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psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
May 22, 2009 - Newspaper/Magazine Article
What pilots can teach hospitals about patient safety.
Citation Text:
What pilots can teach hospitals about patient safety. Murphy K
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psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-entrapment
October 28, 2010 - Book/Report
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.
Citation Text:
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006.
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psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
September 08, 2010 - Book/Report
Clinical ICT Systems in the Victorian Public Health Sector.
Citation Text:
Clinical ICT Systems in the Victorian Public Health Sector. Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013.
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psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
May 20, 2009 - Commentary
Care transitions: a threat and an opportunity for patient safety.
Citation Text:
Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537.
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effectivehealthcare.ahrq.gov/sites/default/files/web-based_osheroff_respondent.pdf
January 01, 2009 - Osheroff_Respondent_DuBenske 4
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehealthc…
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psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
July 12, 2023 - Newspaper/Magazine Article
Independent double checks: undervalued and misused.
Citation Text:
Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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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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.