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  1. Radiology failure mode and effect analysis: what is it? | PSNet

    psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
    May 03, 2017 - Commentary Radiology failure mode and effect analysis: what is it? Citation Text: Abujudeh H, Kaewlai R. Radiology failure mode and effect analysis: what is it? Radiology. 2009;252(2):544-50. doi:10.1148/radiol.2522081954. Copy Citation Format: DOI Google Scholar PubMed Bi…

  2. The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. | PSNet

    psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
    July 08, 2015 - Meeting/Conference Proceedings The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Citation Text: The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…

  3. Regulating compensation for injuries associated with medical error. | PSNet

    psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error
    February 15, 2023 - Commentary Regulating compensation for injuries associated with medical error. Citation Text: Regulating compensation for injuries associated with medical error. Corbett A. Sydney Law Review. 2006;28(2):259-296. Copy Citation Save Save to your library Pr…

  4. 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…

  5. 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 …

  6. 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 …

  7. 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…

  8. 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…

  9. 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 …

  10. 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 …

  11. Person-Centered Guidelines for Preserving Family Presence in Challenging Times. | PSNet

    psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times
    October 14, 2015 - Book/Report Person-Centered Guidelines for Preserving Family Presence in Challenging Times. Citation Text: Person-Centered Guidelines for Preserving Family Presence in Challenging Times. Derby, CT: Planetree; 2020. Copy Citation Save Save to your library P…

  12. Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? | PSNet

    psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics
    May 11, 2011 - Book/Report Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? Citation Text: Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? Issue Brief. Washington DC: Pew Charitable Trust; March 2021. Copy Citation Save Save to your…

  13. Health Worker Safety: A Priority for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
    October 07, 2020 - Book/Report Health Worker Safety: A Priority for Patient Safety. Citation Text: Health Worker Safety: A Priority for Patient Safety. Geneva, Switzerland: World Health Organization; September 17, 2020. Copy Citation Save Save to your library Print Downl…

  14. A Transformational Effort on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/transformational-effort-patient-safety
    October 05, 2022 - Book/Report A Transformational Effort on Patient Safety. Citation Text: A Transformational Effort on Patient Safety. Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023. Copy Citation Save Save to …

  15. 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…

  16. 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…

  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. Despite technology, verbal orders persist, read back is not widespread, and errors continue. | PSNet

    psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
    June 28, 2017 - Newspaper/Magazine Article Despite technology, verbal orders persist, read back is not widespread, and errors continue. Citation Text: Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…

  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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