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  1. The Patient Survival Handbook. | PSNet

    psnet.ahrq.gov/issue/patient-survival-handbook
    February 22, 2006 - Book/Report The Patient Survival Handbook. Citation Text: The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  2. The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! | PSNet

    psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
    November 05, 2014 - Newspaper/Magazine Article The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! Citation Text: The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. Copy Citation …

  3. Preventing harm from high-alert medications. | PSNet

    psnet.ahrq.gov/issue/preventing-harm-high-alert-medications
    August 14, 2017 - Commentary Preventing harm from high-alert medications. Citation Text: Federico F. Preventing harm from high-alert medications. Jt Comm J Qual Patient Saf. 2007;33(9):537-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  4. Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet

    psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
    December 14, 2022 - Newspaper/Magazine Article Hidden medication loss when using a primary administration set for small-volume intermittent infusions. Citation Text: Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…

  5. Patient safety tools for primary care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-tools-primary-care
    May 17, 2023 - Commentary Patient safety tools for primary care. Citation Text: Patient safety tools for primary care. Domdera J. Fam Pract Manag. 2023;30(2):24-28. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  6. Using patient safety science to explore strategies for improving safety in intravenous medication administration. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
    June 02, 2021 - Commentary Using patient safety science to explore strategies for improving safety in intravenous medication administration. Citation Text: Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…

  7. Nebraska Coalition for Patient Safety Annual Report. | PSNet

    psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
    July 13, 2022 - Book/Report Nebraska Coalition for Patient Safety Annual Report. Citation Text: Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022. Copy Citation Save Save to your library Print Download PDF …

  8. An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England | PSNet

    psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
    March 17, 2011 - Book/Report An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Citation Text: An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…

  9. Crime in the workplace, part 1. | PSNet

    psnet.ahrq.gov/issue/crime-workplace-part-1
    September 11, 2024 - Commentary Crime in the workplace, part 1. Citation Text: Pastorius D. Crime in the workplace, part 1. Nurs Manage. 2007;38(10):18, 20, 22, 24, 26-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  10. Blaming others for threatening events. | PSNet

    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - Review Classic Blaming others for threatening events. Citation Text: Blaming others for threatening events. Tennen H; Affleck G. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  11. Communicating With Patients and Families About Antibiotic Decisions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
    September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions Communicating With Patients and Families About Antibiotic Decisions Patients want to feel HEARD1-3 • Say: “What I am hearing you say is [repeat the main concerns].” • Sit at eye level with the patient. • Nod your head to…

  12. Adverse outpatient drug events—a problem and an opportunity. | PSNet

    psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
    April 12, 2011 - Commentary Adverse outpatient drug events—a problem and an opportunity. Citation Text: Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  13. Serious medication errors from intravenous administration of nimodipine oral capsules. | PSNet

    psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
    March 01, 2010 - Government Resource Serious medication errors from intravenous administration of nimodipine oral capsules. Citation Text: Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA. Copy Citation …

  14. Electronic data collection using MedWatchPlus portal and rational questionnaire. | PSNet

    psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
    July 03, 2013 - Government Resource Electronic data collection using MedWatchPlus portal and rational questionnaire. Citation Text: Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157. Copy Citation …

  15. Strengthening the core. Middle managers play a vital role in improving safety. | PSNet

    psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
    April 25, 2016 - Newspaper/Magazine Article Strengthening the core. Middle managers play a vital role in improving safety. Citation Text: Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. Copy Citation Forma…

  16. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
    June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action What Can Leaders Achieve by Prioritizing Diagnostic Safety? Previous Page Next Page Table of Contents Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagno…

  17. Radiologic errors and malpractice: a blurry distinction. | PSNet

    psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
    October 23, 2018 - Review Radiologic errors and malpractice: a blurry distinction. Citation Text: Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  18. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. …

  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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