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psnet.ahrq.gov/issue/patient-safety-14
April 06, 2016 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Health Aff (Millwood). 2018;37(11):1723-1908.
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Press Release/Announcement
Medication safety issues with newly authorized PAXLOVID.
Citation Text:
Medication safety issues with newly authorized PAXLOVID. Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022.
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psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
January 20, 2016 - Book/Report
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Citation Text:
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. Cambridge, MA: New England He…
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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented.
Citation Text:
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
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psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
March 30, 2022 - Newspaper/Magazine Article
At US hospitals, a drug mix-up is just a few keystrokes away.
Citation Text:
At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022.
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psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
March 30, 2022 - Book/Report
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner.
Citation Text:
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Paterson R. Auckland, NZ; Office of the Health and Disability Commiss…
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…
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psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
April 11, 2018 - Newspaper/Magazine Article
Keeping patients on track with preventative care during pandemic.
Citation Text:
Keeping patients on track with preventative care during pandemic. Quick Safety. March 2021;58:1-2.
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psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
October 05, 2016 - Newspaper/Magazine Article
Fail-safe patient ID matching remains just out of reach.
Citation Text:
Fail-safe patient ID matching remains just out of reach. Arndt RZ. Mod Healthc. July 14, 2018.
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops.
Citation Text:
Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2.
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psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-missed-pediatric
February 13, 2008 - Newspaper/Magazine Article
Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers.
Citation Text:
Covid-19 surge could lead to another drop in patient visits, doctors fear—and more missed pediatric cancers. Cooney E. StatNews. Dec…
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psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Citation Text:
Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care.
Citation Text:
Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
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psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
November 23, 2016 - Commentary
Profiles in patient safety: confirmation bias in emergency medicine.
Citation Text:
Pines JM. Profiles in patient safety: confirmation bias in emergency medicine. Acad Emerg Med. 2006;13(1):90-4.
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psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
February 25, 2009 - Commentary
A comprehensive grassroots model for statewide safety improvement.
Citation Text:
Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677.
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psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
December 21, 2016 - Commentary
Quality indicators to detect pre-analytical errors in laboratory testing.
Citation Text:
Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8.
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psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
May 26, 2021 - Multi-use Website
QI Gateway: Quality Improvement for Residents.
Citation Text:
QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare.
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psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-and-reduced-risk
October 30, 2019 - Book/Report
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse.
Citation Text:
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. Washington, DC: America…
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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.