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841. Impatient Inpatient Dosing | PSNet
     psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
     June 24, 2020 - When a first-time warfarin dose is ordered, the computer would capture the demographic data (age, height

842. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49854/psn-pdf
     February 01, 2019 - Diagnostic Failure: The Growing Deficit February 1, 2019 Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…

843. Primers | PSNet
     psnet.ahrq.gov/primers-0
     March 15, 2025 - Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Latest Primers Clinical Decision Support Systems March…

844. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60167/psn-pdf
     April 12, 2024 - Discharge Planning and Transitions of Care March 25, 2020 Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care Background Transitions of care refer to the movement of patients between different healthcare se…

845. Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. | PSNet
     psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
     September 04, 2013 - April 22, 2012 How might health services capture patient-reported safety concerns in

846. Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. | PSNet
     psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
     July 21, 2017 - August 2, 2017 How might health services capture patient-reported safety concerns in

847. What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. | PSNet
     psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre
     July 21, 2017 - June 25, 2014 How might health services capture patient-reported safety concerns in a

848. In Conversation with…Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
     October 01, 2008 - In Conversation with…Robert M. Wachter, MD October 1, 2008  Also Read an Essay Citation Text: In Conversation with…Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008…

849. In Conversation with...Joseph Britto, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
     February 01, 2007 - In Conversation with...Joseph Britto, MD February 1, 2007  Also Read an Essay Citation Text: In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.In Conversation with...Joseph Britto, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

850. In Conversation With... Barbara Drew, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
     May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016  Also Read an Essay Citation Text: In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016.In Conversation With... Barbara Drew, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare…

851. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet
     psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
     April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

852. Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet
     psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
     October 15, 2014 - Study Classic Medication error prevention by clinical pharmacists in two children's hospitals. Citation Text: Medication error prevention by clinical pharmacists in two children's hospitals. Folli HL; Poole RL; Benitz WE; Russo JC Copy Citation …

853. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36319/psn-pdf
     August 05, 2008 - Selling soap. August 5, 2008 Dubner SJ; Levitt SD. https://psnet.ahrq.gov/issue/selling-soap This article discusses physician noncompliance with hand hygiene recommendations and describes several low-tech interventions, including a screensaver showing germs captured in a Petri dish off a physician's "clean" hands…

854. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36911/psn-pdf
     September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…

855. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40908/psn-pdf
     December 08, 2011 - Patients' identification and reporting of unsafe events at six hospitals in Japan. December 8, 2011 Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. https://psnet.ahrq.gov/issue/patients-identifi…

856. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39725/psn-pdf
     August 11, 2010 - The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. August 11, 2010 Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659. https://psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us This book explores inattentional blindness, as demonstrated in …

857. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34790/psn-pdf
     December 23, 2008 - Cognitive errors in diagnosis: instantiation, classification, and consequences. December 23, 2008 Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classificati…

858. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34954/psn-pdf
     June 23, 2009 - Active surveillance of vaccine safety: a system to detect early signs of adverse events. June 23, 2009 Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. https://psnet.ahrq.gov/issue/active-surveillance-vacc…

859. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34805/psn-pdf
     November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…

860. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36671/psn-pdf
     January 18, 2011 - Increasing vigilance on the medical/surgical floor to improve patient safety. January 18, 2011 Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. https://psnet.ahrq.gov/issue/increasing-vigilance-m…