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  1. 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 …
  2. 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. Copy …
  3. 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. Copy Citation Save …
  4. 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…
  5. 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…
  6. 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…
  7. 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. Copy Citation Save Save t…
  8. 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. Copy Citation Save Save to your library …
  9. 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. Copy Citation …
  10. 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. Copy Citation Save …
  11. 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. Copy Citation Save Save to your library…
  12. 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. Copy Citation Save …
  13. 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,…
  14. 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. Copy …
  15. 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. Copy Citation Save Save to…
  16. 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. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…
  17. 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. Copy Citation Save Save to your library Print Download PDF …
  18. 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 Copy Citation Save Save to your library Print Download PDF Share Facebook …
  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.