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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49664/psn-pdf
    January 01, 2013 - Empty Handoff September 1, 2012 Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/empty-handoff The Case A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a leg wound. The patient's medical history included chronic…
  2. psnet.ahrq.gov/web-mm/pathologic-mistake
    February 15, 2010 - Pathologic Mistake Citation Text: Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  3. psnet.ahrq.gov/web-mm/impact-communication-medication-errors
    August 01, 2009 - The Impact of Communication on Medication Errors Citation Text: Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49720/psn-pdf
    December 01, 2014 - A Stroke of Error December 1, 2014 Barrett KM. A Stroke of Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/stroke-error Case Objectives State the key clinical factors to assess in a patient with suspected stroke. Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848110/psn-pdf
    April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. April 26, 2023 Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes Disclosure of Relevant Financial R…
  6. psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
    November 15, 2023 - Toolkit Toolkit for Decolonization of Non-ICU Patients with Devices. Citation Text: Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  7. psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
    May 27, 2020 - Sentinel Event Alerts Preventing, and managing the impact of, anesthesia awareness. Citation Text: Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46424/psn-pdf
    March 20, 2018 - Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. March 20, 2018 Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health Care. J Am Coll Radiol. 2018;15(…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46985/psn-pdf
    July 02, 2019 - The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster- randomized controlled trial. July 2, 2019 Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actionable Tests Pending at Discharge: a Cluster-Randomized Controlled Tria…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43264/psn-pdf
    June 18, 2014 - CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. June 18, 2014 Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 Million during 1990-2008. Health Af…
  11. psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
    January 13, 2021 - Newspaper/Magazine Article Tackling disrespectful, unprofessional provider behaviors. Citation Text: Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
  12. psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
    April 10, 2019 - Commentary JCAHO's safety goals—the clock is ticking, will your ED be compliant? Citation Text: JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41187/psn-pdf
    October 16, 2012 - A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. October 16, 2012 Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led information technology intervention for medication errors (PINCER): a …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42472/psn-pdf
    August 07, 2013 - Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. August 7, 2013 Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. J Healthc Risk Mana…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48168/psn-pdf
    July 24, 2019 - Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. July 24, 2019 Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort stud…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41223/psn-pdf
    March 21, 2012 - High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. March 21, 2012 Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Health Aff (Millwood). 2012;31(3):5…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39948/psn-pdf
    December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. December 21, 2014 Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis of a prospective database of p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41461/psn-pdf
    April 05, 2013 - Residents' response to duty-hour regulations—a follow- up national survey. April 5, 2013 Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056/NEJMp1202848. https://psnet.ahrq.gov/issue/residents-response-duty-h…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39620/psn-pdf
    September 20, 2011 - The relationship between patients' perception of care and measures of hospital quality and safety. September 20, 2011 Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and safety. Health Serv Res. 2010;45(4):1024-40. doi:10.1111/j.1475- …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46027/psn-pdf
    July 02, 2019 - Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter? July 2, 2019 Smith SN, Reichert HA, Ameling JM, et al. Dissecting Leapfrog: How Well Do Leapfrog Safe Practices Scores Correlate With Hospital Compare Ratings and Pena…

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