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psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
July 22, 2010 - Commentary
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method.
Citation Text:
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Hohenhaus S, Powell S, Hohenhaus JT. Am J …
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psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
February 22, 2017 - Book/Report
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.
Citation Text:
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
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psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
March 05, 2010 - Book/Report
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011.
Citation Text:
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013.
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psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
November 23, 2016 - Book/Report
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.
Citation Text:
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…
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psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
June 10, 2018 - Newspaper/Magazine Article
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.
Citation Text:
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. ISMP Medication Safety Alert! Acute care edition. August 26, 2010;15:1…
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effectivehealthcare.ahrq.gov/sites/default/files/web-based_osheroff_respondent.pdf
January 01, 2009 - Osheroff_Respondent_DuBenske 4
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehealthc…
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psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
January 11, 2023 - Meeting/Conference Proceedings
A Conversation Among Stakeholders on Medical Malpractice.
Citation Text:
A Conversation Among Stakeholders on Medical Malpractice. Collaborative for Accountability and Improvement. April 26, 2022.
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psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
January 09, 2013 - Fact Sheet/FAQs
Safety Problems With Your Child's Medical Device?
Citation Text:
Safety Problems With Your Child's Medical Device? Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013.
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psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
September 15, 2021 - Newspaper/Magazine Article
Black or 'other'? Doctors may be relying on race to make decisions about your health.
Citation Text:
Black or 'other'? Doctors may be relying on race to make decisions about your health. Smith J, Spodak C. CNN. April 25, 2021.
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psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
January 25, 2023 - Webinar
Creating a Communication Coaching Structure and Support for your CRP Program.
Citation Text:
Creating a Communication Coaching Structure and Support for your CRP Program. Collaborative for Accountability and Improvement. September 15, 2022.
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psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Disrespectful behaviors—part 1 and part 2.
Citation Text:
Disrespectful behaviors—part 1 and part 2. ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
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psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
April 29, 2015 - Newspaper/Magazine Article
FDA Advise-ERR: avoid using the error-prone abbreviation, TPA.
Citation Text:
FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5.
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psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
August 01, 2012 - Book/Report
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report.
Citation Text:
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. Price CS, Savitz LA. Rockville,…
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psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-entrapment
October 28, 2010 - Book/Report
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.
Citation Text:
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006.
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psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
September 08, 2010 - Book/Report
Clinical ICT Systems in the Victorian Public Health Sector.
Citation Text:
Clinical ICT Systems in the Victorian Public Health Sector. Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013.
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psnet.ahrq.gov/issue/dying-care
January 18, 2023 - Special or Theme Issue
Dying for Care.
Citation Text:
Dying for Care. Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022.
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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Government Resource
Prescribing errors that cause harm.
Citation Text:
Prescribing errors that cause harm. Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
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psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
May 22, 2009 - Newspaper/Magazine Article
What pilots can teach hospitals about patient safety.
Citation Text:
What pilots can teach hospitals about patient safety. Murphy K
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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.