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  1. psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
    January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Hauck LD, Jacob J. Implementing a Patient Safety …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47412/psn-pdf
    October 31, 2018 - The systems approach at the sharp end. October 31, 2018 Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. https://psnet.ahrq.gov/issue/systems-approach-sharp-end Systems solutions are often focused on creating improvements at the organizational o…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44274/psn-pdf
    February 18, 2019 - Concepts for the development of a customizable checklist for use by patients. February 18, 2019 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203. https://psnet.ahrq.gov/issue…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40011/psn-pdf
    November 17, 2010 - Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. November 17, 2010 Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637. https://p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40235/psn-pdf
    May 11, 2011 - Assessing and improving safety climate in a large cohort of intensive care units. May 11, 2011 Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e318206d26c. https://psnet.ahrq.gov/iss…
  6. psnet.ahrq.gov/perspective/what-makes-good-checklist
    October 01, 2010 - What Makes a Good Checklist Anne Collins McLaughlin, PhD | October 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46977/psn-pdf
    April 04, 2018 - Latex: a lingering and lurking safety risk. April 4, 2018 Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15. https://psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk Latex products are widely available in hospitals and represent a persistent threat to patients with latex allergies. Drawing from 61…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42303/psn-pdf
    December 18, 2013 - A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. December 18, 2013 Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital- acquired bloodstream infections. Arch Dis Child Fetal Neonatal Ed. 2013;98(6):F518-23. doi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40472/psn-pdf
    May 25, 2011 - The ability of intensive care units to maintain zero central line–associated bloodstream infections. May 25, 2011 Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/archinternmed.2011.161. https://psnet.…
  10. psnet.ahrq.gov/issue/performing-wrong-procedure
    April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  11. psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …
  12. psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
    September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access Citation Text: Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Go…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35174/psn-pdf
    June 23, 2009 - Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. June 23, 2009 Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures to Detect the Foreign Body on Chest Radiog…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46887/psn-pdf
    May 03, 2018 - Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. May 3, 2018 Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515. doi:10.1017/ice.201…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40343/psn-pdf
    December 21, 2014 - Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit. December 21, 2014 Ong A, Dysert K, Herbert C, et al. Trends in central line-associated bloodstream infections in a trauma- surgical intensive care unit. Arch Surg. 2011;146(3):302-7. doi:10.1001/archsurg.2011.9. http…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45711/psn-pdf
    March 27, 2017 - Management of a patient with a latex allergy. March 27, 2017 Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. https://psnet.ahrq.gov/issue/management-patient-latex-allergy This case analysis discusses the use of a latex cathet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37547/psn-pdf
    February 20, 2008 - Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. February 20, 2008 Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949. h…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853072/psn-pdf
    September 01, 2014 - Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. September 1, 2014 Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801. https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014 Preventing healthcare-acquired infections (HAIs) remains a p…
  19. psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Citation Text: McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72739/psn-pdf
    February 10, 2021 - Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism February 10, 2021 McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leadi…

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