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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49827/psn-pdf
    April 01, 2018 - Walking Patient, Missing Drain April 1, 2018 Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain The Case A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective …

  2. 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…

  3. 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…

  4. 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- …

  5. Toolkit for Decolonization of Non-ICU Patients with Devices. | PSNet

    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…

  6. Preventing, and managing the impact of, anesthesia awareness. | PSNet

    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…

  7. 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(…

  8. JCAHO's safety goals—the clock is ticking, will your ED be compliant? | PSNet

    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…

  9. 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 …

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. 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…

  15. 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…

  16. Tackling disrespectful, unprofessional provider behaviors. | PSNet

    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…

  17. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
    September 24, 2024 - Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments

  18. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx Spotlight Code Status vs. Care Status Source and Credits • This presentation is based on the December 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Rebe…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33718/psn-pdf
    October 01, 2011 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD October 1, 2011 In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd Editor's note: Dr. Shekelle is director of the Southern California Evidence-Based Practice Cen…

  20. Are We Getting Better at Measuring Patient Safety? | PSNet

    psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
    November 10, 2015 - Are We Getting Better at Measuring Patient Safety? Amy K. Rosen, PhD | November 1, 2010  View more articles from the same authors. Citation Text: Rosen AK. Are We Getting Better at Measuring Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare R…
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