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  1. Safer Clinical Systems: Evaluation Findings. | PSNet

    psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings
    March 03, 2025 - Book/Report Safer Clinical Systems: Evaluation Findings. Citation Text: Safer Clinical Systems: Evaluation Findings. Dixon-Woods M, Martin G, Tarrant C, et al. London, UK: Health Foundation; December 2014. Copy Citation Save Save to your library Print Do…

  2. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0108_05-24-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0156 Document Completion Date: 1-12-10 1 Results of Topic Selection Process & Next Steps  Acute migraine treatment in emergency settings will go forward for refinement as a systematic review. The scope of this topic, including populations, interventions, c…

  3. Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. | PSNet

    psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
    December 23, 2016 - Sentinel Event Alerts Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Citation Text: Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Sentinel Event Alert. January…

  4. USP initiatives for the safe use of medical gases. | PSNet

    psnet.ahrq.gov/issue/usp-initiatives-safe-use-medical-gases
    July 20, 2022 - Newspaper/Magazine Article USP initiatives for the safe use of medical gases. Citation Text: USP initiatives for the safe use of medical gases. Zaidi K; Curry PD Jr; Becker SC. Pharm Tech. 2005. 29(11) Copy Citation Save Save to your library Print Do…

  5. Fostering rational regulation of patient safety. | PSNet

    psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
    May 20, 2015 - Review Fostering rational regulation of patient safety. Citation Text: Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  6. Addressing the Loss of Trust in Safety Culture. | PSNet

    psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
    February 08, 2017 - Meeting/Conference Proceedings Addressing the Loss of Trust in Safety Culture. Citation Text: Addressing the Loss of Trust in Safety Culture. Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.  Copy Citation Save Save to your libr…

  7. Ways to Improve Electronic Health Record Safety. | PSNet

    psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
    February 08, 2017 - Book/Report Ways to Improve Electronic Health Record Safety. Citation Text: Ways to Improve Electronic Health Record Safety. Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. Copy Citation Save Save to your library …

  8. Peer Support Toolkit. | PSNet

    psnet.ahrq.gov/issue/peer-support-toolkit
    May 03, 2023 - Tools/Toolkit Peer Support Toolkit. Citation Text: Peer Support Toolkit. Betsy Lehman Center for Patient Safety. September 2021. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…

  9. Unintended side effects: arbitration and the deterrence of medical error. | PSNet

    psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
    January 20, 2021 - Commentary Unintended side effects: arbitration and the deterrence of medical error. Citation Text: Unintended side effects: arbitration and the deterrence of medical error. Shieh D. N Y Univ Law Rev. 2014;89:1806-1835. Copy Citation Save Save to your library …

  10. The Retrievals. | PSNet

    psnet.ahrq.gov/issue/retrievals
    August 16, 2023 - Audiovisual The Retrievals. Citation Text: The Retrievals. Burton S. New York Times and Serial Productions. June 30-July 27, 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  11. Telling true stories is an ISMP hallmark: here's why you should tell stories, too. | PSNet

    psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
    June 10, 2018 - Newspaper/Magazine Article Telling true stories is an ISMP hallmark: here's why you should tell stories, too. Citation Text: Telling true stories is an ISMP hallmark: here's why you should tell stories, too. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3. Co…

  12. Patient and family advisory councils. The Massachusetts experience. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
    December 19, 2012 - Newspaper/Magazine Article Patient and family advisory councils. The Massachusetts experience. Citation Text: Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. Copy Citation Save Save to y…

  13. Administering High-Strength Insulin from a Pen Device in Hospital. | PSNet

    psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital
    September 21, 2022 - Book/Report Administering High-Strength Insulin from a Pen Device in Hospital. Citation Text: Administering High-Strength Insulin from a Pen Device in Hospital. Farnborough, UK: Healthcare Safety Investigation Branch; July 7, 2022. Copy Citation Save Save to you…

  14. Take Charge of Your Hospital Stay to Avoid Medical Mistakes. | PSNet

    psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
    April 08, 2020 - Newspaper/Magazine Article Take Charge of Your Hospital Stay to Avoid Medical Mistakes. Citation Text: Take Charge of Your Hospital Stay to Avoid Medical Mistakes. Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010. Copy Citation Save Save to…

  15. The impact of language barriers on patient care: a pharmacy perspective. | PSNet

    psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective
    February 05, 2025 - Newspaper/Magazine Article The impact of language barriers on patient care: a pharmacy perspective. Citation Text: The impact of language barriers on patient care: a pharmacy perspective. Patel J. PM Healthcare Journal. Spring 2023(4):5-18. Copy Citation Save Sa…

  16. Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. | PSNet

    psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
    April 05, 2023 - Book/Report Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. Citation Text: Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. Farnborough, UK: Healthcare Safety Investigation Branch. …

  17. Perioperative Handoffs. | PSNet

    psnet.ahrq.gov/issue/perioperative-handoffs
    October 04, 2017 - Special or Theme Issue Perioperative Handoffs. Citation Text: Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434. Copy Citation Save Save to your library Print Download PDF Share Face…

  18. The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet

    psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
    September 09, 2015 - Book/Report The Report of the Short Life Working Group on Reducing Medication-related Harm. Citation Text: The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018. Copy Citati…

  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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