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psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
February 21, 2007 - Newspaper/Magazine Article
Tenfold errors can lead to tragedy.
Citation Text:
Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh13.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 13. Accuracy of algorithm at each participating hospital
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh18.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 18. Counts of identified organisms by procedure
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psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
May 20, 2020 - Newspaper/Magazine Article
Hospital R.Ph.s weigh in on new JCAHO patient safety goals.
Citation Text:
Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. Drug Topics. July 11, 2005
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psnet.ahrq.gov/issue/computer-technology-and-clinical-work-still-waiting-godot
October 19, 2022 - Commentary
Computer technology and clinical work: still waiting for Godot.
Citation Text:
Wears RL, Berg M. Computer Technology and Clinical Work. JAMA. 2005;293(10). doi:10.1001/jama.293.10.1261.
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psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
November 28, 2018 - Newspaper/Magazine Article
Non–operating room anesthesia challenges.
Citation Text:
Non–operating room anesthesia challenges. Smith MJ. Anesthesiology News. June 6, 2023.
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh35-37.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 35 to 37
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Chapter 1. Administration
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psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
October 23, 2018 - Commentary
Will saying "I'm sorry" prevent a malpractice lawsuit?
Citation Text:
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh12.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 12. Data for Algorithm
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 38 to 40
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh44-46.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 44 to 46
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psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
March 27, 2019 - Review
Administrative issues to ensure safe anesthesia care in the office-based setting.
Citation Text:
Gaulton TG, Shapiro FE, Urman RD. Administrative issues to ensure safe anesthesia care in the office-based setting. Curr Opin Anaesthesiol. 2013;26(6):692-7. doi:10.1097/ACO.00000000…
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
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psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
October 12, 2022 - Review
Classification of antecedents towards safety use of health information technology: a systematic review.
Citation Text:
Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…
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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - Commentary
Studying organisational cultures and their effects on safety.
Citation Text:
Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
December 15, 2021 - Book/Report
New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians.
Citation Text:
New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…
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psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
November 29, 2009 - Book/Report
State Patient Safety Centers: A New Approach to Promote Patient Safety.
Citation Text:
State Patient Safety Centers: A New Approach to Promote Patient Safety. Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004.
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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.