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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning-continuum
November 06, 2019 - Book/Report
Quality Improvement and Patient Safety Competencies Across the Learning Continuum.
Citation Text:
Quality Improvement and Patient Safety Competencies Across the Learning Continuum. AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical…
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psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
April 05, 2023 - Book/Report
Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.
Citation Text:
Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. Farnborough, UK: Healthcare Safety Investigation Branch. …
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psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
June 26, 2019 - Book/Report
Emerging Classic
Still Not Safe: Patient Safety and the Middle-Managing of American Medicine.
Citation Text:
Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. Wears R, Sutcliffe K. New York, NY: Oxford University Press; 201…
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psnet.ahrq.gov/issue/medical-monitoring-pharmaceutical-injuries-tort-law-publics-health
May 20, 2015 - Commentary
Medical monitoring for pharmaceutical injuries: tort law for the public's health?
Citation Text:
Studdert DM, Mello MM, Brennan TA. Medical monitoring for pharmaceutical injuries: tort law for the public's health? JAMA. 2003;289(7):889-94.
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psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
May 01, 2019 - Commentary
Lessons from health care leaders: rethinking and reinvesting in patient safety.
Citation Text:
doi:10.1056/CAT.23.0090.
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psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
November 23, 2016 - Commentary
Profiles in patient safety: confirmation bias in emergency medicine.
Citation Text:
Pines JM. Profiles in patient safety: confirmation bias in emergency medicine. Acad Emerg Med. 2006;13(1):90-4.
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psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
May 26, 2021 - Multi-use Website
QI Gateway: Quality Improvement for Residents.
Citation Text:
QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare.
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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.
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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…
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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.
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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…
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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.
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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.
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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.
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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.
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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.
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psnet.ahrq.gov/issue/slow-troubling-death-autopsy
August 19, 2020 - Newspaper/Magazine Article
The slow, troubling death of the autopsy.
Citation Text:
The slow, troubling death of the autopsy. Ashworth S. Elemental. September 22, 2020.
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psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
August 26, 2020 - Newspaper/Magazine Article
Use systems redesign and the law to prevent medical errors and accidents.
Citation Text:
Use systems redesign and the law to prevent medical errors and accidents. Saks MJ, Landsman S. STAT. August 4, 2021.
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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.