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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74101/psn-pdf
    November 24, 2021 - Management of the deteriorating adult patient: does simulation-based education improve patient safety? November 24, 2021 Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8. doi:10.12968/hmed.2021.0293. h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36947/psn-pdf
    September 09, 2011 - The safety of warfarin therapy in the nursing home setting. September 9, 2011 Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. https://psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting The anticoagulant warfarin is co…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843326/psn-pdf
    February 01, 2023 - Surgical site infection prevention: a review. February 1, 2023 Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review Surgical site infections (SSIs) remain a …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50429/psn-pdf
    September 04, 2019 - Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. September 4, 2019 Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Single Academic Medical Center. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46891/psn-pdf
    December 21, 2018 - Day of discharge does not impact hospital readmission after major cardiac surgery. December 21, 2018 Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37790/psn-pdf
    April 11, 2011 - Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. April 11, 2011 Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administ…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848816/psn-pdf
    May 10, 2023 - Racial bias in cesarean decision-making. May 10, 2023 Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making Racial bias negatively impacts maternal…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47651/psn-pdf
    December 12, 2018 - Are national efforts to reduce drug name confusion paying off? December 12, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying Look-alike and sound-alike medications present a recurring threat to patie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44393/psn-pdf
    August 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45280/psn-pdf
    September 01, 2018 - Fighting MRSA infections in hospital care: how organizational factors matter. September 1, 2018 Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521. https://psnet.ahrq.gov/issue/fighting-mr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72644/psn-pdf
    February 01, 2021 - Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020.  https://psnet.ahrq.gov/issue/best-practices-developing-p…
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
    June 01, 2021 - Identifying Delirium: ABCs of Identification_4x6 AHRQ Pub. No. 17(21)-0029 June 2021 IDENTIFYING DELIRIUM ABCs OF IDENTIFICATION Acute/subacute • Altered mental status from baseline Behavioral disturbance • Restless, agitated, combative Changes in consciousness • Jittery, drowsy, difficult to aro…
  13. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/improvement-data.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Improvement Data Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Othe…
  14. Iowa2009 2010Sid Cd (pdf file)

    hcup-us.ahrq.gov/db/state/siddist/Iowa2009_2010SID_CD.pdf
    December 01, 2011 - The Iowa HCUP State Inpatient Databases (SID) for 2009 (dated June or August 2010) and 2010 (dated September 2011) contain misleading discharge data from four hospitals accounting for about 11 percent of the files. The affected discharge data include incorrect reporting of the principal procedure and incorrect orde…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47670/psn-pdf
    March 20, 2019 - Targeting the fear of safety reporting on a unit level. March 20, 2019 Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level Blame culture in health care settings …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74084/psn-pdf
    November 17, 2021 - Healthcare failure mode and effect analysis in the chemotherapy preparation process. November 17, 2021 Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):1588-1595. doi:10.1177/107815522…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47426/psn-pdf
    October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_rsv.pdf
    June 02, 2025 - NICU Toolkit, Appendix A, Respiratory Syncytial Virus (RSV) Respiratory Syncytial Virus (RSV) What is Respiratory Syncytial Virus (RSV)? ■ A common virus that affects babies and infants. ■ Leading cause of two lung infections: pneumonia and bronchitis. Symptoms of RSV ■ Starts out like a cold with fever o…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836836/psn-pdf
    March 30, 2022 - Deficiencies after the New Electronic Health Record Go- Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022 Washington, DC: VA Office of Inspector General; March 17, 2022. https://psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va- medical-cent…
  20. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening-2013
    June 15, 2013 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Hepatitis C: Screening June 15, 2013 Recommendations made by the USPSTF are independent of the U.S. government. They should n…