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9821. Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. | PSNet
      psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
      June 10, 2018 - Newspaper/Magazine Article Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. Citation Text: Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. ISMP Medication Safety…

9822. 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 …

9823. Medicare cuts payment to 774 hospitals over patient complications. | PSNet
      psnet.ahrq.gov/issue/medicare-cuts-payment-774-hospitals-over-patient-complications
      February 16, 2022 - Newspaper/Magazine Article Medicare cuts payment to 774 hospitals over patient complications. Citation Text: Medicare cuts payment to 774 hospitals over patient complications. Rau J. Kaiser Health News. February 19, 2021. Copy Citation Save Save to your lib…

9824. No Place Like Home: Advancing the Safety of Care in the Home. | PSNet
      psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
      January 09, 2019 - Book/Report No Place Like Home: Advancing the Safety of Care in the Home. Citation Text: No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018. Copy Citation Save Save to your library Print D…

9825. 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…

9826. 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 …

9827. 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…

9828. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
      May 02, 2018 - Newspaper/Magazine Article FDA Advise-ERR: medication errors associated with Cerebyx. Citation Text: FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2. Copy Citation Save Save to your…

9829. 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 …

9830. 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 …

9831. Dying for Care. | PSNet
      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…

9832. The Rebecca O'Malley Report. | PSNet
      psnet.ahrq.gov/issue/rebecca-omalley-report
      June 14, 2017 - Book/Report The Rebecca O'Malley Report. Citation Text: The Rebecca O'Malley Report. Cork, Ireland: Health Information and Quality Authority; March 21, 2008. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

9833. All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. | PSNet
      psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
      March 06, 2024 - Book/Report All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. Citation Text: All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. New York, NY: Harper Wave; 2024. ISBN: 978006…

9834. Implement strategies to prevent persistent medication errors and hazards: 2024. | PSNet
      psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
      April 17, 2024 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards: 2024. Citation Text: Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. Copy Citation …

9835. Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. | PSNet
      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,…

9836. 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 …

9837. 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.…

9838. 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…

9839. 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.

9840. 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.