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9801. Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. | PSNet
      psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
      August 03, 2016 - Commentary Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. Citation Text: Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…

9802. The Impact of Artificial Intelligence (AI) on the Safety of Patients. | PSNet
      psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
      May 29, 2024 - Webinar The Impact of Artificial Intelligence (AI) on the Safety of Patients. Citation Text: Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. . Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

9803. Nursing Home Complaint Investigations.  | PSNet
      psnet.ahrq.gov/issue/nursing-home-complaint-investigations
      September 27, 2006 - Government Resource Nursing Home Complaint Investigations.  Citation Text: Nursing Home Complaint Investigations.  Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. Copy Citation Save Save to your library Print …

9804. Final Report of the Commission on Care. | PSNet
      psnet.ahrq.gov/issue/final-report-commission-care
      September 29, 2017 - Book/Report Final Report of the Commission on Care. Citation Text: Final Report of the Commission on Care. Washington, DC: Commission on Care; June 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

9805. Learning From Serious Failings in Care: Main Report. | PSNet
      psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
      August 23, 2017 - Book/Report Learning From Serious Failings in Care: Main Report. Citation Text: Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015. Copy Citation …

9806. Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. | PSNet
      psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
      November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…

9807. Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. | PSNet
      psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
      May 17, 2023 - Book/Report Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Citation Text: Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. …

9808. Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. | PSNet
      psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
      June 12, 2019 - Book/Report Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. Citation Text: Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…

9809. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet
      psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
      November 11, 2020 - Book/Report Factors Affecting the Delivery of Safe Care in Midwifery Units. Citation Text: Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. Copy Citation …

9810. Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. | PSNet
      psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review
      March 09, 2022 - Book/Report Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. Citation Text: Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094. Copy Cit…

9811. To Err Is Human — To Delay Is Deadly. | PSNet
      psnet.ahrq.gov/issue/err-human-delay-deadly
      July 11, 2017 - Book/Report To Err Is Human — To Delay Is Deadly. Citation Text: To Err Is Human — To Delay Is Deadly. Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. Copy Citation Save Save to your library Print Download PDF Share Facebook …

9812. Physician assistants and the disclosure of medical error. | PSNet
      psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
      May 11, 2016 - Commentary Physician assistants and the disclosure of medical error. Citation Text: Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261. Copy Citation Format: DOI Google…

9813. 20 years later: to err is a leadership failure. | PSNet
      psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
      November 30, 2016 - Special or Theme Issue 20 years later: to err is a leadership failure. Citation Text: 20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34. Copy Citation Save Save to your library P…

9814. Learning from errors with the new COVID-19 vaccines. | PSNet
      psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
      October 21, 2021 - Newspaper/Magazine Article Learning from errors with the new COVID-19 vaccines. Citation Text: Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   Copy Citation Save Save to…

9815. Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet
      psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
      June 10, 2018 - Newspaper/Magazine Article Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. Citation Text: Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…

9816. Your high-alert medication list—relatively useless without associated risk-reduction strategies. | PSNet
      psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
      May 07, 2014 - Newspaper/Magazine Article Your high-alert medication list—relatively useless without associated risk-reduction strategies. Citation Text: Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…

9817. Accidental IV infusion of heparinized irrigation in the OR. | PSNet
      psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
      September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

9818. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet
      psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
      June 10, 2018 - Newspaper/Magazine Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…

9819. 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.

9820. 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.