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  1. Psn-Pdf (pdf file)

    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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42423/psn-pdf
    July 17, 2013 - National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. July 17, 2013 Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843. h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41212/psn-pdf
    March 14, 2012 - A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. March 14, 2012 de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complain…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46806/psn-pdf
    January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. February 28, 2018 Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44845/psn-pdf
    July 01, 2016 - Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. July 1, 2016 Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…

  6. Psn-Pdf (pdf file)

    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)…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41446/psn-pdf
    June 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator…

  8. Psn-Pdf (pdf file)

    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…

  9. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet

    psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
    July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 24, 2024 View more articles from the same authors. Innovation …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846564/psn-pdf
    March 29, 2023 - Technology as a Tool for Improving Patient Safety March 29, 2023 Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety Introduction  In the past several decades, technological a…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50841/psn-pdf
    January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near- Miss Wrong Transfusion Event January 29, 2020 Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…

  12. Not-So-Therapeutic Tap | PSNet

    psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
    December 01, 2014 - SPOTLIGHT CASE Not-So-Therapeutic Tap Citation Text: Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  13. Psn-Pdf (pdf file)

    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…

  14. Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet

    psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
    June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety Citation Text: Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citat…

  15. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet

    psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
    June 24, 2020 - SPOTLIGHT CASE Fatal Error in Neonate: Does "Just Culture" Provide an Answer? Citation Text: Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …

  16. Communication With Consultants | PSNet

    psnet.ahrq.gov/web-mm/communication-consultants
    October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. 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 EndNote 7 XML Endnot…

  17. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
    November 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case November 2006 Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality Source and Credits This presentation is based on the November 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837785/psn-pdf
    August 05, 2022 - Emergence of Application-based Healthcare August 5, 2022 Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare Introduction The demand for digital healthcare, including both telemedicine and hea…

  19. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
    January 01, 2020 - PowerPoint Presentation Spotlight A ʺReflexiveʺ Diagnosis in Primary Care 1 This presentation is based on the April 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49644/psn-pdf
    December 01, 2011 - Missing the Point—Eye Injury December 1, 2011 Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/missing-point-eye-injury The Case A 31-year-old woman presented to the emergency department (ED) after suffering multiple lacerations during an assault. The pati…
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