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  1. www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
    January 01, 2023 - Major Physician Measurement Sets Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …
  2. psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-hospitalization
    June 10, 2018 - Newspaper/Magazine Article Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. Citation Text: Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. ISMP Medication Safety Alert! Acute Care…
  3. psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
    August 05, 2020 - Newspaper/Magazine Article Supporting nurses as essential partners in diagnosis. Citation Text: Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)  Copy Citation Save Save to your library Print Download PDF …
  4. psnet.ahrq.gov/issue/amc-pso-resource-center
    November 17, 2021 - Multi-use Website AMC PSO Resource Center. Citation Text: AMC PSO Resource Center. Academic Medical Center Patient Safety Organization. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  5. psnet.ahrq.gov/issue/state-science-safe-medication-administration
    June 22, 2009 - Special or Theme Issue The State of the Science on Safe Medication Administration. Citation Text: The State of the Science on Safe Medication Administration. Am J Nurs. 2005;105;(supp 5):2-55. Copy Citation Save Save to your library Print Download P…
  6. psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
    January 14, 2019 - Newspaper/Magazine Article Safety of anesthetic and perioperative medication practices. Citation Text: Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022. Copy Citation Save Save to your library Pri…
  7. psnet.ahrq.gov/issue/nutrition-support-safety
    July 10, 2024 - Special or Theme Issue Nutrition Support Safety. Citation Text: Nutrition Support Safety. Nutr Clin Pract. 2023;38(6):1181-1415. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…
  8. psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-thrombolysis-acute
    November 13, 2019 - Book/Report Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. Citation Text: Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. Farnborough, UK; Healthcare…
  9. psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
    February 22, 2023 - Newspaper/Magazine Article Achieving a successful patient safety program with implementation of a harm reduction strategy. Citation Text: Achieving a successful patient safety program with implementation of a harm reduction strategy. Cohen JB. APSF Newsletter. 2023;38(10):93-95. Copy…
  10. psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
    August 04, 2021 - Tools/Toolkit Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Citation Text: Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Houston TX;  Baylor College of Medicine: 2022. Copy Citation Save Save to your l…
  11. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
    January 01, 2019 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-2 BENEFITS OF PARTICIPATION Sara Toomey, MD, MPhil, MPH, MSc Chief Safety and Quality Officer, SVP Chief Experience Officer Director/PI, Center of Excellence for Pediatric Quality Measurement Boston Children’s Hospital 22 Benefits of Participation •…
  12. psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
    September 26, 2017 - Commentary Unlabeled containers lead to patient's death. Citation Text: Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  13. psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
    August 08, 2007 - Book/Report Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Citation Text: Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254. C…
  14. psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
    June 10, 2018 - Newspaper/Magazine Article Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. Citation Text: Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
  15. psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
    November 24, 2021 - Commentary 'Inattentional blindness': what captures your attention? Citation Text: Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  16. psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
    May 07, 2014 - Newspaper/Magazine Article Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. Citation Text: Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. ISMP Medication …
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Appendix C. Interview Guide Previous Page   Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion Referenc…
  18. psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
    May 08, 2019 - Organizational Policy/Guidelines Communicating After Harm in Healthcare. Citation Text: Communicating After Harm in Healthcare. Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266 Copy Citation Save …
  19. 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. 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.