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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41808/psn-pdf
    October 08, 2024 - ISMP Medication Safety Intensive. October 8, 2024 Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). https://psnet.ahrq.gov/issue/ismp-medication-safety-intensive This virtual workshop will explore tactics for community and specialty pharmacies to ensure medication safety, inc…
  2. psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 26, 2021 Innovation Contact …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73103/psn-pdf
    March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination March 31, 2021 Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…
  4. psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - Implementing a Fall Prevention Program Frances Healey, RN, PhD | December 1, 2011  View more articles from the same authors. Citation Text: Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
  5. psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
    January 17, 2018 - SPOTLIGHT CASE Physical Diagnosis: A Lost Art? Citation Text: Thompson GR, Verghese A. Physical Diagnosis: A Lost Art?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Schola…
  6. psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
    April 30, 2014 - SPOTLIGHT CASE Diagnosing Diagnostic Mistakes Citation Text: McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google S…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care May 26, 2021 https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care Summary The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge needs,…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865411/psn-pdf
    March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836791/psn-pdf
    August 21, 2024 - TeamSTEPPS for Diagnosis Improvement. August 21, 2024 TeamSTEPPS for Diagnosis Improvement. https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on the established TeamSTEPPS® principles, this new Te…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39927/psn-pdf
    February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. February 17, 2011 Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40973/psn-pdf
    November 30, 2011 - A clinical nurse specialist intervention to facilitate safe transfer from ICU. November 30, 2011 St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. https://psnet.ahrq.gov/issue/clinical-nurse-spec…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37021/psn-pdf
    February 17, 2011 - Disclosing harmful medical errors to patients. February 17, 2011 Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients In this article, the authors review disclosure standards,…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37350/psn-pdf
    January 05, 2012 - How safe is my intensive care unit? Methods for monitoring and measurement. January 5, 2012 Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34932/psn-pdf
    April 06, 2011 - Do split-side rails present an increased risk to patient safety? April 6, 2011 Hignett S, Griffiths P. Do split-side rails present an increased risk to patient safety? Qual Saf Health Care. 2005;14(2):113-6. https://psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety Although this datab…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43233/psn-pdf
    June 17, 2014 - Quality and safety education for nurses: a nursing leadership skills exercise. June 17, 2014 Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36542/psn-pdf
    August 06, 2008 - Pediatric rapid response teams in the academic medical center. August 6, 2008 Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. https://psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47915/psn-pdf
    April 03, 2019 - Adversarial attacks on medical machine learning. April 3, 2019 Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399. https://psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning This review article…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40756/psn-pdf
    September 07, 2011 - How reliable is your hospital? A qualitative framework for analysing reliability levels. September 7, 2011 Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35072/psn-pdf
    June 22, 2009 - Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. June 22, 2009 Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery. 2005;137(5):518-26. https://psnet…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34601/psn-pdf
    January 26, 2009 - Strategies and tips for maximizing failure mode and effect analysis in your organization. January 26, 2009 Chicago, IL: American Society of Healthcare Risk Management; 2002. https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your- organization The implementation and appli…

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