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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…
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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
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May 26, 2021
Innovation
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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-…
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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…
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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.
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Format:
Google Schola…
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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.
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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,…
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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-…
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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…
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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…
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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…
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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,…
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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…
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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…
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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…
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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-…
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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…
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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…
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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…
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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…