Multi-use Website
Take Charge: 5 Steps to Safer Healthcare.
Citation Text:
Take Charge: 5 Steps to Safer Healthcare. Wantagh, NY; Pulse Center for Patient Safety, Education & Advocacy.
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psnet.ahrq.gov/issue/q3-health-innovation-partners
February 08, 2006 - Multi-use Website
Q3 Health Innovation Partners.
Citation Text:
Q3 Health Innovation Partners. New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem Association of Pennsylvania.
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www.ahrq.gov/ncepcr/research/care-coordination/pcmh/faq.html
August 01, 2022 - PCMH FAQ and Contact Information
Frequently Asked Questions About the PCMH Resource Center
How do I get my practice certified as a Patient-Centered Medical Home (PCMH)?
As a Federal health systems research and health quality improvement agency, AHRQ does not provide guidance or direct support to help indivi…
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psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-consensus-development
May 13, 2020 - Review
The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.
Citation Text:
The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference. Sanborn M, Gabay M, …
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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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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/dying-waitlist
September 04, 2019 - Newspaper/Magazine Article
Dying on the waitlist.
Citation Text:
Dying on the waitlist. Armstrong D. Allen M. ProPublica. February 18, 2021.
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psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
September 30, 2015 - Book/Report
Risk Management Pearls for Medication Safety: Part I and Part II.
Citation Text:
Risk Management Pearls for Medication Safety: Part I and Part II. Chicago, IL: American Society for Healthcare Risk Management; 2014.
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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - Newspaper/Magazine Article
Understanding and managing IV container overfill.
Citation Text:
Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
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psnet.ahrq.gov/issue/medwatch-e-list
September 29, 2010 - Government Resource
MedWatch E-list.
Citation Text:
MedWatch E-list. United States Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
November 13, 2018 - Newspaper/Magazine Article
Promethazine conundrum: IV can hurt more than IM injection!
Citation Text:
Promethazine conundrum: IV can hurt more than IM injection! ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
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psnet.ahrq.gov/issue/health-policy-brief-improving-quality-and-safety
January 27, 2012 - Book/Report
Health Policy Brief: Improving Quality and Safety.
Citation Text:
Health Policy Brief: Improving Quality and Safety. Bethesda, MD: Health Affairs. April 15, 2011:1-7.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
Previous Page Next Page
Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Distributed Cognition
Nu…
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psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
May 03, 2023 - United States Meeting/Conference
Annual Communication, Apology, and Resolution (CARe) Forum.
Citation Text:
Annual Communication, Apology, and Resolution (CARe) Forum. Betsy Lehman Center for Patient Safety.
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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.