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  1. Health Worker Safety: A Priority for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
    October 07, 2020 - Book/Report Health Worker Safety: A Priority for Patient Safety. Citation Text: Health Worker Safety: A Priority for Patient Safety. Geneva, Switzerland: World Health Organization; September 17, 2020. Copy Citation Save Save to your library Print Downl…

  2. Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. | PSNet

    psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
    March 06, 2005 - Book/Report Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. Citation Text: Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…

  3. Mid Staffordshire NHS Foundation Trust Quality Report. | PSNet

    psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report
    October 24, 2024 - Book/Report Mid Staffordshire NHS Foundation Trust Quality Report. Citation Text: Mid Staffordshire NHS Foundation Trust Quality Report. Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. Copy Citation Save Save to your library Print Do…

  4. The Francis Report: One Year On. | PSNet

    psnet.ahrq.gov/issue/francis-report-one-year
    April 02, 2014 - Book/Report The Francis Report: One Year On. Citation Text: The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.  Copy Citation Save Save to your library Print Download PDF …

  5. Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. | PSNet

    psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
    July 18, 2018 - Newspaper/Magazine Article Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Citation Text: Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. Copy Citation …

  6. Harm to Healing - Partnering with Patients Who Have Been Harmed. | PSNet

    psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
    May 08, 2019 - Book/Report Harm to Healing - Partnering with Patients Who Have Been Harmed. Citation Text: Harm to Healing - Partnering with Patients Who Have Been Harmed. Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012. Copy Citation …

  7. Data Collection | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
    January 01, 2023 - Data Collection Process Scorecard Description A process scorecard evaluates a process according to a set of predefined criteria. Based on the user's feedback, the scorecard gives a rating for the process and often times short recommendations according to the rating the process…

  8. Another tragic parenteral nutrition compounding error. | PSNet

    psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
    June 10, 2018 - Newspaper/Magazine Article Another tragic parenteral nutrition compounding error. Citation Text: Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3. Copy Citation Save Save to your library…

  9. FactFinders. | PSNet

    psnet.ahrq.gov/issue/factfinders
    February 17, 2021 - Commentary FactFinders. Citation Text: FactFinders. SIS Patient Safety Committee. Spine Intervention Society. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  10. Care transitions: a threat and an opportunity for patient safety. | PSNet

    psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
    May 20, 2009 - Commentary Care transitions: a threat and an opportunity for patient safety. Citation Text: Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537. Copy Citation Format: DO…

  11. Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request. | PSNet

    psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
    July 03, 2013 - Press Release/Announcement Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request. Citation Text: Agency information collection activities: Assessing the Impact of the National Implementation …

  12. Safe Practices for Drug Allergies—Using CDS and Health IT. | PSNet

    psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
    March 10, 2021 - Book/Report Safe Practices for Drug Allergies—Using CDS and Health IT. Citation Text: Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. Copy Citation Save Save to your l…

  13. Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. | PSNet

    psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
    October 21, 2020 - Government Resource Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Citation Text: Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory Copy Citation Save …

  14. Patient safety in cataract surgery. | PSNet

    psnet.ahrq.gov/issue/patient-safety-cataract-surgery
    September 23, 2020 - Review Patient safety in cataract surgery. Citation Text: Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  15. People of color with long COVID face uphill battle to be heard. | PSNet

    psnet.ahrq.gov/issue/people-color-long-covid-face-uphill-battle-be-heard
    August 24, 2022 - Newspaper/Magazine Article People of color with long COVID face uphill battle to be heard. Citation Text: People of color with long COVID face uphill battle to be heard. Farah T. Scientific American. September 22, 2022. Copy Citation Save Save to your library …

  16. Healthcare wants to fly as high as the aviation industry. Can it? | PSNet

    psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
    April 12, 2023 - Newspaper/Magazine Article Healthcare wants to fly as high as the aviation industry. Can it? Citation Text: Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. Becker's Clinical Leadership. October 30, 2023. Copy Citation Save Save to…

  17. Crushing or splitting medications: unrecognized hazards. | PSNet

    psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
    October 26, 2010 - Commentary Crushing or splitting medications: unrecognized hazards. Citation Text: Gill D, Spain M, Edlund BJ. Crushing or Splitting Medications: Unrecognized Hazards. J Gerontol Nurs. 2012. doi:10.3928/00989134-20111213-01. Copy Citation Format: DOI Google Scholar BibTeX…

  18. Mistakes were made (by me). | PSNet

    psnet.ahrq.gov/issue/mistakes-were-made-me
    January 23, 2019 - Commentary Mistakes were made (by me). Citation Text: Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10). doi:10.1001/jamainternmed.2017.3781. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Cap 3 Decidexecut

    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. CAMH_Template_Long_Instructions (pdf file)

    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.
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