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9981. Building a high-reliability organization: one system's patient safety journey. | PSNet
      psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
      November 23, 2005 - Commentary Building a high-reliability organization: one system's patient safety journey. Citation Text: Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

9982. Sterile compounding tragedy is a symptom of a broken system on many levels. | PSNet
      psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
      February 13, 2019 - Newspaper/Magazine Article Sterile compounding tragedy is a symptom of a broken system on many levels. Citation Text: Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.   Copy C…

9983. Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. | PSNet
      psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
      June 10, 2018 - Newspaper/Magazine Article Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. Citation Text: Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. ISMP Medication Safety Alert! Acute care edition. July 26, 2007. Copy …

9984. Positive Patient Identification. | PSNet
      psnet.ahrq.gov/issue/positive-patient-identification
      June 19, 2024 - Book/Report Positive Patient Identification. Citation Text: Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. Copy Citation Save Save to your library …

9985. USP initiatives for the safe use of medical gases. | PSNet
      psnet.ahrq.gov/issue/usp-initiatives-safe-use-medical-gases
      July 20, 2022 - Newspaper/Magazine Article USP initiatives for the safe use of medical gases. Citation Text: USP initiatives for the safe use of medical gases. Zaidi K; Curry PD Jr; Becker SC. Pharm Tech. 2005. 29(11) Copy Citation Save Save to your library Print Do…

9986. TeamSTEPPS: the patient safety tool that needs to be implemented. | PSNet
      psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
      February 14, 2024 - Commentary TeamSTEPPS: the patient safety tool that needs to be implemented. Citation Text: Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002. Copy Citation Format: DOI Google S…

9987. A comprehensive grassroots model for statewide safety improvement. | PSNet
      psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
      February 25, 2009 - Commentary A comprehensive grassroots model for statewide safety improvement. Citation Text: Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677. Copy Citation Format: G…

9988. Quality indicators to detect pre-analytical errors in laboratory testing. | PSNet
      psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
      December 21, 2016 - Commentary Quality indicators to detect pre-analytical errors in laboratory testing. Citation Text: Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8. Copy Citation Format: Google Scholar PubMed BibTeX E…

9989. Patient and family advisory councils. The Massachusetts experience. | PSNet
      psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
      December 19, 2012 - Newspaper/Magazine Article Patient and family advisory councils. The Massachusetts experience. Citation Text: Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. Copy Citation Save Save to y…

9990. At US hospitals, a drug mix-up is just a few keystrokes away. | PSNet
      psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
      March 30, 2022 - Newspaper/Magazine Article At US hospitals, a drug mix-up is just a few keystrokes away. Citation Text: At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022. Copy Citation Save Save to your library Prin…

9991. Exhibits 59 to 61 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 59 to 61 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

9992. Exhibit 18. Counts of identified organisms by procedure | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary …

9993. Exhibit 12. Data for Algorithm | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administrati…

9994. Exhibit 13. Accuracy of algorithm at each participating hospital | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive…

9995. Exhibits 38 to 40 | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

9996. Exhibits 44 to 46 | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

9997. Exhibits 35 to 37 | Agency for Healthcare Research and Quality
      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 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

9998. Non–operating room anesthesia challenges. | PSNet
      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. Copy Citation Save Save to your library Print Download PDF Share Face…

9999. 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.

10000. 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.