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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…

  2. CVC Removal: A Procedure Like Any Other | PSNet

    psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  3. Preventing PICC Complications: Whose Line Is It? | PSNet

    psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
    October 01, 2017 - Preventing PICC Complications: Whose Line Is It? Citation Text: Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibT…

  4. Medical Devices in the "Wild" | PSNet

    psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - Medical Devices in the "Wild" Citation Text: Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  5. Inflicting Confusion | PSNet

    psnet.ahrq.gov/web-mm/inflicting-confusion
    August 04, 2021 - Inflicting Confusion Citation Text: Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  6. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx Spotlight A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion Source and Credits • This presentation is based on the July 2023 AHRQ WebM&M Spotlight Case o See the full article at ht…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35895/psn-pdf
    August 24, 2018 - Building a case for medication reconciliation. August 24, 2018 ISMP Medication Safety Alert! Acute care edition. April 21, 2005. https://psnet.ahrq.gov/issue/building-case-medication-reconciliation This article presents examples of medication errors caused by failed communication, briefly reviews the steps for med…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38661/psn-pdf
    May 27, 2009 - Quality and safety indicators in anesthesia: a systematic review. May 27, 2009 Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b. https://psnet.ahrq.gov/issue/quality-and-safety-indicator…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37442/psn-pdf
    January 02, 2008 - Fatal errors in nitrous oxide delivery. January 2, 2008 Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. https://psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery This review assessed published evidence …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36963/psn-pdf
    September 12, 2011 - Health literacy and its influence on patient safety. September 12, 2011 Ross J. Health Literacy and Its Influence on Patient Safety. Journal of PeriAnesthesia Nursing. 2007;22(3). doi:10.1016/j.jopan.2007.03.005. https://psnet.ahrq.gov/issue/health-literacy-and-its-influence-patient-safety The author discusses the…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41202/psn-pdf
    March 07, 2012 - Reducing latent errors, drift errors, and stakeholder dissonance. March 7, 2012 Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. https://psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance This commentary discusses system and user errors in health information technology a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37611/psn-pdf
    February 15, 2011 - SBAR for patients. February 15, 2011 Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06. https://psnet.ahrq.gov/issue/sbar-patients This commentary presents information and background on the standardized communication process known as SBAR (situation, background, assessment, a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36095/psn-pdf
    September 28, 2010 - The safety culture in a children's hospital. September 28, 2010 Grant MJC, Donaldson AE, Larsen G. The safety culture in a children's hospital. J Nurs Care Qual. 2006;21(3):223-229. https://psnet.ahrq.gov/issue/safety-culture-childrens-hospital The investigators used the Safety Attitudes Questionnaire to assess st…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35727/psn-pdf
    February 22, 2006 - Risk of medication errors at hospital discharge and barriers to problem resolution. February 22, 2006 Enguidanos SM; Brumley RD. https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution The authors reviewed discharge medication records for elderly patients to assess do…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36953/psn-pdf
    June 13, 2007 - Quality and Safety Education for Nurses. June 13, 2007 Cronenwett L, ed. Nurs Outlook. 2007;55(3):117-162. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurses This issue covers a variety of topics related to quality and safety education for nurses, including the integration of safety content into dail…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35860/psn-pdf
    March 11, 2019 - Patient safety in the office-based setting. March 11, 2019 Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. https://psnet.ahrq.gov/issue/patient-safety-office-based-setting The authors discuss improving patient safety in the office-based …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36861/psn-pdf
    November 23, 2016 - Patients as Partners: How to Involve Patients and Families in Their Own Care. November 23, 2016 McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care This book illustrates how health c…

  18. Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. | PSNet

    psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
    February 10, 2012 - Organizational Policy/Guidelines Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. Citation Text: Nak…

  19. Identification of in-hospital complications from claims data. Is it valid? | PSNet

    psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
    June 13, 2011 - Study Classic Identification of in-hospital complications from claims data. Is it valid? Citation Text: Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. Copy Cit…

  20. Psychological safety and infection prevention practices: results from a national survey. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
    September 27, 2023 - Study Psychological safety and infection prevention practices: results from a national survey. Citation Text: Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic…
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