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  1. Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. | PSNet

    psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
    November 29, 2023 - Book/Report Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Citation Text: Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Dorset, UK: Health Services Safety Investigatio…

  2. Smart pump custom concentrations without hard "low concentration" alerts. | PSNet

    psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
    June 10, 2018 - Newspaper/Magazine Article Smart pump custom concentrations without hard "low concentration" alerts. Citation Text: Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4. Copy Citation …

  3. "Use as directed" can cause confusion for both patients and practitioners. | PSNet

    psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
    August 24, 2016 - Newspaper/Magazine Article "Use as directed" can cause confusion for both patients and practitioners. Citation Text: "Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3. Copy Citation …

  4. Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. | PSNet

    psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
    August 24, 2016 - Newspaper/Magazine Article Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. Citation Text: Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…

  5. Stop the silent misdiagnosis: patients' preferences matter. | PSNet

    psnet.ahrq.gov/issue/stop-silent-misdiagnosis-patients-preferences-matter
    February 02, 2020 - Commentary Stop the silent misdiagnosis: patients' preferences matter. Citation Text: Mulley AG, Trimble C, Elwyn G. Stop the silent misdiagnosis: patients' preferences matter. BMJ. 2012;345:e6572. doi:10.1136/bmj.e6572. Copy Citation Format: DOI Google Scholar PubMed Bib…

  6. Utilizing pharmacogenomic testing can improve medication safety and prevent harm. | PSNet

    psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
    April 17, 2024 - Newspaper/Magazine Article Utilizing pharmacogenomic testing can improve medication safety and prevent harm. Citation Text: Utilizing pharmacogenomic testing can improve medication safety and prevent harm. ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. Copy Citation …

  7. ‘Medical errors are the third leading cause of death’ and other statistics you should question. | PSNet

    psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
    February 24, 2025 - Newspaper/Magazine Article ‘Medical errors are the third leading cause of death’ and other statistics you should question. Citation Text: ‘Medical errors are the third leading cause of death’ and other statistics you should question. Jaklevic MC. HealthJournalism.org. July 27, 2023. …

  8. SBAR for patients. | PSNet

    psnet.ahrq.gov/issue/sbar-patients
    September 12, 2012 - Commentary SBAR for patients. Citation Text: Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  9. Correct use of inhalers: help patients breathe easier. | PSNet

    psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
    August 10, 2016 - Newspaper/Magazine Article Correct use of inhalers: help patients breathe easier. Citation Text: Correct use of inhalers: help patients breathe easier. ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6. Copy Citation Save Save to your library …

  10. Chapter 1. Objectives | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/shuttered/acfselection/chapter1.html
    July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Chapter 1. Objectives Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter 3. Methods Chapter 4. Resu…

  11. Patient Safety in Public Hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-public-hospitals
    November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

  12. The new patient safety officer: a lifeline for patients, a life jacket for CEOs. | PSNet

    psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
    September 12, 2012 - Commentary The new patient safety officer: a lifeline for patients, a life jacket for CEOs. Citation Text: Denham CR. The New Patient Safety Officer. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318036bae9. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  13. Noise: a distraction, interruption, and safety hazard. | PSNet

    psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
    February 01, 2014 - Commentary Noise: a distraction, interruption, and safety hazard. Citation Text: Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  14. Distractions, interruptions, and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
    February 01, 2014 - Commentary Distractions, interruptions, and patient safety. Citation Text: Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. Remote CPOE error—a situation that's more than remotely possible. | PSNet

    psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
    May 07, 2018 - Newspaper/Magazine Article Remote CPOE error—a situation that's more than remotely possible. Citation Text: Remote CPOE error—a situation that's more than remotely possible. ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3. Copy Citation Save …

  16. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-intro.html
    April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Introduction Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qual…

  17. TeamSTEPPS Situation Monitoring Facilitator Worksheet (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-worksheet.pdf
    June 02, 2025 - TeamSTEPPS Situation Monitoring Facilitator Worksheet …

  18. Ethics & Governance of Artificial Intelligence for Health. | PSNet

    psnet.ahrq.gov/issue/ethics-governance-artificial-intelligence-health
    August 18, 2021 - Book/Report Ethics & Governance of Artificial Intelligence for Health. Citation Text: Ethics & Governance of Artificial Intelligence for Health. Health Ethics & Governance, World Health Organization. Geneva, Switzerland: World Health Organization; 2021.  ISBN: 9789240029200…

  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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