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psnet.ahrq.gov/issue/navigating-information-technology-highway-computer-solutions-reduce-errors-and-enhance
September 01, 2016 - May 7, 2014
Controversies surrounding use of order sets for clinical decision support
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psnet.ahrq.gov/issue/doing-harm
February 06, 2019 - contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0
September 25, 2019 - September 29, 2021
Performance of 3 sets of criteria for potentially inappropriate prescribing
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psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
December 23, 2008 - The first article argues for implementing standard color sets to delineate drug class and use to improve
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psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
May 24, 2016 - organizations struggle to cope with rapidly changing environments and more complex and interdependent sets
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psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-through-organizational-strategies
December 24, 2008 - Behavioral health workers are particularly susceptible to burnout , which sets the stage for unsafe
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - and sentinel events but rarely reflect the spectrum of adverse events.(16-18)
Administrative data sets … : Approaches to measuring patient safety using administrative data sets are
appealing, as these data … However, administrative data sets, which are the source of adverse event rates
identified by AHRQ's … The end result is that present approaches
to identify adverse events using administrative data sets
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - However, 5 days later, the
PCP was notified that both sets of blood cultures were growing Corynebacterium … The number of blood culture sets that grow a particular microorganism, especially when measured as a … positive, whereas when a blood culture is contaminated, usually
only one of several blood culture sets … It follows, then, that the probability of recovering the same microorganism in 2
culture sets from a … For
example, if 2 sets of blood cultures obtained by separate venipunctures in the same time frame are
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psnet.ahrq.gov/issue/sustaining-and-spreading-reduction-adverse-drug-events-multicenter-collaborative
November 16, 2022 - reduce interruptions during medication administration, adopt consensus-based protocols and order sets
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psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory
April 01, 2020 - of patient information, “information islands” (e.g., nurses and physicians have separate information sets
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psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
July 15, 2020 - October 12, 2022
Performance of 3 sets of criteria for potentially inappropriate prescribing
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2012
November 02, 2012 - This year's calculation for identifying "Top Performers" included three new accountability measure sets
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - These recommendations include sets of specific actions for the overall health care system and for frontline
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psnet.ahrq.gov/issue/errors-and-analysis-errors
August 28, 2019 - May 27, 2011
Preprinted order sets as a safety intervention in pediatric sedation.
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psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period
October 19, 2022 - June 20, 2011
Preprinted order sets as a safety intervention in pediatric sedation.
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psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
June 26, 2019 - November 27, 2009
Preprinted order sets as a safety intervention in pediatric sedation
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psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
March 05, 2025 - January 15, 2020
When order sets do not align with clinician workflow: assessing practice
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psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
July 10, 2024 - Cases
Pocket Syringe Swap
May 1, 2011
Preprinted order sets
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psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
December 17, 2008 - November 16, 2015
ISMP's Guidelines for Standard Order Sets.
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
June 07, 2017 - April 1, 2015
ISMP's Guidelines for Standard Order Sets.