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psnet.ahrq.gov/node/60314/psn-pdf
May 13, 2020 - Preparedness for COVID-19: in situ simulation to enhance
infection control systems in the intensive care unit.
May 13, 2020
Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance
infection control systems in the intensive care unit. Br J Anaesth. 2020;125(2):e236-e239.
doi:10.…
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Pharmacist's Perspective
June 1, 2016
Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
…
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork Training
September 15, 2024
Teamwork Training. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/teamwork-training
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed …
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - Volume Too Low: In and Out
March 1, 2011
Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/volume-too-low-and-out
Case Objectives
Appreciate that because of multiple factors, children are at high risk for medical errors.
Describe the importance of weight-based dosing of…
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration
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June 14, 2023
Innov…
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis…
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Where's the Feeding Tube?
Citation Text:
Metheny NA, Meert KL. Where's the Feeding Tube?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - One Bronchoscopy, Two Errors
Citation Text:
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - What Does Simulation Add to Teamwork Training?
David M. Gaba, MD | March 1, 2006
View more articles from the same authors.
Citation Text:
Gaba DM. What Does Simulation Add to Teamwork Training?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to
Complications and Poor Follow-up
July 31, 2023
Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications
and poor follow-up. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
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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…
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Although clinicians and researchers endorse the importance of patient-centeredness in assessing
misdiagnosis
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Castle : Most of my work in nursing homes has revolved around assessing quality: what makes a quality
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE
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April 24, 2024
View more articles from the same authors.
Innovation
…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Promising Areas for Patient Safety Research
December 1, 2003
Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. PSNet [internet]. 2003.
https://psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
Perspective
Setting a Course for Patient Safety Research
Although patient safety…
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psnet.ahrq.gov/node/47441/psn-pdf
September 26, 2018 - Patient outcomes after the introduction of statewide ICU
nurse staffing regulations.
September 26, 2018
Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse
Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.0000000000003286.
https://psnet.ah…
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psnet.ahrq.gov/node/45407/psn-pdf
September 27, 2016 - Safety of the Manchester Triage System to detect
critically ill children at the emergency department.
September 27, 2016
Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically
Ill Children at the Emergency Department. J Pediatr. 2016;177:232-237.e1.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - Association of cataract surgical outcomes with late
surgeon career stages: a population-based cohort study.
January 27, 2019
Campbell RJ, El-Defrawy SR, Gill SS, et al. Association of Cataract Surgical Outcomes With Late Surgeon
Career Stages: A Population-Based Cohort Study. JAMA Ophthalmol. 2019;137(1):58-64.
do…
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psnet.ahrq.gov/node/47261/psn-pdf
August 15, 2018 - The association between professional burnout and
engagement with patient safety culture and outcomes: a
systematic review.
August 15, 2018
Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With
Patient Safety Culture and Outcomes: A Systematic Review. J Patient Saf. 2018;17(8)…
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psnet.ahrq.gov/node/46493/psn-pdf
January 24, 2019 - Four states with robust prescription drug monitoring
programs reduced opioid dosages.
January 24, 2019
Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs
Reduced Opioid Dosages. Health Aff (Millwood). 2018;37(6):964-974. doi:10.1377/hlthaff.2017.1321.
https://psnet…