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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback February 28, 2024 https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking- and-performance Summary To improve patient care and outcomes in the intensive care unit (ICU…

  2. Deprescribing as a Patient Safety Strategy | PSNet

    psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing as a Patient Safety Strategy Citation Text: Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX …

  3. Complaints as Safety Surveillance | PSNet

    psnet.ahrq.gov/web-mm/complaints-safety-surveillance
    May 05, 2021 - Complaints as Safety Surveillance Citation Text: Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33736/psn-pdf
    September 01, 2012 - In Conversation With… Jack Needleman, PhD September 1, 2012 In Conversation With… Jack Needleman, PhD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-jack-needleman-phd Editor's note: Jack Needleman, PhD, is a Professor in the Department of Health Policy and Management at UCLA School of P…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33806/psn-pdf
    April 01, 2016 - In Conversation With… Amy J. Starmer, MD, MPH April 1, 2016 In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph Editor's note: Dr. Starmer is Director of Primary Care Quality Improvement and Assistant Professor of Pediatrics a…

  6. Medication Mix-Up: From Bad to Worse | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-bad-worse
    March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. 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 …

  7. Liver Biopsy: Proceed With Caution | PSNet

    psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
    March 07, 2012 - Liver Biopsy: Proceed With Caution Citation Text: Rockey DC. Liver Biopsy: Proceed With Caution. 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 …

  8. Hyperbilirubinemia Refractory to Phototherapy | PSNet

    psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
    March 01, 2006 - Hyperbilirubinemia Refractory to Phototherapy Citation Text: Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar …

  9. Improving Diagnostic Safety and Quality | PSNet

    psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023  View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…

  10. Suicidal Ideation in the Family Medicine Clinic | PSNet

    psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
    October 01, 2007 - SPOTLIGHT CASE Suicidal Ideation in the Family Medicine Clinic Citation Text: Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …

  11. Diagnostic Safety Improvement | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
    November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Safety Improvement  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39975/psn-pdf
    March 03, 2011 - Communication failure in the operating room. March 3, 2011 Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. https://psnet.ahrq.gov/issue/communication-failure-operating-room Communication failures are a well-chara…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46002/psn-pdf
    October 13, 2018 - Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. October 13, 2018 Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative Study to Understand an Increasing…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836825/psn-pdf
    March 30, 2022 - Antibiotic prescribing errors in patients discharged from the pediatric emergency department. March 30, 2022 LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392. doi:10.1097/pec.000000000000229…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38064/psn-pdf
    February 23, 2009 - Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. February 23, 2009 Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-based systems to the same comput…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44947/psn-pdf
    November 18, 2016 - Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. November 18, 2016 Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;25(12):962-970. doi:10.1136/bmj…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73164/psn-pdf
    April 21, 2021 - Effectiveness of communication interventions in obstetrics--a systematic review. April 21, 2021 Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616. https://psnet.ahrq.go…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74102/psn-pdf
    January 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60649/psn-pdf
    July 01, 2020 - The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. July 1, 2020 The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Care Edition. June 2020;25(12). https://psnet.ahrq.gov/iss…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35805/psn-pdf
    January 02, 2017 - Getting the board on board: engaging hospital boards in quality and patient safety. January 2, 2017 Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. https://psnet.ahrq.gov/issue/getting-board-board-engaging-hospita…
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